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全身化疗联合腹腔化疗治疗晚期卵巢癌的临床观察

The Clinical Observation of Chemotherepy Combined with Intraperitoneal Chemotherepy in Advanced Ovarian Carcinoma
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摘要 目的观察全身化疗联合腹腔化疗对晚期卵巢癌的疗效及毒副反应。方法24例卵巢癌,用紫杉醇135mg/m^2,卡铂400mg/m^2静滴,每4周重复1次,共化疗2个周期,顺铂60mg,地塞米松10mg腹腔化疗,每2周1次,进行2~3个周期,中位疾病进展时间(MTTP)9个月(5~12个月),无复发生存期5个月,观察每次化疗毒副反应及疗效。结果24例中CR12例、PR7例,RR79.2%,毒副反应为剂量限制性骨髓抑制、消化道反应。结论全身化疗联合腹腔化疗对晚期卵巢癌有较好疗效。 Objective To evaluate the results and toxicity of chemotherapy combined with intraperitoneal chemotherapy in advanced ovarian carcinoma. Methods 24 cases with advanced ovarian carcinoma were treated with paclitaxel 135 mg/m^2 and carboplatin 400 mg/m^2 intravenous chemotherapy, eisplatin 60 mg and dexamethasone 10 mg intraperitoneal chemotherapy. Results 24 cases were eligible for evaluation, the overall response rate was 79.2% ( 12 complete response and 7 partial response), median TTP were 9 months (5-12 months) . The doselimited toxicity was mild and mainly expressed as arrest of bone marrow, nausea, vomiting. Conclusion A higher response rate is attainable in patients with advanced ovarian carcinoma by chemotherapy and intraperitoneal chemotherapy.
出处 《肿瘤基础与临床》 2008年第6期483-484,共2页 journal of basic and clinical oncology
关键词 卵巢癌 紫杉醇 卡铂 顺铂 化疗 ovarian carcinoma paclitaxel carboplatin cisplatin chemotherapy
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