腹腔熱灌注化療在晚期卵巢癌患者新輔助化療中的應(yīng)用
發(fā)布時間:2021-08-29 04:07
目的評價晚期卵巢癌(OC)新輔助腹腔熱灌注化療(NHIPEC)的安全性和有效性。方法 2016—2019年間共22例OC患者接受NHIPEC,對其治療相關(guān)指標(biāo)進(jìn)行分析,以評估NHIPEC安全性。結(jié)果 NHIPEC后無患者發(fā)生4級不良事件(AE),3級AE發(fā)生率14%(包括中性粒細(xì)胞減少和嘔吐)。最常見AE為腹痛和嘔吐,發(fā)生率均為27%。這些患者在對癥處理后癥狀緩解。22例患者均在NHIPEC后4周內(nèi)接受第2療程靜脈化療,3個療程新輔助化療后CA125轉(zhuǎn)陰率為55%。中間型細(xì)胞減滅術(shù)(IDS)中15例患者達(dá)R0切除(68%),IDS中無患者發(fā)生大出血或死亡。中位隨訪時間16.5個月(7~41個月)共12例患者復(fù)發(fā),中位無復(fù)發(fā)生存時間16個月(95%CI為12~22個月),1例患者在熱灌注治療41個月后死于腫瘤。結(jié)論對于無法接受初治細(xì)胞減滅術(shù)的晚期OC患者,通過NHIPEC是安全可行的。
【文章來源】:中華轉(zhuǎn)移性腫瘤雜志. 2020,03(04)
【文章頁數(shù)】:5 頁
【參考文獻(xiàn)】:
期刊論文
[1]婦科惡性腫瘤腹腔熱灌注化療臨床應(yīng)用專家共識(2019)[J]. 李晶,林仲秋. 中國實用婦科與產(chǎn)科雜志. 2019(02)
[2]The incidence and mortality of major cancers in China,2012[J]. Wanqing Chen,Rongshou Zheng,Hongmei Zeng,Siwei Zhang. Chinese Journal of Cancer. 2016(08)
[3]Chinese expert consensus on cytoreductive surgery and hyperthermic intraperitoneal chemotherapy for peritoneal malignancies[J]. Yan Li,Yun-Feng Zhou,Han Liang,Hua-Qing Wang,Ji-Hui Hao,Zheng-Gang Zhu,De-Seng Wan,Lun-Xiu Qin,Shu-Zhong Cui,Jia-Fu Ji,Hui-Mian Xu,Shao-Zhong Wei,Hong-Bin Xu,Tao Suo,Shu-Jun Yang,Cong-Hua Xie,Xiao-Jun Yang,Guo-Liang Yang. World Journal of Gastroenterology. 2016(30)
本文編號:3369873
【文章來源】:中華轉(zhuǎn)移性腫瘤雜志. 2020,03(04)
【文章頁數(shù)】:5 頁
【參考文獻(xiàn)】:
期刊論文
[1]婦科惡性腫瘤腹腔熱灌注化療臨床應(yīng)用專家共識(2019)[J]. 李晶,林仲秋. 中國實用婦科與產(chǎn)科雜志. 2019(02)
[2]The incidence and mortality of major cancers in China,2012[J]. Wanqing Chen,Rongshou Zheng,Hongmei Zeng,Siwei Zhang. Chinese Journal of Cancer. 2016(08)
[3]Chinese expert consensus on cytoreductive surgery and hyperthermic intraperitoneal chemotherapy for peritoneal malignancies[J]. Yan Li,Yun-Feng Zhou,Han Liang,Hua-Qing Wang,Ji-Hui Hao,Zheng-Gang Zhu,De-Seng Wan,Lun-Xiu Qin,Shu-Zhong Cui,Jia-Fu Ji,Hui-Mian Xu,Shao-Zhong Wei,Hong-Bin Xu,Tao Suo,Shu-Jun Yang,Cong-Hua Xie,Xiao-Jun Yang,Guo-Liang Yang. World Journal of Gastroenterology. 2016(30)
本文編號:3369873
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