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左亚叶酸和5-氟尿嘧啶联合大剂量表柔比星作为转移性乳腺癌的一线治疗方案。

Levo folinic acid and 5-fluorouracil plus high dose epidoxorubicin as first line treatment for metastatic breast carcinoma.

作者信息

Gebbia V, Testa A, Valenza R, Cipolla C, Amato C, Latteri M, Gebbia N, Florena M

机构信息

Chair of Chemotherapy, Institute of Pharmacology.

出版信息

Anticancer Res. 1993 Jan-Feb;13(1):141-4.

PMID:8386492
Abstract

Twenty-two women affected by metastatic breast carcinoma have been treated with a combination of levo folinic acid 100 mg/m2 plus 5-fluorouracil 450 mg/m2 i.v. on day 1-2, and epidoxorubicin 75-90 mg/m2 on day 2. This treatment cycle was repeated every 21-28 days. No patients had previously received chemotherapy for metastatic disease. Fourteen patients (64%) showed a major objective response with 3 complete (14%) and 11 partial responses (50%). Three patients showed a stabilization of disease and 5 (23%) progressed. All patients received ondansetron as antiemetic treatment which led to complete protection from vomiting in 68% of cases. Grade 1-2 diarrhea was recorded in 27% of the patients. Ten patients received recombinant human granulocyte-colony stimulating factor (rhG-CSF) as leukopenia-preventive treatment. In this group of patients the interval between chemotherapeutic cycles was shorter than in the group of 12 patients who did not receive rhG-CSF.

摘要

22例转移性乳腺癌女性患者接受了如下联合治疗:第1 - 2天静脉注射左亚叶酸100 mg/m²加5-氟尿嘧啶450 mg/m²,第2天静脉注射表柔比星75 - 90 mg/m²。每21 - 28天重复此治疗周期。此前所有患者均未接受过针对转移性疾病的化疗。14例患者(64%)出现主要客观缓解,其中3例完全缓解(14%),11例部分缓解(50%)。3例患者疾病稳定,5例(23%)病情进展。所有患者均接受昂丹司琼作为止吐治疗,68%的患者呕吐得到完全控制。27%的患者出现1 - 2级腹泻。10例患者接受重组人粒细胞集落刺激因子(rhG-CSF)作为预防白细胞减少的治疗。在这组患者中,化疗周期之间的间隔比未接受rhG-CSF的12例患者组更短。

相似文献

1
Levo folinic acid and 5-fluorouracil plus high dose epidoxorubicin as first line treatment for metastatic breast carcinoma.左亚叶酸和5-氟尿嘧啶联合大剂量表柔比星作为转移性乳腺癌的一线治疗方案。
Anticancer Res. 1993 Jan-Feb;13(1):141-4.
2
Paclitaxel combined with weekly high-dose 5-fluorouracil/folinic acid and cisplatin in the treatment of advanced breast cancer.紫杉醇联合每周大剂量5-氟尿嘧啶/亚叶酸钙和顺铂治疗晚期乳腺癌。
Semin Oncol. 1996 Oct;23(5 Suppl 11):32-7.
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Treatment of refractory metastatic breast cancer with 5-fluorouracil and levofolinic acid as 48 hours continuous venous infusion.以5-氟尿嘧啶和亚叶酸进行48小时持续静脉输注治疗难治性转移性乳腺癌。
Anticancer Res. 1999 May-Jun;19(3B):2289-92.
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Infusional 5-fluorouracil/leucovorin plus paclitaxel and cisplatin in the first-line treatment of metastatic breast cancer: results of a phase II study.输注用5-氟尿嘧啶/亚叶酸钙联合紫杉醇和顺铂用于转移性乳腺癌一线治疗:一项II期研究结果
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Paclitaxel and 5-fluorouracil in metastatic breast cancer: the US experience.紫杉醇与5-氟尿嘧啶用于转移性乳腺癌:美国的经验
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Cyclophosphamide, methotrexate, and chronic oral tegafur modulated by folinic acid in the treatment of patients with advanced breast carcinoma.环磷酰胺、甲氨蝶呤以及由亚叶酸调节的慢性口服替加氟在晚期乳腺癌患者治疗中的应用。
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The impact of schedule on acute toxicity and dose-intensity of high-dose chemotherapy with epirubicin and cyclophosphamide plus colony stimulating factors in advanced breast cancer.方案对表柔比星、环磷酰胺联合集落刺激因子的高剂量化疗治疗晚期乳腺癌的急性毒性和剂量强度的影响。
Int J Oncol. 1999 Aug;15(2):339-46.

引用本文的文献

1
Laevofolinic acid, 5-fluorouracil, cyclophosphamide and escalating doses of epirubicin with granulocyte colony-stimulating factor support in locally advanced and/or metastatic breast carcinoma: a phase I-II study of the Southern Italy Oncology Group (GOIM).左亚叶酸、5-氟尿嘧啶、环磷酰胺以及递增剂量表柔比星联合粒细胞集落刺激因子支持治疗局部晚期和/或转移性乳腺癌:意大利南部肿瘤协作组(GOIM)的一项Ⅰ-Ⅱ期研究
Br J Cancer. 1995 Nov;72(5):1245-50. doi: 10.1038/bjc.1995.494.