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[III期乳腺癌动脉内灌注化疗对生存率的影响]

[Intra-arterial infusion chemotherapeutic effect of stage III breast cancer by survival rates].

作者信息

Masuoka H, Asaishi K, Toda K, Okazaki A, Yoshida K, Ohba S, Watanabe Y, Sato H, Okazaki M, Mori M

机构信息

1st Dept. of Surgery, Sapporo Medical College.

出版信息

Gan To Kagaku Ryoho. 1990 Aug;17(8 Pt 2):1678-81.

PMID:2117900
Abstract

Between January 1977 and December 1989, 140 patients of Stage III breast cancer were treated in Sapporo Medical College. Sixty-six of these patients received intra-arterial infusion chemotherapy. The anticancer drugs were mainly given by two routes, infusion into the internal mammary artery and the subclavian artery. Continuous infusion of 5-FU and intermittent injections of ADR, MMC, 4'-epi-ADR or THP-ADR were jointly or individually made in each artery. The 5-and 10-year overall survival rates were: infusion group 49.2% and 49.2%, non-infusion group 64.0% and 45.0%, respectively. Intra-arterial infusion chemotherapy seems to be useful because non-infusion group contained mostly Stage IIIa and conversely the infusion group contained mostly Stage IIIb. A significant difference was seen between 5-FU infusion group and MMC.ADR group (p=0.026). MMC group, MMC + ADR combination group and 4'-epi-ADR group were marginally significantly different in terms of survival rates of the anticancer drugs of Stage IIIb.

摘要

1977年1月至1989年12月期间,札幌医科大学对140例III期乳腺癌患者进行了治疗。其中66例患者接受了动脉内灌注化疗。抗癌药物主要通过两种途径给药,即注入胸廓内动脉和锁骨下动脉。在每条动脉中联合或单独进行5-氟尿嘧啶的持续灌注以及阿霉素、丝裂霉素、表阿霉素或吡柔比星的间歇注射。5年和10年总生存率分别为:灌注组49.2%和49.2%,非灌注组64.0%和45.0%。动脉内灌注化疗似乎是有效的,因为非灌注组大多为IIIa期,相反,灌注组大多为IIIb期。5-氟尿嘧啶灌注组与丝裂霉素-阿霉素组之间存在显著差异(p=0.026)。在IIIb期抗癌药物的生存率方面,丝裂霉素组、丝裂霉素+阿霉素联合组和表阿霉素组有边缘性显著差异。

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