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5-氟尿嘧啶片治疗子宫颈癌的II期研究

[Phase II study of 5-FU tablets in cancer of the uterine cervix].

作者信息

Sekiba K, Yajima A, Tenjin Y, Kurihara S, Akiya K, Okada K, Noda K, Ozaki M, Hasegawa K, Mori T

出版信息

Gan To Kagaku Ryoho. 1987 Jul;14(7):2365-73.

PMID:3606156
Abstract

A phase II study of 5-FU tablet for 52 patients with cancer of the uterine cervix was undertaken by a cooperative study group consisting of 13 institutions. The clinical response rate in 44 evaluable cases was 31.8% (CR: 3 cases, PR: 11 cases, MR: 2 cases, NC: 19 cases and PD: 9 cases). Efficacy rates of 5-FU tablet according to lesion sites were 44.4% in the uterine cervix, 42.9% in the vaginal wall and cut vaginal end, 25.0% in the lymph nodes and 16.7% in the lung. Histologically, the effectiveness rate was 26.9% for large-cell, non-keratinizing-type-carcinoma, 42.9% for small-cell, non-keratinizing-type, and 60.0% for the keratinizing-type of squamous cell carcinoma. One of three adenocarcinoma cases (33.3%) showed improvement. Some adverse effects were observed in 16 (32.0%) of 50 evaluable cases. A large proportion of the adverse effects were gastro-intestinal disorders, such as nausea, vomiting and anorexia. These results suggested that 5-FU tablet is a useful chemotherapeutic agent against carcinoma of the uterine cervix.

摘要

由13个机构组成的合作研究小组对52例子宫颈癌患者进行了5-氟尿嘧啶片剂的II期研究。44例可评估病例的临床缓解率为31.8%(完全缓解:3例,部分缓解:11例,疾病稳定:2例,疾病进展:9例)。5-氟尿嘧啶片剂根据病变部位的有效率分别为:子宫颈44.4%,阴道壁和阴道断端42.9%,淋巴结25.0%,肺部16.7%。组织学上,大细胞非角化型癌的有效率为26.9%,小细胞非角化型为42.9%,角化型鳞状细胞癌为60.0%。3例腺癌病例中有1例(33.3%)病情有所改善。在50例可评估病例中,有16例(32.0%)观察到一些不良反应。大部分不良反应为胃肠道紊乱,如恶心、呕吐和厌食。这些结果表明,5-氟尿嘧啶片剂是一种治疗子宫颈癌的有效化疗药物。

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