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[消化系统晚期和复发性癌症患者的动脉内持续输注]

[Intra-arterial continuous infusion in patients with advanced and recurrent cancer of the digestive system].

作者信息

Kinami Y, Takashima S, Tanaka T, Arizuka S, Ashida Y, Miyazaki I

出版信息

Gan To Kagaku Ryoho. 1985 Oct;12(10):1990-8.

PMID:3931561
Abstract

Intra-arterial continuous infusion of antineoplastic agents was carried out for 90 patients with cancer of the digestive system at our clinic during the past 16 years. These patients had inoperable, advanced or recurrent tumors in various organs: stomach, colorectum, liver, pancreas and others. 5-fluorouracil, mitomycin C, adriamycin and others were infused, singly or in combination, into the aorta (81 patients), or iliac (3) and hepatic (6) artery over periods varying from 2 to 197 days. Partial response was revealed in 41% of the overall patients, no change in 28% and progressive disease in 31%. There were significant differences in anti-tumor effects and survival curves between terminal and non-terminal patients, or between patients with and without long-term infusion (p less than 0.05-0.005). These results suggest that the performance status of patients and the infusion period both influence the anti-tumor or long-survival effect obtained by this therapy.

摘要

在过去16年里,我们诊所对90例消化系统癌症患者进行了动脉内持续输注抗肿瘤药物治疗。这些患者的肿瘤位于胃、结肠直肠、肝脏、胰腺等不同器官,无法手术切除、处于晚期或复发。5-氟尿嘧啶、丝裂霉素C、阿霉素等药物单独或联合注入主动脉(81例患者)、髂动脉(3例)和肝动脉(6例),输注时间从2天到197天不等。总体患者中41%出现部分缓解,28%无变化,31%病情进展。晚期患者与非晚期患者之间,或长期输注患者与未长期输注患者之间,抗肿瘤效果和生存曲线存在显著差异(p<0.05-0.005)。这些结果表明,患者的身体状况和输注时间均会影响该治疗方法的抗肿瘤或长期生存效果。

相似文献

1
[Intra-arterial continuous infusion in patients with advanced and recurrent cancer of the digestive system].[消化系统晚期和复发性癌症患者的动脉内持续输注]
Gan To Kagaku Ryoho. 1985 Oct;12(10):1990-8.
2
[Intra-arterial infusion chemotherapy in non-resectable pancreatic cancer using angiotensin-II and implantable drug delivery system].[使用血管紧张素 II 和可植入药物输送系统对不可切除胰腺癌进行动脉内灌注化疗]
Gan To Kagaku Ryoho. 1989 Aug;16(8 Pt 2):2735-9.
3
[Long-term arterial infusion chemotherapy in unresectable pancreatic cancer].[不可切除胰腺癌的长期动脉灌注化疗]
Gan To Kagaku Ryoho. 1989 Aug;16(8 Pt 2):2740-2.
4
[Hepatic arterial infusion chemotherapy for unresectable liver metastasis of gastrointestinal cancers].[肝动脉灌注化疗用于不可切除的胃肠道癌肝转移]
Gan To Kagaku Ryoho. 2000 Oct;27(12):1894-6.
5
[Chemotherapy for advanced and recurrent cancer patients--the effect of combination chemotherapy using cisplatin, peplomycin, mitomycin C, adriamycin, and 5-fluorouracil].[晚期及复发性癌症患者的化疗——顺铂、培洛霉素、丝裂霉素C、阿霉素和5-氟尿嘧啶联合化疗的效果]
Nihon Gan Chiryo Gakkai Shi. 1990 Aug 20;25(8):1565-70.
6
[Clinical observations of hepatic artery infusion therapy combined with hepatic artery ligation in metastatic liver cancers].
Gan To Kagaku Ryoho. 1988 Apr;15(4 Pt 1):661-5.
7
[Arterial infusion of combination chemotherapy consisting of adriamycin and mitomycin C for liver metastases of breast cancer].[阿霉素与丝裂霉素C联合化疗动脉灌注治疗乳腺癌肝转移]
Gan To Kagaku Ryoho. 1986 Jan;13(1):70-4.
8
Intra-arterial infusion chemotherapy with 5-fluorouracil and cisplatin in advanced pancreatic cancer: a feasibility study.5-氟尿嘧啶和顺铂动脉内灌注化疗在晚期胰腺癌中的应用:一项可行性研究。
Am J Clin Oncol. 2008 Feb;31(1):71-8. doi: 10.1097/COC.0b013e31807a328c.
9
A novel arterial infusion chemotherapy for the treatment of patients with advanced pancreatic carcinoma after vascular supply distribution via superselective embolization.一种新型动脉灌注化疗,用于经超选择性栓塞进行血管供应分布后治疗晚期胰腺癌患者。
Cancer. 2000 Jul 15;89(2):303-13.
10
[Hyperthermia: microwave hyperthermia in combination with intra-arterial infusion chemotherapy of cancer of the pancreas].
Gan No Rinsho. 1985 May;31(6 Suppl):704-11.

引用本文的文献

1
Hepatocellular carcinoma.肝细胞癌
Postgrad Med J. 2000 Jan;76(891):4-11. doi: 10.1136/pmj.76.891.4.
2
Practical considerations in the treatment of hepatocellular carcinoma.肝细胞癌治疗中的实际考量
Drugs. 1998 Mar;55(3):367-82. doi: 10.2165/00003495-199855030-00004.