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[辅助化疗对结直肠癌患者生存期影响的研究]

[Studies on the effects of adjuvant chemotherapy on the survival period of patients with colorectal carcinoma].

作者信息

Jo T

出版信息

Nihon Geka Gakkai Zasshi. 1985 Jun;86(6):697-708.

PMID:3929067
Abstract

One hundred and eighty nine patients who had undergone curative resection of colorectal cancer were treated with a prospective randomized controlled adjuvant chemo-immunotherapy consisting of Tegafur, Adriamycin (ADM), Mitomycin C (MMC) and OK432. One hundred and thirty five patients with Dukes' B and Dukes' C carcinoma were valid for evaluation. Effects of the therapy were estimated by cumulative survival rate. There was no significant survival difference in colonic carcinoma and Dukes' B rectal carcinoma between the treated and control groups. But there was an advantage in two and three years survival for the chemo-immunotherapy in Dukes' C rectal carcinoma (p less than 0.1). Examining the survival rate of Dukes' C rectal carcinoma for each combination of therapeutic agents, the patients treated with Tegafur and ADM had the most favorable survival rate, the patients treated with Tegafur alone had the next favorable one, the patients treated with Tegafur and MMC had the lowest one. The administration of MMC during operation was less effective than the post operative administration in Dukes' C rectal carcinoma.

摘要

189例接受过结直肠癌根治性切除术的患者接受了一项前瞻性随机对照辅助化疗免疫治疗,该治疗由替加氟、阿霉素(ADM)、丝裂霉素C(MMC)和OK432组成。135例Dukes B期和Dukes C期癌患者可进行疗效评估。通过累积生存率评估治疗效果。治疗组和对照组在结肠癌和Dukes B期直肠癌方面无显著生存差异。但在Dukes C期直肠癌中,化疗免疫治疗在2年和3年生存率方面具有优势(p<0.1)。检查Dukes C期直肠癌每种治疗药物组合的生存率,接受替加氟和阿霉素治疗的患者生存率最有利,单独接受替加氟治疗的患者其次,接受替加氟和丝裂霉素C治疗的患者生存率最低。在Dukes C期直肠癌中,术中给予丝裂霉素C的效果不如术后给药。

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