Mano T, Takeshima N, Nakamura Y, Tomimatsu T, Saito T, Miyake T
Dept. of Obstetrics and Gynecology, Shuto Hospital.
Gan To Kagaku Ryoho. 1987 Oct;14(10):2895-9.
Seven patients with gynecological cancer were treated with cis-platinum. Cis-platinum at 50 mg/m2 was administered by intravenous infusion for 2 hours, followed by 2,000 ml of intravenous fluid. This treatment was repeated every three weeks. Five of the seven patients were evaluable. These patients included those with ovarian cancer (3 cases), metastatic ovarian cancer (1 case), and endometrial cancer (1 case). One patient attained a complete response, two a partial response, and two showed progressive disease. The response rate for both complete and partial response was 60%. Gastrointestinal symptoms were most frequently found. Nephrotoxicity was generally mild, but one patient had to discontinue cis-platinum treatment due to severe nephrotoxicity. Cis-platinum treatment is considered to be effective and useful for gynecological cancer. Second-look operation and two-channel chemotherapy were also discussed in this paper.
7例妇科癌症患者接受了顺铂治疗。顺铂以50mg/m²的剂量静脉输注2小时,随后输注2000ml静脉液体。该治疗每三周重复一次。7例患者中有5例可评估。这些患者包括卵巢癌患者(3例)、转移性卵巢癌患者(1例)和子宫内膜癌患者(1例)。1例患者达到完全缓解,2例部分缓解,2例疾病进展。完全缓解和部分缓解的总有效率为60%。胃肠道症状最为常见。肾毒性一般较轻,但有1例患者因严重肾毒性不得不停止顺铂治疗。顺铂治疗被认为对妇科癌症有效且有用。本文还讨论了二次探查手术和双通道化疗。