论文部分内容阅读
目的:评价DDP+5Fu/CF+INF(干扰素)方案治疗晚期鼻咽癌的疗效和毒性反应。方法:本文采用DDP+5Fu/CF+INF(DDP20mg/m2×5,5Fu300mg~400mg/m2×5,CF200mg×5,INF3×106U×3)方案共治疗晚期鼻咽癌26例;结果:25例可评价疗效,总有效率(CR+PR)80%(20/25),CR率12%,中位缓解期48月(2~12月)。在放疗和/或化疗后复发转移的21例中,CR2例,PR14例,CR+PR762%(16/21),而曾用DDP/THP+5Fu/CF的11例中,PR率818%(9/11),无CR;毒性反应主要是骨髓抑制和消化道反应等,WHOⅢ+Ⅳ级毒性比例分别为:WBC下降22%、口腔炎237%、恶性呕吐101%和腹泻119%;结论:作者认为DDP+5Fu/CF+INF联合化疗方案是治疗晚期鼻咽癌的有效方案,值得进一步研究,但毒性明显,需谨慎应用
Objective: To evaluate the efficacy and toxicity of DDP + 5Fu / CF + INF (interferon) regimen in the treatment of advanced nasopharyngeal carcinoma. Methods: 26 patients with advanced nasopharyngeal carcinoma were treated with DDP + 5Fu / CF + INF (DDP 20mg / m2 × 5,5Fu300mg ~ 400mg / m2 × 5, CF200mg × 5, INF3 × 106U × 3). Results: The total effective rate (CR + PR) 80% (20/25), CR rate of 12%, the median remission 4 August (2 ~ December). Of the 21 patients who relapsed and metastasized after radiotherapy and / or chemotherapy, there were CR2, PR14 and CR76% 2 (16/21), while PR rate was 818% (11/21) in 11 patients who used DDP / THP + 5Fu / 9/11), no CR; toxic reactions are mainly myelosuppression and gastrointestinal reactions, WHOⅢ + Ⅳ grade toxicity were: WBC decreased by 22%, stomatitis 237%, malignant vomiting 101% and diarrhea 119 %; Conclusion: The authors believe that DDP +5 Fu / CF + INF combination chemotherapy regimen is an effective treatment of advanced nasopharyngeal carcinoma, worthy of further study, but the toxicity is obvious, need to be cautiously applied