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单中心研究链脲佐菌素/氟尿嘧啶联合化疗的经验:病例系列。

A single institution experience of streptozocin/fluorouracil combination chemotherapy: a case series.

机构信息

Trinity College Dublin, St. James's Hospital, James's Street, Dublin 2, Ireland.

出版信息

Ir J Med Sci. 2012 Jun;181(2):211-4. doi: 10.1007/s11845-011-0780-7. Epub 2011 Nov 3.

DOI:10.1007/s11845-011-0780-7
PMID:22048868
Abstract

BACKGROUND

The combination chemotherapy regimen of streptozocin and 5-fluorouracil (FU/STZ) has been used for the treatment of metastatic neuroendocrine tumours.

AIM

The aim of this study was to analyse the use of this regimen in a tertiary oncology referral centre over a 10-year period.

METHOD

We retrospectively analysed nine cases from February 2000 to May 2010. Patient demographics, chemotherapy schedule, toxicities, progression-free and overall survival were tabulated for each patient.

RESULT

The median progression-free survival was 17 months (range 3-48+ months), and overall survival 31 months (range 12-53+ months) with no toxicity related deaths.

CONCLUSION

FU/STZ was a well-tolerated regimen that produced significant benefit in the setting of metastatic and progressive disease. Our case series demonstrated comparable progression-free survival and overall survival in relation to randomized controlled studies and previous case series.

摘要

背景

链脲佐菌素和 5-氟尿嘧啶(FU/STZ)联合化疗方案已被用于治疗转移性神经内分泌肿瘤。

目的

本研究旨在分析在一个三级肿瘤转诊中心使用该方案的 10 年期间的情况。

方法

我们回顾性分析了 2000 年 2 月至 2010 年 5 月的 9 例患者。对每位患者的患者人口统计学、化疗方案、毒性、无进展生存期和总生存期进行了制表。

结果

中位无进展生存期为 17 个月(范围 3-48+个月),总生存期为 31 个月(范围 12-53+个月),无毒性相关死亡。

结论

FU/STZ 是一种耐受性良好的方案,在转移性和进展性疾病的治疗中产生了显著的获益。我们的病例系列显示,与随机对照研究和以前的病例系列相比,无进展生存期和总生存期相当。

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Eur J Cancer. 2013 Dec;49(18):3780-7. doi: 10.1016/j.ejca.2013.06.042. Epub 2013 Sep 5.
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Everolimus for advanced pancreatic neuroendocrine tumors.依维莫司治疗晚期胰腺神经内分泌肿瘤。
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Sunitinib malate for the treatment of pancreatic neuroendocrine tumors.
苹果酸舒尼替尼治疗胰腺神经内分泌肿瘤。
N Engl J Med. 2011 Feb 10;364(6):501-13. doi: 10.1056/NEJMoa1003825.
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Pancreatic endocrine tumors.胰腺内分泌肿瘤。
Semin Oncol. 2010 Dec;37(6):594-618. doi: 10.1053/j.seminoncol.2010.10.014.
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The pathologic classification of neuroendocrine tumors: a review of nomenclature, grading, and staging systems.神经内分泌肿瘤的病理学分类:命名法、分级和分期系统综述。
Pancreas. 2010 Aug;39(6):707-12. doi: 10.1097/MPA.0b013e3181ec124e.
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Systemic therapy for neuroendocrine tumours of gastroenteropancreatic origin.胃肠胰神经内分泌肿瘤的系统治疗。
Endocr Relat Cancer. 2010 Jan 29;17(1):R75-90. doi: 10.1677/ERC-09-0108. Print 2010 Mar.
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