摘要
目的:观察希罗达单药治疗老年晚期胃癌的临床疗效及不良反应。方法:31例老年晚期胃癌患者,应用希罗达2500mg/(m2.d)口服,2次/d,第1~14天;21d为1个周期,至少完成2个周期后评价疗效和不良反应。结果:31例患者中CR0例(0%),PR9例(29%),SD7例(22.6%),PD15例(48.4%),总有效率29%;生活质量改善12例(38.7%),主要毒副反应为血液学毒性、消化道反应和手足综合征。结论:希罗达是治疗晚期胃癌安全、有效的药物,特别适宜于老年体弱的患者。
Objective:To evaluate the efficacy and toxicity of Xeloda alone in treatment of elderly patients with advanced gastric cancer.Method:31 elderly patients with advanced gastric cancer received Xeloda orally at a dose of 2500 mg/m2,twice daily,on days 1-14,the cycles were repeated every 21 days,the evaluation of efficacy and toxicity were performed on all patients after 2 cycles at least.Result:Of the 31 patients,there were 0(0%) complete remission(CR),9(29%)partial remission(PR),7(22.6 %) stable disease(SD).The total response rate was 29%.KPS improvement rate was 38.7%,the major toxicities were myelo suppression,gastrointestinal reaction and hand-foot syndrome.Conclusion:Xeloda is safe and effective in the treatment of advanced gastric cancer,especially for patients old and frail.
出处
《中国医学创新》
CAS
2012年第20期41-42,共2页
Medical Innovation of China
关键词
希罗达
晚期胃癌
疗效
Xeloda
Advanced gastric cancer
Efficacy