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一种用于浅表性膀胱肿瘤的AFC方案(阿霉素、喃氟啶、阿糖胞苷)的研发及临床应用

Development and clinical application of an AFC regimen (adriamycin, futraful, cytosine arabinoside) for superficial bladder tumors.

作者信息

Mishina T, Kobayashi T, Maegawa M, Nakao M, Nakagawa S

出版信息

Cancer Chemother Pharmacol. 1983;11 Suppl:S89-90. doi: 10.1007/BF00256727.

DOI:10.1007/BF00256727
PMID:6416702
Abstract

Our AFC regimen was originally developed to treat superficial bladder tumors. It consists of a daily intravesical administration of 20 mg Adriamycin (ADM) and 200 mg Cytosine arabinoside (CA) dissolved in 20 ml of sterilized distilled water, simultaneously with a daily rectal suppository of 750 mg tegafur (Futraful) for a total of 20 applications. Our study demonstrated the following characteristics of the AFC modality: (1) It is simple; (2) it is completed in 3 weeks, which is shorter than conventional bladder instillation therapy; (3) the effective rate is reasonable (70%); (4) no local side-effects were observed because the concentrations of ADM and CA were low; (5) interruption of therapy was unnecessary, because whatever general side-effects were caused, they disappeared within several days of completion of treatment.

摘要

我们的AFC方案最初是为治疗浅表性膀胱肿瘤而研发的。该方案包括每日膀胱内灌注溶解于20毫升灭菌蒸馏水中的20毫克阿霉素(ADM)和200毫克阿糖胞苷(CA),同时每日直肠栓剂使用750毫克替加氟(喃氟啶),共进行20次治疗。我们的研究展示了AFC治疗方式的以下特点:(1)操作简单;(2)3周内即可完成,比传统膀胱灌注疗法所需时间短;(3)有效率合理(70%);(4)由于阿霉素和阿糖胞苷的浓度较低,未观察到局部副作用;(5)无需中断治疗,因为无论引起何种全身副作用,它们都会在治疗结束后的几天内消失。

相似文献

1
Development and clinical application of an AFC regimen (adriamycin, futraful, cytosine arabinoside) for superficial bladder tumors.一种用于浅表性膀胱肿瘤的AFC方案(阿霉素、喃氟啶、阿糖胞苷)的研发及临床应用
Cancer Chemother Pharmacol. 1983;11 Suppl:S89-90. doi: 10.1007/BF00256727.
2
[Intravesical chemotherapy for superficial bladder tumors].[浅表性膀胱肿瘤的膀胱内化疗]
Gan To Kagaku Ryoho. 1984 Aug;11(8):1557-62.
3
[Clinical study of intravesical instillation therapy of superficial bladder tumor--combination therapy of mitomycin C, adriamycin, peplomycin and cytosine arabinoside].浅表性膀胱肿瘤膀胱内灌注疗法的临床研究——丝裂霉素C、阿霉素、培洛霉素及阿糖胞苷联合疗法
Hinyokika Kiyo. 1990 Mar;36(3):257-63.
4
Prophylactic chemotherapy for primary and recurrent superficial bladder cancer: preliminary results. The Hokkaido University Bladder Cancer Collaborating Group.
Cancer Chemother Pharmacol. 1992;30 Suppl:S21-5. doi: 10.1007/BF00686936.
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[Our experience with combined intravesical instillation therapy of superficial bladder tumor using Aclacinomycin-A (ACM) and cytosine arabinoside (CA)].
Hinyokika Kiyo. 1987 Aug;33(8):1180-4.
6
[Postoperative intravesical installation of tetrahydropyranyl-adriamycin (THP) and cytosine arabinoside (CA) for superficial bladder cancer: clinical results of prophylactic effects on recurrence].四氢吡喃基阿霉素(THP)和阿糖胞苷(CA)术后膀胱内灌注治疗浅表性膀胱癌:预防复发的临床效果
Gan To Kagaku Ryoho. 1994 May;21(6):833-8.
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[A comparative clinical trial of UFT treatment and intravesical adriamycin instillation to prevent recurrence of superficial bladder cancer].
Gan To Kagaku Ryoho. 1992 Apr;19(4):505-8.
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Cytosine arabinoside bladder instillation therapy for bladder tumors.阿糖胞苷膀胱灌注治疗膀胱肿瘤
Tohoku J Exp Med. 1982 Jan;136(1):23-8. doi: 10.1620/tjem.136.23.
9
[Effect of combination chemotherapy of tegafur, adriamycin and cisplatin on patients with advanced relapsing prostatic carcinoma and advanced bladder tumor].替加氟、阿霉素和顺铂联合化疗对晚期复发性前列腺癌和晚期膀胱癌患者的疗效
Gan To Kagaku Ryoho. 1986 Apr;13(4 Pt 1):1083-5.
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[The effect of intravesical chemotherapy on superficial urinary bladder cancer].膀胱内化疗对浅表性膀胱癌的影响
Hinyokika Kiyo. 1983 Mar;29(3):351-5.

本文引用的文献

1
Cytosine arabinoside bladder instillation therapy for bladder tumors.阿糖胞苷膀胱灌注治疗膀胱肿瘤
Tohoku J Exp Med. 1982 Jan;136(1):23-8. doi: 10.1620/tjem.136.23.
2
[Bladder instillation of adriamycin in the treatment of bladder tumors. Report 1: Clinical results (author's transl)].阿霉素膀胱灌注治疗膀胱肿瘤。报告1:临床结果(作者译)
Nihon Hinyokika Gakkai Zasshi. 1977 Oct;68(10):934-44. doi: 10.5980/jpnjurol1928.68.10_934.
3
Adriamycin instillation therapy for bladder tumors.阿霉素膀胱肿瘤灌注疗法。
Tohoku J Exp Med. 1979 Apr;127(4):339-43. doi: 10.1620/tjem.127.339.