Regional Treatment of Advanced Nonresectable and of Resected Pancreatic Cancer via Celiac Axis Infusion
作者:
K.-H. Link,
F. Gansauge,
J. Pillasch,
N. Rilinger,
M.W. Büchler,
H.G. Beger,
期刊:
Digestive Surgery
(Karger Available online 1994)
卷期:
Volume 11,
issue 3-6
页码: 414-419
ISSN:0253-4886
年代: 1994
DOI:10.1159/000172295
出版商: S. Karger AG
关键词: Mitoxantrone;Cisplatin;5-FU;Folinic acid;Chemotherapy, regional;Pancreatic cancer;Chemotherapy, palliative, intra-arterial;Chemotherapy, adjuvant, intra-arterial;Celiac axis infusion;Chemotherapy of pancreatic cancer
数据来源: Karger
摘要:
Thirty-two patients with advanced nonresectable pancreatic cancer of UICC stages III (17 patients) and IV (15 patients; palliative group) received regional chemotherapy with mitoxantrone, 5-FU + folinic acid, and cisplatin via celiac axis infusion with the Seldinger technique. Twenty patients received this treatment after resection of their primary tumors (adjuvant group). Overall 202 cycles [4(1-11)/patient] were applied. Toxicities in all cycles were as follows: gastrointestinal ulcers 6%, gastritis 5%, severe stomatitis 0.5%, nausea/vomiting WHO I+ 11 44%, leukopenia WHO I+ II 11% and WHO III 0.5%. A false aneurysm and a hematoma developed in 1 patient each. The median survival times were 7.5 months in the palliative group (UICC III 12 months, UICC IV 4 months) and 15.1 months in the adjuvant group. Pain decreased significantly in the palliative group.
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