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[结肠癌辅助化疗的进展]

[Progress of adjuvant chemotherapy in colon cancer].

作者信息

Toge T

机构信息

Dept. of Surgical Oncology, Research Institute for Radiation Biology and Medicine, Hiroshima University, Japan.

出版信息

Gan To Kagaku Ryoho. 1996 Apr;23(5):554-9.

PMID:8678512
Abstract

There have been no life-prolonging effects of surgical adjuvant chemotherapy with 5-FU alone or in combination with chemotherapeutic drugs, so surgical resection has been considered a standard therapy for colorectal cancer. Recently, clinical trials of modulation therapy with 5-FU and leucovorin showed higher efficacies in advanced colorectal cancer, and significant prolongations of survival time and disease-free interval were reported in a randomized trial of 5-FU and leucovorin for postoperative adjuvant therapy of resected colon cancer. Moreover, in a scientifically well controlled randomized study with 5-FU and levamisole, the significance of this regimen for Dukes C colon cancer has been shown for standard adjuvant chemotherapy.

摘要

单独使用5-氟尿嘧啶或与化疗药物联合进行的手术辅助化疗均未产生延长生命的效果,因此手术切除一直被视为结直肠癌的标准治疗方法。最近,5-氟尿嘧啶与亚叶酸钙的调节疗法临床试验显示,其对晚期结直肠癌疗效更高,并且在一项关于5-氟尿嘧啶与亚叶酸钙用于结肠癌切除术后辅助治疗的随机试验中,报告了生存期和无病间期的显著延长。此外,在一项对5-氟尿嘧啶和左旋咪唑进行科学严格对照的随机研究中,已证明该方案对杜克C期结肠癌进行标准辅助化疗具有重要意义。

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