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FOLFIRI方案联合沙利度胺治疗晚期结直肠癌的临床观察
引用本文:门琼 姚永华 施媛 吴瑾瑜 冯菲 王玫 王必莲. FOLFIRI方案联合沙利度胺治疗晚期结直肠癌的临床观察[J]. 陕西肿瘤医学, 2008, 16(3): 413-414
作者姓名:门琼 姚永华 施媛 吴瑾瑜 冯菲 王玫 王必莲
作者单位:上海市杨浦区市东医院肿瘤诊治中心,上海200438
摘    要:目的:评价FOLFIRI方案联合沙利度胺对晚期结直肠癌的疗效和耐受性。方法:选择21例患者行FOLFIRI方案化疗,均联合沙利度胺口服,40d后观察疗效,并评价副作用,肿瘤标记物CA72—4,CEA变化。结果:疗效为CR0,PR6例(28.6%),SD13例(61.9%),PD2例(9,5%),副作用主要为延迟性腹泻,腹痛,Ⅲ-Ⅳ分别为2例(9.5%),1例(4.8%)。化疗后CEA,CA72—4下降(P〈0.05)。结论:FOLFIRI方案联合沙利度胺对晚期结直肠癌的疗效较满意,耐受性好。

关 键 词:肠癌  伊立替康  沙利度胺  疗效
文章编号:1672-4992-(2008)03-0413-02
收稿时间:2007-04-29
修稿时间:2007-06-11

Clinical observation of advanced colorectal cancer treated by FOLFIRI combined with thalidomide
MEN Qiong, YAO Yong - hua, SHI Yuan, WU Jin - yu, FENG Fei , WANG Mei, WANG Bi - lian. Clinical observation of advanced colorectal cancer treated by FOLFIRI combined with thalidomide[J]. Shaanxi Oncology Medicine, 2008, 16(3): 413-414
Authors:MEN Qiong   YAO Yong - hua   SHI Yuan   WU Jin - yu   FENG Fei    WANG Mei   WANG Bi - lian
Affiliation:MEN Qiong, YAO Yong - hua, SHI Yuan, WU Jin - yu, FENG Fei , WANG Mei, WANG Bi - lian (Department of Oncology Center ,Shidong Hospital,Shanghai 200438, China)
Abstract:Objective:To evaluate the outcome of advanced colorectal cancer treated with FOLFIRI combined thalidomide. Methods: Twenty one patients treated with chemotherapy of FOLFIRI, comnbined with thalidomide orally. Evaluate therapeutic effect/side effect 40 days later and observe the change of CEA and CA72 -4. Results: CR 0, PR 6(28.6% ) ,SD13(61.9% ) ,PD 2(9.5% ). Main side effects were delayed diarrhea and abdominal pain , Ⅲ - Ⅲ of which were 2 (9.5 % ) and 1 (4.8 % ), the level of CEA CA72 - 4 decresed ( P 〈 0.05 ). Conclusion: Combined thalidomide with FOLFIRI can gain good therapeutic effect on the advanced colorectal cancer. The side effect can be well tolerated.
Keywords:advanced colorectal cancer   ifinotecan   thalidomide   therapeutic effect
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