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[以优福定作为大肠癌手术辅助化疗的研究。日本大肠癌手术辅助化疗协作研究组]

[Treatment with UFT as surgical adjuvant chemotherapy in carcinoma of large intestine. Cooperative Study Group of Surgical Adjuvant Chemotherapy for Colorectal Cancer in Japan].

作者信息

Kikuchi K, Kunii Y, Kunitomo K

机构信息

Dept. of Surgery, Sendai National Hospital.

出版信息

Gan To Kagaku Ryoho. 1990 Apr;17(4 Pt 1):663-70.

PMID:2108614
Abstract

The therapeutic results of the method II of the second study of the Cooperative Study Group of Surgical Adjuvant Chemotherapy for Colorectal Cancer in Japan were retrospectively reviewed and the relations of the 3-year survival rate to the dose of UFT per body weight as well as per kg of the patient and discontinuation of the treatment with UFT were investigated. The dose per day of UFT was randomly divided into group C (treated with UFT 600 mg/body/day) and group D (treated with UFT 400 mg/body/day for 12 months) by the envelope method. The 3-year survival rate of the patients whose body weight was 50 kg or more was higher than in the patients weighting less than 50 kg. The 3-survival rate of the patients treated with UFT from 8 to less than 12 mg/kg was the highest, while that of the patients treated with UFT of more than 12 mg/kg was the lowest. However, no statistical difference was observed between the two groups. The same results were observed in carcinoma of the colon and rectum, respectively. The findings indicated that the administration of excess amount of UFT was not effective. The relation between the 3-year survival rate and discontinuation of treatment with UFT was investigated at 6, 9 and 12 months after administration with UFT. The prognostic background factors of the C-group and the D-group were compared, but no difference was observed between the 2 groups at 9 months after administration. The 3-year survival rate of the patients treated continuously with UFT was higher than that of discontinued administration. The difference was especially evident in carcinoma of the colon, and good results were observed in cases treated continuously than in discontinued cases in both C- and D-groups.

摘要

对日本结直肠癌外科辅助化疗合作研究组第二项研究中方法II的治疗结果进行回顾性分析,调查3年生存率与每体重、每千克患者的优福定剂量以及优福定治疗中断之间的关系。优福定每日剂量通过信封法随机分为C组(每日每体质量600 mg优福定治疗)和D组(每日每体质量400 mg优福定治疗12个月)。体重50 kg及以上患者的3年生存率高于体重低于50 kg的患者。优福定剂量为8至不足12 mg/kg的患者3年生存率最高,而优福定剂量超过12 mg/kg的患者3年生存率最低。然而,两组之间未观察到统计学差异。在结肠癌和直肠癌中分别观察到相同结果。结果表明,过量使用优福定无效。在使用优福定后6、9和12个月调查3年生存率与优福定治疗中断之间的关系。比较C组和D组的预后背景因素,但给药9个月后两组之间未观察到差异。持续使用优福定治疗的患者3年生存率高于中断给药的患者。这种差异在结肠癌中尤为明显,C组和D组中持续治疗的病例比中断治疗的病例效果更好。

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