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胃癌手术后辅助免疫化疗联合溶链菌制剂

[Adjuvant immunochemotherapy combined with OK-432 following surgery of stomach cancer].

作者信息

Yamamura Y, Yasue M, Kito T, Nakazato H, Yamada E

出版信息

Gan To Kagaku Ryoho. 1983 Jul;10(7):1603-9.

PMID:6409009
Abstract

Postoperative immunochemotherapy with mitomycin C (MMC), 5-fluorouracil (5-FU) and OK-432 was evaluated as adjuvant therapy for curative resection in the cases of gastric cancer. One hundred and twenty-two patients (28 were excluded) were randomly assigned to 3 groups: Group A-MMC and 5-FU (28 cases); Group B-MMC, 5-FU and OK-432 (33 cases); Group C-control (33 cases). There were no differences in the back ground factors influencing survival time among each group. Group B showed better results in survival rate and disease free interval as compared with Group A or C. Minor and reversible side effects such as enterogastric disorder, leukopenia (less than 3000/mm3), thrombo cytopenia (less than 7 X 10(4)/mm3) and elevation of serum transaminase (S-GPT greater than or equal to 100 unit) were equivalently observed in frequency in each Group A and B, but they were milder in Group B than Group A.

摘要

对丝裂霉素C(MMC)、5-氟尿嘧啶(5-FU)和溶链菌制剂进行术后免疫化疗,作为胃癌根治性切除术后的辅助治疗进行了评估。122例患者(28例被排除)被随机分为3组:A组——MMC和5-FU(28例);B组——MMC、5-FU和溶链菌制剂(33例);C组——对照组(33例)。影响各组生存时间的背景因素无差异。与A组或C组相比,B组在生存率和无病生存期方面显示出更好的结果。A组和B组均同等频率地观察到诸如胃肠功能紊乱、白细胞减少(低于3000/mm³)、血小板减少(低于7×10⁴/mm³)和血清转氨酶升高(S-GPT大于或等于100单位)等轻微且可逆的副作用,但B组的副作用比A组轻。

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