肿瘤研究与临床
腫瘤研究與臨床
종류연구여림상
CANCER RESEARCH AND CLINIC
2014年
11期
741-743,748
,共4页
张宁刚%王育生%张成琰%李秀秀%成翔宇%温璐
張寧剛%王育生%張成琰%李秀秀%成翔宇%溫璐
장저강%왕육생%장성염%리수수%성상우%온로
结肠肿瘤%直肠肿瘤%分子靶向治疗%贝伐珠单抗%抗肿瘤联合化疗方案
結腸腫瘤%直腸腫瘤%分子靶嚮治療%貝伐珠單抗%抗腫瘤聯閤化療方案
결장종류%직장종류%분자파향치료%패벌주단항%항종류연합화료방안
Colonic neoplasms%Rectal neoplasms%Molecular targeted therapy%Bevacizumab%Antineoplastic combined chemotherapy protocols
目的 研究贝伐珠单抗(bevacizumab,Bev)联合化疗治疗转移性结直肠癌的近期疗效和安全性.方法 对43例接受贝伐珠单抗联合化疗治疗的晚期结直肠癌患者进行回顾分析,评价联合治疗的近期疗效及不良反应.结果 43例患者中部分缓解(PR)17例,疾病稳定(SD)19例,疾病进展(PD)7例;中位无进展生存(PFS)为10.3个月.3~4度不良反应主要为白细胞和粒细胞减少及恶心、呕吐.与贝伐珠单抗相关的不良反应为蛋白尿、高血压、鼻出血、经血增加、肠道出血、肠穿孔及静脉血栓等.结论 贝伐珠单抗联合化疗治疗晚期结直肠癌近期疗效较好,不良反应可耐受,远期疗效有待进一步观察.
目的 研究貝伐珠單抗(bevacizumab,Bev)聯閤化療治療轉移性結直腸癌的近期療效和安全性.方法 對43例接受貝伐珠單抗聯閤化療治療的晚期結直腸癌患者進行迴顧分析,評價聯閤治療的近期療效及不良反應.結果 43例患者中部分緩解(PR)17例,疾病穩定(SD)19例,疾病進展(PD)7例;中位無進展生存(PFS)為10.3箇月.3~4度不良反應主要為白細胞和粒細胞減少及噁心、嘔吐.與貝伐珠單抗相關的不良反應為蛋白尿、高血壓、鼻齣血、經血增加、腸道齣血、腸穿孔及靜脈血栓等.結論 貝伐珠單抗聯閤化療治療晚期結直腸癌近期療效較好,不良反應可耐受,遠期療效有待進一步觀察.
목적 연구패벌주단항(bevacizumab,Bev)연합화료치료전이성결직장암적근기료효화안전성.방법 대43례접수패벌주단항연합화료치료적만기결직장암환자진행회고분석,평개연합치료적근기료효급불량반응.결과 43례환자중부분완해(PR)17례,질병은정(SD)19례,질병진전(PD)7례;중위무진전생존(PFS)위10.3개월.3~4도불량반응주요위백세포화립세포감소급악심、구토.여패벌주단항상관적불량반응위단백뇨、고혈압、비출혈、경혈증가、장도출혈、장천공급정맥혈전등.결론 패벌주단항연합화료치료만기결직장암근기료효교호,불량반응가내수,원기료효유대진일보관찰.
Objective To investigate the efficacy and safety of Bevacizumab (Bev) combined with chemotherapy protocols in the patients with metastatic colorectal cancer (mCRC).Methods 43 patients with mCRC were treated with Bev combined with various of chemotherapy protocols.The efficacy was assessed based on Response Evaluation Criterion for Solid Tumors (RECIST),and the adverse events were evaluated according to National Cancer Institute-Common Toxicity Criterion for Adverse Events (NCI-CTCAE) 3.0.Results The data of 43 patients (16 males and 27 females) were analyzed.17 patients achieved partial remission (PR),19 patients stable disease (SD) and 7 patients progressive disease (PD).The median progression-free survival (PFS) time was 10.3 months.The major of 3-4 adverse events included leucocytopenia,neutropenic febrile,and nausea/vomiting.Bey-associated adverse events were proteinuria,hypertension,rhinorrhagia,hemorrhagic hemorrhoid,menstrual blood increased,gastrointestinal perforation and venous thrombosis.Conclusions Bey combined with various chemotherapy protocols is more effective for patients with mCRC.Most patients can tolerate the side effects of the combined treatment.The long-term effects of the combined treatment need to be followed up.