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伊立替康联合替吉奥二线治疗晚期胃癌的临床观察
引用本文:常青. 伊立替康联合替吉奥二线治疗晚期胃癌的临床观察[J]. 现代肿瘤医学, 2016, 0(14): 2254-2256. DOI: 10.3969/j.issn.1672-4992.2016.14.023
作者姓名:常青
作者单位:沛县人民医院肿瘤内科,江苏 徐州 221600
摘    要:
目的:观察伊立替康联合替吉奥二线治疗晚期胃癌的疗效和毒副反应。方法:53例晚期胃癌给予伊立替康180mg/m2,静脉滴注,d1;替吉奥60mg/m2,口服,分2次/d,第d1~14,21d为1个周期。至少治疗2个周期。结果:50例可评价疗效,其中CR 4例,PR 17例,SD 15例,PD 14例,总有效率为42%,疾病控制率72%。常见毒副反应为中性粒细胞减少、迟发性腹泻、恶心、呕吐等,多为Ⅰ-Ⅱ度。结论:伊立替康联合替吉奥二线治疗晚期胃癌疗效较好,毒副反应可耐受。

关 键 词:伊立替康  替吉奥  晚期胃癌

The effect of irinotecan combined with TS - 1 in the treatment of advanced gastric cancer as second - line chemotherapy regimen
Chang Qing. The effect of irinotecan combined with TS - 1 in the treatment of advanced gastric cancer as second - line chemotherapy regimen[J]. Journal of Modern Oncology, 2016, 0(14): 2254-2256. DOI: 10.3969/j.issn.1672-4992.2016.14.023
Authors:Chang Qing
Affiliation:Department of Medical Oncology,The People's Hospital of Pei County,Jiangsu Xuzhou 221600,China.
Abstract:
Objectlve:To observe the efficacy and toxicities of irinotecan combined with TS - 1 in the treatment of advanced gastric cancer as second - line regimen. Methods:All 53 cases with advanced gastric cancer received chem-otherapy. The remigen:Irinotecan 180mg/ m2 ,intravenous drip,d1;TS - 1 60mg/ m2 take orally,twice daily,d1 ~ 14 . 21 days was 1 cycle,two cycles were given at least. Results:In 50 evaluable cases,CR were observed in 4 cases,PR 17 cases,SD 15 cases,PD 14 cases,the overall response rate was 42% ,the disease control rate was 72% . The main tox-icities were neutropenia,delayed diarrhea,nausea,vomiting,most of them were degree Ⅰ - Ⅱ. Conclusion:Irinote-can combined with TS - 1 as second - line regimen is efficacious,and the toxicities are tolerated for advanced gastric cancer.
Keywords:irinotecan  TS - 1  advanced gastric cancer
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