ADJUVANT THERAPY OF COLORECTAL-CANCER - AN OVERVIEW

被引:5
作者
WIRTH, A [1 ]
GREEN, M [1 ]
ZALCBERG, JR [1 ]
机构
[1] REPATRIAT GEN HOSP,DEPT MED ONCOL,PRIVATE BAG 1,HEIDELBERG,VIC 3081,AUSTRALIA
来源
AUSTRALIAN AND NEW ZEALAND JOURNAL OF SURGERY | 1991年 / 61卷 / 01期
关键词
ADJUVANT THERAPY; COLORECTAL CANCER; LEUCOVORIN; LEVAMISOLE; 5-FLUOROURACIL;
D O I
10.1111/j.1445-2197.1991.tb00119.x
中图分类号
R61 [外科手术学];
学科分类号
摘要
The substantial recurrence rate of colorectal cancer following potentially curative resection has fuelled the search for effective adjuvant therapy. Previous trials using 5-fluorouracil (5-FU) as a single agent or in combination chemotherapy regimens have not demonstrated meaningful benefits, an impression reflected in the results of a meta-analysis encompassing large patient numbers. Newer developments utilizing intraportal chemotherapy and the combination of 5-FU and levamisole have resulted in lower recurrence rates and improved survival in patients with colon cancer. In advanced disease, the biochemical modulation of 5-FU by Leucovorin has been shown to prolong survival in some studies. Combined chemotherapy and radiotherapy or chemotherapy alone have shown promising results in rectal cancer. These developments have now been incorporated into ongoing trials.
引用
收藏
页码:13 / 22
页数:10
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