Modified Folfox regimen combined with interventional therapy for the treatment of advanced gastric cancer: a clinical study
AbstractAbstract
[en] Objective: To evaluate the efficacy and safety of modified Folfox regimen in combination with interventional therapy for patients with advanced gastric cancer. Methods: Thirty-four patients were treated with modified Folfox regimen in combination with interventional therapy which was given at intervals of 4 or 5 weeks until the disease became worse, or the patient could not tolerate the drug toxicity, or the patient decided to stop the treatment. On an average,each patient received 7 therapeutic courses. Response to treatment and toxicity reaction to the drug were recorded according to NCI toxicity criteria. All data were analyzed by using Kaplan-Meier method with SPSS software(version 15.0, Chicago, IL, USA). Results: All patients tolerated the toxicity and treatment. The mean follow-up period was 17 months, with the longest period being of 32 months. Of 34 patients, complete remission was seen in 4(11.8%), partial remission in 20(58.8%), stable condition in 6(17.6%) and deterioration in 4(11.8%). The overall response rate was 70.6%. The cumulated survival rate at 12, 24 and 32 months was 76.5%, 33.1% and 12.5% respectively, with a median survival time of 18 months. NCI grade 1 or 2 toxicities occurred, including alopecia (64.7%), peripheral neuritis (11.8%), anemia (11.8%), leucopenia(31.9%), diarrhea (29.4%), stomatitis (23.5%), thrombocytopenia (11.8%) and elevated ALT(5.9%). Grade 3 or 4 occurred in 47.1% and 11.8% of patients respectively,which included nausea, vomiting and diarrhea. Four patients developed grade 3 ALT elevation. No treatment-related death occurred. Conclusion: Modified Folfox regimen in combination with interventional therapy is a safe and effective treatment for advanced gastric cancer with fewer adverse effects. (authors)
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Journal of Interventional Radiology; ISSN 1008-794X; ; v. 18(10); p. 759-762
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BODY, COMPLEXES, COMPUTERIZED TOMOGRAPHY, CONTRAST MEDIA, DEVELOPED COUNTRIES, DIAGNOSTIC TECHNIQUES, DIGESTIVE SYSTEM, DISEASES, GASTROINTESTINAL TRACT, HEMIC DISEASES, ILLINOIS, MEDICINE, NEOPLASMS, NORTH AMERICA, OILS, ORGANIC COMPOUNDS, ORGANIC HALOGEN COMPOUNDS, ORGANIC IODINE COMPOUNDS, ORGANS, OTHER ORGANIC COMPOUNDS, SYMPTOMS, THERAPY, TOMOGRAPHY, TRANSITION ELEMENT COMPLEXES, URBAN AREAS, USA
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