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伊立替康联合5-FU/CF治疗转移性结直肠癌46例
Irirotecan Combined with Fluoropyrimidine in the Treatment of 46 Cases with Metastatic Colorectal Carcinoma
投稿时间:2006-10-08  修订日期:2006-12-11
DOI:
中文关键词:  伊立替康  氟尿嘧啶  四氢叶酸  转移性结直肠癌  化疗
英文关键词:Irirotecan  Fluoropyrimidine  Tetrahydrofolate  Metastatic colorectal cancer  Chemical therapy
基金项目:
邓颖  杨兰  潘海霞  胡洪林  任刚  敖睿
四川省人民医院肿瘤科,成都610071
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中文摘要:
      目的:评价伊立替康(CPT—11)联合5-FU/CF方案治疗FOLFOX4或LV5FU2方案失败的结直肠癌的客观疗效,临床受益和不良反应。方法:用CPT—11联合5-FU/CF方案治疗晚期结直肠癌患者46例,采用2周方案,即CPT—11 180mg/m^2 iv d1,CF200mg/m^2 iv d1-2,5-FU400mg iv bolusd1,5-FU600mg/m^2 iv,22hd1—2,每2周重复。观察期3—6个月。结果:完全缓解0例,部分缓解18例(有效率39.13%),稳定20例(43.47%),进展8例(17.39%)。临床受益率82.6%(19/23)。临床反应评价有效者36例(78.86%),生活质量显著提高。结论:CPT-11联合5-Fu/CF方案可作为转移性结直肠癌的二线治疗。
英文摘要:
      Objective:To evaluate the efficacy and toxicity of Irirotecan(CPT-11) combined with 5-FU/CF in the treatment of metastatic colorectal cancer, in which FOLFOX4 or LV5FU2 had failed to cure it. Method: 46 cases of metastatic colorectal cancer patients were treated by CPT-11 combined with 5-FU/CF for one cycle every two weeks; namely, CPT-11 was given by 180mg/m2 iv d1, CF by 200mg/m2 iv d1-2, 5-FU by 400mg iv bolus d1, and 5-FU by 600mg/m2 iv 22h d1-2. Two weeks was a cycle. The study term was 3-6 months. Result:CR was 0, PR was 39. 13% (18/46) , SD was 43.47% (20/46) , PD was 17.39% (8/46) and CBR was 82.69% (38/46). The clinical reaction evaluation efficiency was 78. 86% (36/46). Their life quality was notably improved. Conclusion:CPT-11 combined 5-Fu/CF can be used as second-line treatment for metastatic colotedal cancer.
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