摘要
目的:观察卡培他滨单药治疗老年晚期胃癌的疗效和不良反应。方法:经病理证实的老年晚期胃癌。28例应用卡培他滨单药化疗,剂量为1 250 mg/m2,2次/d口服,治疗2周后停药1周,3周为1个周期。结果:共完成103个周期,最短1周期,最长8周期。18例可评价疗效,部分缓解(CR)4例,稳定(SD)11例,进展(PD)3例,有效率22.2%,疾病控制率83.3%。中位疾病进展时间(TTP)5个月,中位总生存(OS)7个月,一年生存率23.6%。不良反应主要为胃肠道反应和手足综合征,大部分为1~2级,耐受性好。结论:卡培他滨单药治疗老年晚期胃癌疗效肯定,毒副作用少。
Objective:To evaluate the efficacy and toxicity of capectiabine singal regimen for treatment of elderly patients with cancer of the stomach Methods:total of 28 cases with cancer of the stomach in the study,20 male and 8 female.The median age was 72 years old and ECOG performance ststus of 2-3.All patients received capecitabine 1 000 mg/m2,bid,d1-14.Results:Total 104 routines were finished.18 cases can be evaluated,4 partial responsed,and 9 stable cases were observed.The total response rate wse 22.2%.The medican time to progression was 5 month.The median overall survival was 8 month.The adverse events were gastric intestinal disorders and hand-food syndrome.Most of adverse events were gradeⅠorⅡ,and tolerated well.Conclusions:Capecitabine single regimen for the treztment of elderly patients with advanced or metastasis gastric cancer is effective and the toxicitites are tolerable.
出处
《航空航天医药》
2010年第12期2144-2146,共3页
Aerospace Medicine
关键词
卡培他滨单
老年胃癌
cancer of the stomach
capecitabine
elderly