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卡培他滨节拍化疗联合塞来昔布治疗晚期结直肠癌的临床疗效观察
作者:邓立春  
单位:东南大学医学院附属江阴医院
关键词:结直肠癌  节拍化疗 卡培他滨 塞来昔布 
分类号:
出版年·卷·期(页码):2011··第四期(0-)
摘要:

目的:评价卡培他滨节拍化疗联合塞来昔布治疗晚期结直肠癌的临床疗效和不良反应。方法:对51例晚期结直肠癌患者应用卡培他滨节拍化疗联合塞来昔布(卡培他滨 500mg 2次/d,塞来昔布胶囊 400mg 2次/d,4周为1个周期)治疗,至少完成2个周期,中位治疗周期数为4.8个。结果:51例患者中,无完全缓解者,9例(17.6%)部分缓解,19例(37.3%)疾病稳定,疾病控制率为54.9%(28/51),中位疾病进展时间为5.1月,中位总生存时间为8.4月。主要不良反应为骨髓抑制、胃肠道反应及手足综合征,大多为Ⅰ~Ⅱ度。结论:卡培他滨节拍化疗联合塞来昔布治疗晚期结直肠癌能够有效控制疾病进展,不良反应可耐受。

Objective:To evaluate the clinical efficacy and adverse reaction of metronomic chemotherapy with capecitabine and celecoxib in the treatment of colorectal cancer. Methods:51 patients with colorectal cancer were given with metronomic chemotherapy with capecitabine and celecoxib. Capecitabine and celecoxib was administered orally at a dose of 500mg twice a day and 400mg twice a day respectively.The therapeutic regimen was repeated every 4 weeks.All patients received at least two cycles.The median number of therapeutic cycles was 4.8.Results: of the 51 patients ,no patient achieved complete remission,9 patients achieved partial remission(17.6%),19 patients maintained a stable disease(37.3%).The disease control rate was 54.9%(28/51).The median time to progression was 5.1months and the median overall survival was 8.4months.Myelosuppression, gastrointestinal and hand-foot syndrome wre the most common toxicities.Conclusion: Metronomic chemotherapy with capecitabine and celecoxib is well effective in controlling the progression of colorectal cancer.Drug-related toxicities are tolerable.

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