Kobayashi A, Yamaguchi M
Dept. of Surgery, Shadan Tohkoh-kai Chofu Hospital.
Gan To Kagaku Ryoho. 1998 Sep;25(11):1755-9.
For advanced pancreatic cancer, there is no typical chemotherapy regimen non single chemotherapeutic agent. For example, 5-FU, Doxorubicin, MMC and Epirubicin obtained only 15-24% efficacy, and general combination chemotherapy was FAM, 5-FU+CDDP and 5-FU+Leucovorin for pancreatic cancer. Generally, in pancreatic cancer cases the performance status was poor, and most could not endure the chemotherapy regimen. 5-FU continuous infusion and low-dose CDDP regimen were effective and showed fewer side effects for pancreatic cancer. Then, for 2 cases of advanced pancreatic cancer with liver metastasis, 5-FU continuous infusion + low-dose CDDP + intermittent CPT-11 administration (5-FU 500 mg/body/24 hr + CDDP 5mg x 5 days-6 courses + CPT-11 100 mg-125 mg-150 mg, bolus i.v. intermittently) was effective. Thus, this regimen could well be effective for advanced pancreatic carcinoma.
对于晚期胰腺癌,没有典型的化疗方案,也没有单一的化疗药物。例如,5-氟尿嘧啶、阿霉素、丝裂霉素和表柔比星的有效率仅为15%-24%,胰腺癌的常用联合化疗方案有FAM、5-氟尿嘧啶+顺铂和5-氟尿嘧啶+亚叶酸钙。一般来说,胰腺癌患者的身体状况较差,大多数无法耐受化疗方案。5-氟尿嘧啶持续输注联合低剂量顺铂方案对胰腺癌有效且副作用较少。然后,对于2例伴有肝转移的晚期胰腺癌患者,5-氟尿嘧啶持续输注+低剂量顺铂+间歇性伊立替康给药(5-氟尿嘧啶500mg/体/24小时+顺铂5mg×5天-6个疗程+伊立替康100mg-125mg-150mg,静脉推注,间歇性)有效。因此,该方案对晚期胰腺癌可能非常有效。