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复发性乳腺癌门诊癌症化疗的临床研究

[Clinical study of ambulatory cancer chemotherapy for recurrent breast cancer].

作者信息

Takahashi N, Nitta A, Kunii Y, Ota K

机构信息

Dept. of Surgery, Sendai National Hospital.

出版信息

Gan To Kagaku Ryoho. 1994 Dec;21 Suppl 4:439-43; discussion 443-4.

PMID:7802447
Abstract

To evaluate ambulatory cancer chemotherapy, the clinical response, toxicities and survival time were analysed among 12 outpatients with recurrent breast cancer who were treated by sequential methotrexate (MTX)/5-FU therapy for the past 2 years. In this study, MTX (70 mg/m2, i.v.) and 5-FU (370 mg/m2, d.i.v.) were given on days 1 and 15 every 4 weeks, the 5-FU being given one hour after the MTX. Partial response (PR) was observed in 3 patients (25%), no change (NC) in 9. One-year survival ratio was 59%, and 7 out of 12 patients survived at the end of this study. The median disease free interval was 7.3 months, and 3 cases survived for more than one year without disease. Although nausea/vomiting, stomatitis, leukopenia and alopecia were noted, no severe side effects were observed. These results suggested that sequential MTX/5-FU therapy might be a useful ambulatory cancer chemotherapy for patients with recurrent breast cancer.

摘要

为评估门诊癌症化疗效果,对12例复发性乳腺癌门诊患者进行分析,这些患者在过去2年接受了甲氨蝶呤(MTX)/5-氟尿嘧啶(5-FU)序贯治疗。在本研究中,每4周的第1天和第15天给予MTX(70 mg/m²,静脉注射)和5-FU(370 mg/m²,静脉滴注),5-FU在MTX给药1小时后给予。3例患者(25%)观察到部分缓解(PR),9例无变化(NC)。1年生存率为59%,12例患者中有7例在本研究结束时存活。无病间隔的中位数为7.3个月,3例患者无病存活超过1年。虽然观察到恶心/呕吐、口腔炎、白细胞减少和脱发,但未观察到严重副作用。这些结果表明,MTX/5-FU序贯治疗可能是复发性乳腺癌患者一种有用的门诊癌症化疗方法。

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