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草酸铂联合氟尿嘧啶、醛氢叶酸治疗晚期结直肠癌的临床观察
摘    要:


Oxaliplatin combined with 5-fluorouracil,leucovorin regimen for patients with advanced colorectal cancer
Suyi Li,Lin Liu,Xiaoyi Gu,Zao Jiang,Cailian Wang. Oxaliplatin combined with 5-fluorouracil,leucovorin regimen for patients with advanced colorectal cancer[J]. The Chinese-German Journal of Clinical Oncology, 2007, 6(3): 225-227
Authors:Suyi Li  Lin Liu  Xiaoyi Gu  Zao Jiang  Cailian Wang
Affiliation:Suyi Li(Tumor Center of the Affiliated Zhongda Hospital of Eastsouth University,Nanjing 210009,China);Lin Liu(Tumor Center of the Affiliated Zhongda Hospital of Eastsouth University,Nanjing 210009,China);Xiaoyi Gu(Tumor Center of the Affiliated Zhongda Hospital of Eastsouth University,Nanjing 210009,China);Zao Jiang(Tumor Center of the Affiliated Zhongda Hospital of Eastsouth University,Nanjing 210009,China);Cailian Wang(Tumor Center of the Affiliated Zhongda Hospital of Eastsouth University,Nanjing 210009,China);
Abstract:Objective:To observe the efficacy and tolerability of continuously infusing 5-fluorouracii(5-FU)/folic acid combined with oxaliplatin(L-OHP/5-FU/Lv regimen)as first line treatment in advanced colorectal cancer.Methods:23 patients of advanced colorectal cancer were treated with 5-Fu 500mg/d,civ,d1-d5,d8-d12,leucovorin 100mg/d,iv gtt,d1,d8,folic acid tablet 60 mg/d,po,d2-d5,d9-d12,and oxaliplatin 65mg/(m2-d),iv gtt,d1,d8,repeated every 21 days(one cycle).The effect was evaluated after two cycles.Results:Complete response in 2 cases and partial response in 10 cases were observed with an overall response rate of 47.18%.Adverse effects were mainly grade 1-2,including nausea,vomiting,diarrhea,dental ulcer,peripheral neuritis and myelosuppression.Conclusion:L-OHP/5-FU/LV regimen is an effective and better tolerated alterna tive treatment in advanced colorectal cancer and yields promising clinical application.
Keywords:advanced colorectal cancer  oxaliplatin  5-fluorouracil  leucovorin  combination chemotherapy
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