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[一例对肝动脉灌注时辰疗法有反应的胃癌多发性肝转移病例]

[A case of multiple liver metastasis of gastric cancer responding to hepatic arterial infusion chronotherapy].

作者信息

Kobayashi I, Yokomori T, Iesato H, Ouya T, Ohwada S, Morishita Y

机构信息

Dept. of Surgery, Ojiya General Hospital.

出版信息

Gan To Kagaku Ryoho. 1998 Mar;25(4):589-91.

PMID:9530368
Abstract

A 64-year-old man underwent total gastrectomy and placement of the hepatic arterial catheter for advanced gastric cancer with multiple liver metastasis. After the operation, repeated hepatic arterial infusion chemotherapy was performed. Treatment consisted of a 5-day course of continuous arterial infusion of 5-FU. (500 mg/body), leucovorin (21 mg/body) intravenous infusion at 4:00 p.m. on days 1-5, mitomycin C (2 mg/body) arterial infusion at 9:00 a.m. on day 5, and cisplatin (40 mg/body) arterial infusion at 4:00 p.m. on day 5. A total of 13 courses of this chemotherapy diminished liver metastasis. During this therapy, the patient's condition was good, with no experience of nausea or leukopenia.

摘要

一名64岁男性因晚期胃癌伴多发肝转移接受了全胃切除术并放置了肝动脉导管。术后进行了反复的肝动脉灌注化疗。治疗方案为连续5天动脉输注5-氟尿嘧啶(500mg/人)、亚叶酸钙(21mg/人),于第1 - 5天下午4点静脉输注,丝裂霉素C(2mg/人)于第5天上午9点动脉输注,顺铂(40mg/人)于第5天下午4点动脉输注。总共13个疗程的这种化疗使肝转移灶缩小。在此治疗期间,患者状况良好,未出现恶心或白细胞减少的情况。

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