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放疗与TP方案同步治疗鼻咽癌的近期疗效观察

The Observation of Short Term Response of Radiotherapy Plus Concurrent Paclitaxel-Cisplatin Chemotherapy for Patients with Nasopharyngeal Carcinoma
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摘要 目的:评估放疗与紫杉醇周方案化疗同步治疗鼻咽癌(NPC)的近期疗效。方法:观察2004年1月~2007年6月收治的38例局部晚期的鼻咽癌患者。予以放疗,放疗剂量为70Gy^80Gy/7周~8周,同时行化疗,为紫杉醇加顺铂方案(TP方案):紫杉醇180mg/m2,静脉滴注第1天,顺铂80mg/m2,静脉滴注第1天,21天为一周期。结果:完全缓解率(CR)为94.7%,部分缓解率(PR)为5.3%,总有效率(CR+PR)为100.0%。毒副反应主要为骨髓抑制、消化道反应、放射性口腔炎及放射性皮炎。结论:放疗与紫杉醇周方案化疗同步治疗鼻咽癌患者的近期疗效较为满意,毒副反应患者可以耐受。 Objective: To evaluate the short term response of radiotherapy plus concurrent Paclitaxel chemotherapy for patients with nasopharyngeal carcinoma. Methods: From January 2004 to June 2007, 38 nasopharyngeal carcinoma patients were treated with radiotherapy plus concurrent Paclitaxel chemotherapy. The radiation dose ranged from 70Gy to 80Gy per 7 - 8 weeks. The major regimen of chemotherapy was Paclitaxel 180mg/m^2 IV on day 1, cisplatin 80mg/m^2 IV on day 1,21 days per cycle. Results: The complete response rate was 94.7%, the partial response rate was 5.3%, and the overall response rate was 100.0%. The major toxic effects were myelosuppression, gastrointestinal tract reactions, acute radiation stomatitis and acute radiation dermitis. Conclusion: The short term response of radiotherapy plus concurrent Paclitaxel-cisplatin chemotherapy for nasopharyngeal carcinoma patients is preferable and the toxicity is tolerable.
出处 《肿瘤预防与治疗》 2008年第3期286-288,285,共4页 Journal of Cancer Control And Treatment
关键词 放疗 紫杉醇 鼻咽癌 Radiotherapy Paclitaxel Cisplatin Nasopharyngeal Carcinoma
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