Drudi Fabrizio, Tassinari Davide, Giuliani Jacopo, Ridolfi Claudio, Gianni Lorenzo, Tamburini Emiliano, Fantini Manuela, Santelmo Carlotta, Barzotti Eleonora, Lotti Nadia, Ravaioli Alberto
Ospedale Civile Infermi, Rimini.
Recenti Prog Med. 2013 Feb;104(2):80-5. doi: 10.1701/1241.13711.
Adjuvant therapy represents the gold standard treatment for radically resected pancreatic cancer. Results from randomized clinical trials confirmed the efficacy of adjuvant therapy for pancreatic cancer but did not define what is the "right choice" in terms of type of antiblastic drug (among gemcitabine, 5-fluorouracil or other drugs), role of polychemotherapy and chemoradiotherapy. The objective of our study was to evaluate the efficacy and toxicity of adjuvant chemotherapy and chemoradiotherapy for radically resected pancreatic cancer through a systematic review of literature data, emphasizing the benefits regarding overall survival, disease-free survival and toxicity.
辅助治疗是根治性切除胰腺癌的金标准治疗方法。随机临床试验的结果证实了辅助治疗对胰腺癌的疗效,但未明确在抗增殖药物类型(吉西他滨、5-氟尿嘧啶或其他药物)、多药化疗和放化疗的作用方面,什么才是“正确选择”。我们研究的目的是通过对文献数据进行系统回顾,评估辅助化疗和放化疗对根治性切除胰腺癌的疗效和毒性,重点关注总生存期、无病生存期和毒性方面的益处。