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紫杉醇脂质体联合5-FU/DDP治疗晚期食管癌49例临床观察

贾正飞 冯永 仲琴 夏晓天

实用肿瘤杂志2012,Vol.27Issue(5):479-482,4.
实用肿瘤杂志2012,Vol.27Issue(5):479-482,4.

紫杉醇脂质体联合5-FU/DDP治疗晚期食管癌49例临床观察

Clinical study on paclitaxel liposome combined with 5-FU/DDP in treatment of 49 cases of advanced esophageal cancer

贾正飞 1冯永 1仲琴 1夏晓天1

作者信息

  • 1. 南京医科大学附属淮安一院肿瘤内科,淮安江苏223300
  • 折叠

摘要

Abstract

Objective To evaluate the efficacy and toxicity of paclitaxel liposome plus cisplatin and 5-fluorouracil as first-line chemotherapy for advanced esophageal cancer patients. Methods Forty-ning patients were infused with paclitaxel liposome 135 mg/ m2,dl,followed by 5-fluorouracil, dl -5, and cisplatin, dl -3. The cycle was repeated every three weeks. Treatment efficacy was evaluated every two cycles based on the RECIST 1. 0. All patients received at least two cycles of therapy. Results Forty-ning patients were given 212 cycles of chemotherapy, completed an average 4. 3 cycles. The overall response rate was 47. 0% ,4 cases (8. 2% ) achieved complete responses( CR) ,19(38. 8% ) achieved partial responses( PR) , 12(24. 4% ) had stable disease( SD). The median time to progression (TTP) was 6 months (95% CI:5. 09 -6.91). The 1-year survival and 2-year survival were 79. 6% (39/49) and 46. 9% (23/49) .respectively. Adverse reaction was mainly the hematology toxicity and gastrointestinal reaction. Conclusion Paclitaxel liposome plus cisplatin and 5-fluorouracil as first-line chemotherapy for advanced esophageal cancer patients has good effectiveness and safety.

关键词

食管肿瘤/药物疗法/紫杉酚/脂质体

Key words

esophageal neoplasms/ drug therapy/ paclitaxel/ liposomes

分类

医药卫生

引用本文复制引用

贾正飞,冯永,仲琴,夏晓天..紫杉醇脂质体联合5-FU/DDP治疗晚期食管癌49例临床观察[J].实用肿瘤杂志,2012,27(5):479-482,4.

实用肿瘤杂志

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