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顺铂和5-氟尿嘧啶/醛氢叶酸双周疗法治疗晚期乳腺癌临床研究[J]. 肿瘤防治研究, 2002, 29(01): 69-70. DOI: 10.3971/j.issn.1000-8578.132
引用本文: 顺铂和5-氟尿嘧啶/醛氢叶酸双周疗法治疗晚期乳腺癌临床研究[J]. 肿瘤防治研究, 2002, 29(01): 69-70. DOI: 10.3971/j.issn.1000-8578.132
The clinical study of bimonthly 5-Fluorouracil (5-Fu)/Leucovorin (LV) combined with cisplatin (DDP) in treatment of advanced breast cancer[J]. Cancer Research on Prevention and Treatment, 2002, 29(01): 69-70. DOI: 10.3971/j.issn.1000-8578.132
Citation: The clinical study of bimonthly 5-Fluorouracil (5-Fu)/Leucovorin (LV) combined with cisplatin (DDP) in treatment of advanced breast cancer[J]. Cancer Research on Prevention and Treatment, 2002, 29(01): 69-70. DOI: 10.3971/j.issn.1000-8578.132

顺铂和5-氟尿嘧啶/醛氢叶酸双周疗法治疗晚期乳腺癌临床研究

The clinical study of bimonthly 5-Fluorouracil (5-Fu)/Leucovorin (LV) combined with cisplatin (DDP) in treatment of advanced breast cancer

  • 摘要: 目的 观察顺铂(Cisplatin,DDP),5|氟尿嘧啶(5|Fluorouracil,5|Fu)/醛氢叶酸(Leucovorin,LV)双周疗法治疗晚期乳腺癌的疗效及其毒性。方法 病理明确的36例晚期乳腺癌病人进入研究组,全组病人既往均行CMF/CAF方案化疗及常规放疗。治疗方法:LV200mg/m2,静脉输注2h,后接5-Fu 375mg/m2静推10min,再接5|Fu 3.0g/m2,用输液泵连续静脉输注48h,顺铂25mg/m2,d1|2,静脉滴注,以上治疗每两周一次,28天重复,所有病人至少接受2疗程的治疗。结果 经过两周期的化疗,完全缓解(Complete remission,CR)2例(5.6%),部分缓解(prtial remission PR)18例(50%),10例病人稳定(27.7%),恶心、呕吐和骨髓抑制为主要不良反应,毒性相对较弱。结论 顺铂和5-氟尿嘧啶/醛氢叶酸双周疗法治疗晚期乳腺癌缓解率高,毒性相对低。

     

    Abstract: Objective To evaluate the efficacy and to toxicity of DDP combined with himonthly 5|Fu in the patients with advanced breast cancer. Methods The patients with a histologic diagnosis of breast cancer were eligible. All patients were treated with CMF/CAF and conventional radiotherapy. The chemotherapy regimen was comprised of bimonthly 2|hour infusion of leucovorin 200mg/m2 followed by 10|minute intravenous bolus of 5|Fu 375mg/m2, then 48|hour infusion of 5|Fu 3.0g/m2using an ambulatory pump, Cisplatm 25mg/m2d1-2infusion. Every 28 days one cycles. All pationts were received at least two cycles of treatment. Results After two cycles of chemotherapy. 2 obtained complete remission (CR) (5.6%), 18 obtained partial remission (PR) (50%), 10 had stable disease (SD) (27.7%). Nausea vomiting and myelosuppression were mainly side effects. Toxicity was comparatively mild. Conclusion Data from the current study indicated that bimonthly 5|Fu/LV combined with DDP had moderate activity but comparatively mild toxicity for advanced breast cancer.

     

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