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[原发性肝癌联合化疗的临床研究]

[Clinical study on combination chemotherapy of primary liver cancer].

作者信息

Kojima J, Kamada T, Monna J

出版信息

Gan To Kagaku Ryoho. 1983 Apr;10(4 Pt 1):997-1006.

PMID:6408995
Abstract

Three regimens were comparatively studied by a randomized trial in 95 patients with hepatic, biliary or pancreatic carcinomas: Group 1; Futraful (FT) alone, Group 2; FT plus cyclophosphamide (Ex), and Group 3; FT plus Carboquone (CQ). There was no difference in overall response rate among the three groups, evaluated by three valuables, i.e., improvement of subjective symptoms, improvement of laboratory examinations, and regression of the tumor. Group 2 demonstrated a favorable result in regression of the tumor as compared with other groups. In cases where the improvements of subjective symptoms and laboratory examinations were observed, the survival duration was prolonged, but in cases of the tumor regression, the survival was not prolonged. The improved survival rate was observed in Group 1, but neither in group 2 nor 3. There was no difference in the frequency of hematotoxicity among three groups (the frequency was as low as 3.4-8.8%). The frequency of side effect in subjective symptoms was 22% for the Group 1, 68% for the Group 2, and 62% for the Group 3, respectively.

摘要

通过对95例肝癌、胆管癌或胰腺癌患者进行随机试验,对三种治疗方案进行了比较研究:第1组,单用替加氟(FT);第2组,FT加环磷酰胺(Ex);第3组,FT加卡波醌(CQ)。通过主观症状改善、实验室检查改善和肿瘤消退这三个指标评估,三组的总缓解率没有差异。与其他组相比,第2组在肿瘤消退方面显示出较好的结果。在观察到主观症状和实验室检查有改善的病例中,生存期延长,但在肿瘤消退的病例中,生存期并未延长。第1组观察到生存率有所提高,但第2组和第3组均未观察到。三组之间血液毒性的发生率没有差异(发生率低至3.4%-8.8%)。主观症状方面的副作用发生率,第1组为22%,第2组为68%,第3组为62%。

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