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对雌激素耐药的前列腺癌骨转移患者采用5-氟尿嘧啶和环磷酰胺进行姑息化疗。一项临床试验(作者译)

[Palliative chemotherapy with 5 FU and CPM in cancer of the prostate with bone metastases resistant to oestrogens. A clinical trial (author's transl)].

作者信息

Kuss R, Khoury S, Richard F, Fourcade R, Frantz P, Capelle J P

出版信息

J Urol Nephrol (Paris). 1979 Oct-Nov;85(10-11):649-55.

PMID:94108
Abstract

The efficacy of an association of cyclophosphamide (CPM) and 5-fluorouracil was studied in 15 patients with prostate cancer not responding to oestrogen therapy, and more particularly its effect on pain due to bone metastases. No objective improvement was noted with this association, but there was a definitite reduction in bone metastases pain in 5 of the patients, with an average remission time of 4 months. Half of the patients had nausea and vomiting, but in spite of this digestive intolerance those patients who obtained pain relief for 4 months considered the treatment to be of positive value. This therapy is recommended only fater the failure of castration, anti-androgens, and oestrogens, together with nitrogen mustard (Estracyt) and corticotherapy.

摘要

对15例对雌激素治疗无反应的前列腺癌患者研究了环磷酰胺(CPM)与5-氟尿嘧啶联合使用的疗效,尤其是其对骨转移疼痛的影响。该联合用药未观察到客观改善,但5例患者的骨转移疼痛有明确减轻,平均缓解时间为4个月。一半的患者出现恶心和呕吐,尽管有这种消化不耐受情况,但那些疼痛缓解4个月的患者认为该治疗具有积极价值。仅在去势、抗雄激素、雌激素以及氮芥(癌腺治)和皮质激素治疗失败后才推荐这种疗法。

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