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胰腺癌:姑息性化学治疗

Anne Katrin Berger Dirk J(a)ger

中德临床肿瘤学杂志(英文版)2007,Vol.6Issue(2):142-148,7.
中德临床肿瘤学杂志(英文版)2007,Vol.6Issue(2):142-148,7.

胰腺癌:姑息性化学治疗

Pancreatic cancer-Palliative therapy:chemotherapy

Anne Katrin Berger 1Dirk J(a)ger1

作者信息

  • 1. Medizinische Onkologie, Nationales Centrum für Tumorerkrankungen, Universit(a)tsklinik Heidelberg, Im Neuenheimer Feld 350, 69120 Heidelberg, Germany
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摘要

Abstract

Single-agent Gemcitabine has been the standard treatment for advanced pancreatic adenocarcinoma in the past years. Due to the aggressive and often chemotherapy-refractory character of this malignancy, systemic treatment options still remain limited. Many combination therapies have been evaluated in clinical trials to improve survival over Gemcitabine alone, until recently without satisfying results. Based on the positive results of a recent randomized trial, the combination of Gemcitabine and Capecitabine might become a new standard as first-line treatment for advanced pancreatic cancer. The clinical advantage of Erlotinib as a novel targeted agent in combination with Gemcitabine seems to be only marginal. Due to the small number of studies, there is still no standard of care in second-line therapy, but Oxaliplatin seems to be an active treatment option in Gemcitabine refractory disease. This article will review the development of cytotoxic antitumoral treatment for advanced pancreatic adenocarcinoma (locally advanced, irresectable and/or metastatic disease) including monotherapies and newer approaches with combination therapies.

关键词

pancreatic adenocarcinoma/chemotherapy/Gemcitabine/palliative treatment

Key words

pancreatic adenocarcinoma/chemotherapy/Gemcitabine/palliative treatment

分类

医药卫生

引用本文复制引用

Anne Katrin Berger,Dirk J(a)ger..胰腺癌:姑息性化学治疗[J].中德临床肿瘤学杂志(英文版),2007,6(2):142-148,7.

中德临床肿瘤学杂志(英文版)

2095-9621

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