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5-氟尿嘧啶治疗晚期胃癌:两种给药途径的随机对照研究

Treatment of advanced gastric carcinoma with 5-fluorouracil: a randomized comparison of two routes of delivery.

作者信息

Chlebowski R T, Paroly W S, Pugh R P, Weiner J M, Bateman J R

出版信息

Cancer Treat Rep. 1979 Nov-Dec;63(11-12):1979-81.

PMID:393383
Abstract

Fifty-seven patients with advanced gastric carcinoma were randomized to receive 15 mg/kg/week of 5-fluorouracil by either the iv or oral route. Toxic effects of treatment included nausea and vomiting (40% with the oral route versus 35% with the iv route) and myelosuppression, with a wbc count of less than 4000/mm3 (28% with the oral route versus 32% with the iv route). The frequency of partial response was 12% (three of 25 patients) for the oral route and 16% (five of 32 patients) for the iv route. Only two of 36 patients with liver metastases responded. No advantage was seen for the oral versus the iv route of 5-fluorouracil in the treatment of advanced gastric carcinoma.

摘要

57例晚期胃癌患者被随机分为两组,分别通过静脉注射或口服途径接受每周15mg/kg的5-氟尿嘧啶治疗。治疗的毒性反应包括恶心和呕吐(口服途径为40%,静脉途径为35%)以及骨髓抑制,白细胞计数低于4000/mm³(口服途径为28%,静脉途径为32%)。部分缓解率口服途径为12%(25例患者中有3例),静脉途径为16%(32例患者中有5例)。36例肝转移患者中只有2例有反应。在晚期胃癌的治疗中,5-氟尿嘧啶的口服途径与静脉途径相比没有优势。

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Treatment of advanced gastric carcinoma with 5-fluorouracil: a randomized comparison of two routes of delivery.5-氟尿嘧啶治疗晚期胃癌:两种给药途径的随机对照研究
Cancer Treat Rep. 1979 Nov-Dec;63(11-12):1979-81.
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引用本文的文献

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Chemotherapy for advanced gastric cancer.晚期胃癌的化疗
Cochrane Database Syst Rev. 2017 Aug 29;8(8):CD004064. doi: 10.1002/14651858.CD004064.pub4.
2
Systemic therapy for advanced gastric cancer: a clinical practice guideline.晚期胃癌的系统治疗:临床实践指南。
Curr Oncol. 2011 Aug;18(4):e202-9. doi: 10.3747/co.v18i4.737.
3
5-fluorouracil vs. epirubicin vs. 5-fluorouracil plus epirubicin in advanced gastric carcinoma.5-氟尿嘧啶与表柔比星及5-氟尿嘧啶联合表柔比星治疗晚期胃癌的对比研究
Invest New Drugs. 1994;12(1):57-63. doi: 10.1007/BF00873238.