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[吡柔比星-阿霉素治疗晚期胃癌患者的临床研究]

[Clinical study of THP-adriamycin in patients with advanced gastric cancer].

作者信息

Hayakawa M, Morise K, Ohno R, Saito H

出版信息

Gan No Rinsho. 1986 Jun;32(7):762-8.

PMID:3090301
Abstract

To evaluate the therapeutic effects of THP-adriamycin (THP), single agent chemotherapy and combination chemotherapy with THP were undertaken in 16 patients with advanced gastric cancer. In the eight patients in the THP single agent group. Only three minor responses (MRs) were obtained. However, three partial remissions (PRs) and one MR were observed in the eight patients in the THP combination group. In which 5-FU was two patient FT-207 in another two and CDDP in one. No severe side effects were observed with the THP chemotherapy, while leukopenia of less than 3,000/mm was commonly seen (69%). Only three patients showed alopecia. Thrombocytopenia of less than 30,000/mm3 and transient arrhythmia were observed in one patient each. These side effects were apparently milder than those with adriamycin. From a pharmacokinetic study of THP and adriamycin. It was found that THP was superior to adriamycin in its transferability from the blood to cancer tissue. In conclusion, it is suggested that combination chemotherapy with THP is useful for advanced gastric cancer.

摘要

为评估吡柔比星(THP)的治疗效果,对16例晚期胃癌患者进行了THP单药化疗及联合化疗。在THP单药组的8例患者中,仅获得3例轻度缓解(MR)。然而,在THP联合组的8例患者中,观察到3例部分缓解(PR)和1例MR。其中,2例联合5-氟尿嘧啶(5-FU),另2例联合替加氟(FT-207),1例联合顺铂(CDDP)。THP化疗未观察到严重副作用,常见白细胞减少至低于3000/mm³(69%)。仅3例患者出现脱发。1例患者出现血小板减少至低于30000/mm³,1例出现短暂性心律失常。这些副作用明显比阿霉素轻。从THP和阿霉素的药代动力学研究发现,THP从血液向癌组织的转运能力优于阿霉素。总之,提示THP联合化疗对晚期胃癌有效。

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