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[1例术前以卡铂为基础的5药联合动脉内灌注化疗成功治疗的子宫颈鳞状细胞癌]

[A case uterine cervical squamous cell carcinoma successfully treated with preoperative carboplatin-based 5-drug-combined intraarterial infusion chemotherapy].

作者信息

Suzuki Y, Adachi T, Hoshino T, Takeichi S, Yagishita M, Takayama M, Tsujino S, Miki M

机构信息

Dept. of Obstetrics and Gynecology, Tokyo Medical College.

出版信息

Gan To Kagaku Ryoho. 1993 Jun;20(8):1071-4.

PMID:7685585
Abstract

Preoperative 5-drug-combined intraarterial infusion chemotherapy using carboplatin as a main component was performed in a case of uterine cervical squamous cell carcinoma of Stage IIa. The regimen employed was as follows: carboplatin (100 mg/m2) on Day 4 and 5, vincristine (0.6 mg/m2) on Day 1, peplomycin (5 mg/body) on Day 1, 2, and 3, methotrexate (5 mg/m2) on Day 2 and 3, and doxorubicin (15 mg/m2) on Day 4. These drugs were administered into the right inguinal region through a residual catheter at 3-week intervals prior to operation. After completion of 3 courses, the patient achieved a CR confirmed by pathological analysis and diagnostic imaging followed by extended radical hysterectomy. Side effects observed, especially renal disturbance and myelosuppression, were all tolerable. Intraarterial infusion chemotherapy using carboplatin was thus suggested to be useful against malignant tumors in the gynecological field.

摘要

对一例IIa期子宫颈鳞状细胞癌患者进行了以卡铂为主要成分的术前5药联合动脉内灌注化疗。采用的方案如下:第4天和第5天使用卡铂(100mg/m²),第1天使用长春新碱(0.6mg/m²),第1、2和3天使用培普利霉素(5mg/体),第2和3天使用甲氨蝶呤(5mg/m²),第4天使用阿霉素(15mg/m²)。这些药物在术前每隔3周通过残留导管注入右腹股沟区。完成3个疗程后,经病理分析和诊断成像确认患者达到完全缓解,随后进行了扩大根治性子宫切除术。观察到的副作用,尤其是肾脏功能紊乱和骨髓抑制,均在可耐受范围内。因此,提示以卡铂进行动脉内灌注化疗对妇科领域的恶性肿瘤有效。

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