澳沙利铂联合表阿霉素5-FU/CF治疗晚期胃癌的临床探讨

Clinic Research of Oxaliplatin Combined with Epirubicin and 5Fu/LV for Patients with Advanced Gastric Cancer

  • 摘要: 目的: 观察澳沙利铂联合表阿霉素及5-FU、醛氢叶酸(EOF方案)对晚期胃癌的近期疗效及安全性. 方法: 入选者为病理证实的晚期胃腺癌患者.化疗方案:表阿霉素50mg/m2静脉注射,d1,澳沙利铂85mg/m2静脉滴注2小时,d1,甲酰四氢叶酸200mg/m2静脉滴注2小时,d1~3,5-FU 500mg/m2持续静脉泵入22小时,d1~3,每三周重复,至少完成3个周期判效. 结果: 共计37例入组,36例可评价疗效及不良反应.其中男28例,女8例,中位年龄52岁(32~75岁),治疗总周期数130周期,平均3.6周期.CR 2例(5.6%),PR 13例(36.1%),总缓解率RR 41.7%,SD47.2%(17/36),PD11.1%(4/36),KPS评分提高20分以上者38.9%(14/36),CBR改善者占50.0%.Ⅲ°/Ⅳ°主要不良反应为中性粒细胞减少19.4%(7/36),血小板减少11.1%(4/36),贫血8.3%(3/36),恶心呕吐8.3%(3/36),腹泻2.8%(1/36),感觉神经异常11.1%(4/36). 结论: 本研究显示,此方案治疗晚期胃癌疗效肯定,不良反应能够耐受.

     

    Abstract: Objective :To evaluate efficacy and toxicity of the regimen of oxaliplatin combined with Epirubicin and SFu/LV (EOF) in treatment of patients with advanced gastric cancer. Methods :Thirty-seven patients who was pathologically confirmed as advanced gastric cancer received chemotherapy of the regimen: Epirubicin SOmg/mz 2h dl, Oxaliplatin 85mg/mz 2h dl, Lecovorin (LV)200m IV 2h dl一3,SFu 500mg/mZ Civ 22h dl-3 civ repeated, every 3 weeks for at least 3 cycles. Results : Thirty-seven patients were enrolled,of which 36 were evaluable for efficacy and toxicity. Mean age was 52 years old, 28 cases for men, 8 cases for women. Totally 130 cycles were received, average 3.6 cycles per patient. Among them CR 2 patients, PR 13 patients, the overall response rate (CR+PR) was 41.7%, SD 47.2%, PD 11.1%, IMPS improve for 38.9%(14/36), CBR improve for 50.0%. The main toxicity was bone marrow suppression: Neutropenia 19.4%,Thymocytopenia 11.1%,Anemia 8.3%; nausea and vomiting 8.3%, diarrhea 2.8%;III 0 Neuropathy 11.1%. Conclusions :The EOF regimen is effective and tolerable in treatment advanced gastric cancer.

     

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