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优福定(UFT)治疗头颈癌的临床试验。

Clinical trials on UFT in the treatment of head and neck cancer.

作者信息

Tanaka J, Inuyama Y, Fujii M, Takaoka T, Hosoda H, Saito S

出版信息

Auris Nasus Larynx. 1985;12 Suppl 2:S261-6. doi: 10.1016/s0385-8146(85)80070-5.

DOI:10.1016/s0385-8146(85)80070-5
PMID:3939186
Abstract

A new anticancer agent, UFT which is a mixture of 1-(2-tetrahydrofuryl)-5-fluorouracil and uracil in a molar ratio of 1:4 was administered orally at a dose of 600 mg/day every day. Forty-three patients were evaluable. Eight patients achieved a complete response and eight achieved a partial response with an overall response rate of 37.2%. In terms of response by histology, a response rate was 32.4% (11/34) in cases of squamous cell carcinoma and 75% (3/4) in cases of adenocarcinoma. A response rate by primary site was 57.1% in the nose and paranasal sinuses, 50.0% in the oropharynx and 30.0% in the oral cavity. A response rate was 36.1% in patients with prior treatment and 42.9% in patients with no prior treatment, but there was no statistical significance. Eight of 43 patients developed toxic effects. Most of them were mild such as anorexia, nausea, and stomatitis, but in one case of maxillary sinus carcinoma, severe bone marrow suppression was observed. UFT is a considerably effective and useful drug in the treatment of head and neck cancer. It is possible to increase cure rate by examining various usages of UFT.

摘要

一种新型抗癌药物优福定(UFT),它是1-(2-四氢呋喃基)-5-氟尿嘧啶与尿嘧啶按1:4摩尔比混合而成的,每天口服剂量为600毫克。43例患者可进行评估。8例患者达到完全缓解,8例达到部分缓解,总缓解率为37.2%。就组织学反应而言,鳞状细胞癌病例的缓解率为32.4%(11/34),腺癌病例的缓解率为75%(3/4)。按原发部位的缓解率,鼻和鼻窦为57.1%,口咽为50.0%,口腔为30.0%。既往接受过治疗的患者缓解率为36.1%,未接受过治疗的患者缓解率为42.9%,但无统计学意义。43例患者中有8例出现毒性反应。大多数为轻度,如厌食、恶心和口腔炎,但在上颌窦癌的1例患者中观察到严重的骨髓抑制。优福定在头颈部癌的治疗中是一种相当有效且有用的药物。通过研究优福定的各种用法有可能提高治愈率。

相似文献

1
Clinical trials on UFT in the treatment of head and neck cancer.优福定(UFT)治疗头颈癌的临床试验。
Auris Nasus Larynx. 1985;12 Suppl 2:S261-6. doi: 10.1016/s0385-8146(85)80070-5.
2
[Phase II study of UFT for head and neck cancer].
Gan To Kagaku Ryoho. 1985 Mar;12(3 Pt 1):479-84.
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[A phase II study of UFT in non-small cell lung cancer].
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Cancer Chemother Pharmacol. 2008 Jul;62(2):253-61. doi: 10.1007/s00280-007-0599-0. Epub 2007 Sep 28.
6
Future directions in the treatment of squamous cell carcinoma of the head and neck: the role of UFT.头颈部鳞状细胞癌治疗的未来方向:优福定的作用
Oncology (Williston Park). 1997 Sep;11(9 Suppl 10):86-9.
7
[Combination chemotherapy with 5-FU and CDDP or CDDP analog for head and neck cancer].[5-氟尿嘧啶和顺铂或顺铂类似物联合化疗用于头颈癌]
Gan To Kagaku Ryoho. 1996 Nov;23(13):1740-6.
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Therapeutic effect of 1 M tegafur-0.4 M 5-chloro-2, 4-dihydroxypridine-1 M potassium oxonate (S-1) on head and neck squamous carcinoma cells.
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[The effect of induction chemotherapy with CBDCA, 5-FU and UFT in head and neck cancer].
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Phase II trial of uracil and tegafur plus oral leucovorin: an effective oral regimen in the treatment of metastatic colorectal carcinoma.尿嘧啶和替加氟加口服亚叶酸钙的II期试验:一种治疗转移性结直肠癌的有效口服方案。
J Clin Oncol. 1994 Nov;12(11):2296-300. doi: 10.1200/JCO.1994.12.11.2296.

引用本文的文献

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Head and neck cancer: metronomic chemotherapy.头颈癌:节拍化疗
BMC Cancer. 2015 Oct 12;15:677. doi: 10.1186/s12885-015-1705-z.
2
Adenocarcinoma not otherwise specified on dorsum of tongue: case report and literature review.舌背未特指的腺癌:病例报告及文献复习。
Curr Oncol. 2012 Oct;19(5):e358-63. doi: 10.3747/co.19.1091.
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Oral chemotherapy in head and neck cancer.
Drugs. 1999;58 Suppl 3:91-7. doi: 10.2165/00003495-199958003-00013.