摘要
目的:观察奥沙利铂联合希罗达方案治疗晚期胃癌的临床疗效及不良反应。方法:36例晚期胃癌患者,给予该方案化疗:奥沙利铂100mg/m^2 d_1;希罗达1000mg/m^2每日两次口服,d_(1-14);每21天为1周期,至少完成2个周期。评价客观疗效和不良反应。结果:全组36例均可评价疗效,其中完全缓解(CR)2例,部分缓解(PR)13例,稳定(SD)11例,进展(PD)10例,总有效率(CR+PR)41.7%。中位肿瘤进展时间(mTTP)8.9个月,中位生存时间(MST)为10.2个月。不良反应主要是骨髓抑制,胃肠道反应及外周神经毒性。结论:FOLFOX_4方案治疗晚期胃癌的近期疗效较好,不良反应可以耐受。
Objective:To evaluate the efficacy and toxicity of oxaliplatin combined with Xeloda in the treatment of advanced gastric cancer. Methods: Thirty six patients with advanced gastric cancer were treated with chemotherapy: oxaliplatin 100 mg/m^2 ,ivgtt,dI ;Xeloda 1000mg/m^2 Bid,d1-14. 21days for one cycle. All patients received two cycles at least. Efficacy and toxicity were evaluated. Results: All the 36 patients were evaluated,2 patients achieved complete remission ( CR = 5.6% ) , 17 patients partial remission ( PR = 36.1% ), 13 patients stable disease ( SD = 30.6% ) ,7 patients progressire disease ( PD = 27.8% ). The total response rate was 41.7%. The median time to progression (mTTP) was 8.9 months. The median survival time (MST) was 10.2 months, major toxicity included leucopenia, nausea, vomiting and neurosensory abnormity. Conclusion: Regimen of oxaliplatin combined with Xeloda is effective and tolerable in advanced gastric cancer.
出处
《现代肿瘤医学》
CAS
2010年第7期1370-1372,共3页
Journal of Modern Oncology
关键词
奥沙利铂
希罗达
晚期胃癌
化疗
oxaliplatin
Xeloda
advanced gastric cancer
chemotherapy