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氟尿嘧啶和六甲蜜胺在晚期乳腺癌中的疗效

[Effectiveness of ftorafur and hexamethylmelamine in advanced breast cancer].

作者信息

Lichinitser M R, Perevodchikova N I, Garin A M, Asserkritova I V, Vaarik G Kh

出版信息

Vopr Onkol. 1978;24(8):60-5.

PMID:99870
Abstract

In 7 oncological institutions of the Soviet Union a correlation was made between the efficacy of fluorofur, hexamethylmelanin and their combination for advanced cancer of the mammary gland in 136 patients. The therapeutic effect was estimated in 104 patients. Fluorofur yielded a considerable tumor regression (more than 50%) in 14 of 36 patients (40%), the duration of the remission in effectively treated patients was 2--5 months. Hexamethylmelanin induced a therapeutic effect in 18 of 37 patients (48%), the regression being complete in 6 patients (16%), its duration was 2--7 months. The combination of these drugs proved to be of an insignificant effect, the therapeutic effect was obtained in 5 of 31 patients (16%), the remission lasted for 1.5--5 months. The fluorofur therapy is rarely accompanied with adverse side effects (leucopenia--in 17%), while with hexamethylmelanin the incidence of leucopenia was 46%, a combination of the drugs reducing it up to 17%. Hexamethylmelanin combined with fluorofur was tolerated much more poorly (vomiting). Fluorofur and hexamethylmelanin are effective drugs for treatment of patients with advanced breast cancer.

摘要

在苏联的7家肿瘤机构中,对136例晚期乳腺癌患者使用氟尿嘧啶、六甲蜜胺及其联合用药的疗效进行了相关性研究。对104例患者的治疗效果进行了评估。氟尿嘧啶使36例患者中的14例(40%)出现显著肿瘤消退(超过50%),有效治疗患者的缓解期为2至5个月。六甲蜜胺使37例患者中的18例(48%)产生治疗效果,6例(16%)完全消退,其持续时间为2至7个月。这些药物的联合使用效果不显著,31例患者中的5例(16%)获得治疗效果,缓解期持续1.5至5个月。氟尿嘧啶治疗很少伴有不良反应(白细胞减少症——17%),而六甲蜜胺导致白细胞减少症的发生率为46%,联合用药可将其降至17%。六甲蜜胺与氟尿嘧啶联合使用时耐受性更差(呕吐)。氟尿嘧啶和六甲蜜胺是治疗晚期乳腺癌患者的有效药物。

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