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[前列腺癌的细胞抑制疗法。现状与个人成果]

[Cytostatic therapy of prostatic carcinoma. Current status and personal results].

作者信息

Nagel R, Leistenschneider W

出版信息

Urologe A. 1983 Sep;22 Suppl:304-9.

PMID:6356555
Abstract

Based on the pertinent literature, this paper discusses the results of cytostatic therapy for advanced prostatic cancer published so far with special consideration given to the extensive experience of the National Prostatic Cancer Project (NPCP) in the United States. Endoxan and 5-Fluoro-uracil, each as a monotherapy, haven proven still to be the optimal cytostatic therapies in secondary treatment following hormone resistance. Moreover, our own results reached with 33 patients on chemotherapy with Endoxan or 5-Fluoro-uracil, resp., are reported, in particular those in 24 of the 33 patients receiving these drugs as a third therapy after previous hormone resistance and secondary Estracyt resistance. Especially with regard to pain relief, we obtained good results in 50% of cases. The average survival period of the patients on third therapy was 6.7 months. Side effects prevailed in the gastrointestinal tract and the hemopoetic system. The results with Endoxan and 5-Fluoro-uracil as primary therapies have thus far been unsatisfactory with regard to therapy response and drug tolerance.

摘要

基于相关文献,本文讨论了迄今为止已发表的晚期前列腺癌细胞抑制疗法的结果,并特别考虑了美国国家前列腺癌项目(NPCP)的丰富经验。环磷酰胺和5-氟尿嘧啶,各自作为单一疗法,已被证明仍然是激素抵抗后二线治疗中最佳的细胞抑制疗法。此外,报告了我们自己对33例分别接受环磷酰胺或5-氟尿嘧啶化疗患者的结果,特别是其中33例患者中有24例在先前激素抵抗和二线雌莫司汀耐药后接受这些药物作为三线治疗的结果。特别是在缓解疼痛方面,我们在50%的病例中取得了良好效果。接受三线治疗患者的平均生存期为6.7个月。副作用主要出现在胃肠道和造血系统。就治疗反应和药物耐受性而言,环磷酰胺和5-氟尿嘧啶作为一线疗法的结果迄今为止并不理想。

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