大剂量醛氢叶酸与氟尿嘧啶治疗晚期胃肠道癌

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用醛氢叶酸(CF)与氟尿嘧啶(5FU)治疗经病理证实的晚期胃肠道癌17例,其中胃癌8例,大肠癌9例。CF每次200毫克,静滴2小时,5FU每次1克,于CF滴至一半时用;静滴14小时以上,连用5天,21天重复。结果:总有效率(CR+PR)47.1%。其中初治8例,有效率为62.5%,复治9例(曾用过5FU或FT一207治疗),有效率33.3%。胃癌与大肠癌有效率分别为5%和44.4%。17例中除1例进展外.其余16例化疗后临床症状均有减轻或消失,生活质量提高。随访:全组中位生存期11个月。胃癌8例,存活4~22个月(中位生存期8个月),大肠癌9例,存活4~21个月(中位生存期16个月),其中5例已死亡,4例至今己分别存活14、16、16、17个月。毒性反应以静脉炎多见,占70.6%,其他尚有消化道反应。谷丙转氨酶升高,均为Ⅰ~Ⅱ级毒性反应。晚期胃肠道癌病人体质差,本法毒性小,能耐受,疗效达47.1%,值得进一步研究。 Five cases of advanced gastrointestinal cancer confirmed by pathology were treated with leucovorin (CF) and fluorouracil (5FU), including 8 cases of gastric cancer and 9 cases of colorectal cancer. Each time 200 mg of CF was instilled for 2 hours, 5FU of each was used for 1⁄2 of the time, CF was used at half the time; Intravenous IV was used for more than 14 hours for 5 days, and 21 days were repeated. Results: The total effective rate (CR+PR) was 47.1%. Among them, 8 cases were initially treated, the effective rate was 62.5%, 9 cases were retreated (5FU or FT-207 treatment was used), and the effective rate was 33.3%. The effective rates of gastric cancer and colorectal cancer were 5% and 44.4%, respectively. In 17 cases except 1 case progress. The clinical symptoms of the remaining 16 patients after chemotherapy all reduced or disappeared, and their quality of life improved. Follow-up: The median survival time was 11 months. 8 cases of gastric cancer, survival 4 to 22 months (median survival period of 8 months), 9 cases of colorectal cancer, survival 4 to 21 months (median survival period of 16 months), of which 5 cases have died, 4 cases so far They have survived for 14, 16, 16 and 17 months respectively. The most common toxic reaction was phlebitis, which accounted for 70.6%. Others had gastrointestinal reactions. Increased alanine aminotransferase levels were grade I-II toxicities. The patients with advanced gastrointestinal cancer have poor physique. The toxicity of this method is small, can be tolerated, and the efficacy is 47.1%. It is worth further study.
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