Paclitaxel chemotherapy for the treatment of gastric cancer

被引:114
作者
Sakamoto, Junichi [1 ]
Matsui, Takanori [3 ]
Kodera, Yasuhiro [2 ]
机构
[1] Nagoya Univ, Grad Sch Med, Dept Young Leaders Program Med Adm, Showa Ku, Aichi 4668550, Japan
[2] Nagoya Univ, Grad Sch Med, Dept Digest Surg, Nagoya, Aichi 4648601, Japan
[3] Aichi Hosp, Aichi Canc Ctr, Dept Surg, Okazaki, Aichi, Japan
关键词
Paclitaxel; Gastric cancer; Chemotherapy; PHASE-II TRIAL; CISPLATIN COMBINATION CHEMOTHERAPY; CONTINUOUS-INFUSION; 5-FLUOROURACIL; LOW-DOSE PACLITAXEL; BIWEEKLY PACLITAXEL; CLINICAL-TRIAL; ADJUVANT CHEMORADIATION; PATHOLOGICAL RESPONSE; CONCURRENT RADIATION; PLUS PACLITAXEL;
D O I
10.1007/s10120-009-0505-z
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
A comprehensive review of phase I and phase II clinical trials of paclitaxel and paclitaxel-containing chemotherapy regimens for advanced gastric cancer was performed. Response rates, median progression-free survivals, and median overall survivals were examined, together with the treatment regimens and the numbers of patients registered in each trial. Although paclitaxel monotherapy produced considerable improvement in tumor response and prognosis, combination doublet or triplet chemotherapy with fluoropyrimidines and/or platinum compounds showed better results than the paclitaxel monotherapy. With regard to the schedule of paclitaxel administration, weekly injection seemed to show less toxicity and better results than administration every 3 weeks. Adjuvant therapies, chemoradiation therapies, and paclitaxel treatment for gastric ascites were also investigated and are discussed.
引用
收藏
页码:69 / 78
页数:10
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