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논문 기본 정보

자료유형
학술저널
저자정보
(서울대학교) (서울대학교병원) (서울대학교) (서울대학교) (서울대학교) (서울대학교) (서울대학교) (서울대학교) (서울대학교) (서울대학교) (서울대학교) (서울대학교)
저널정보
대한의학회 Journal of Korean Medical Science Journal of Korean Medical Science Vol.20 No.5
발행연도
수록면
806 - 810 (5page)

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초록· 키워드

To evaluate the toxicity and efficacy of a reduced dose intensity (mini-) FOLFOX-4 regimen as a first-line palliative chemotherapy in elderly patients (≥70 yr of age) with advanced colorectal cancer, data from prospective databases at Seoul National University Bundang Hospital and Seoul Municipal Boramae Hospital were analyzed. A total of 20 patients were enrolled between January 2001 and August 2004, and were treated with oxaliplatin 65 mg/m 2 on day 1, and with 2-hr infusions of leucovorin 150 mg/m 2 followed by a 5-FU bolus (300 mg/m 2 ) and 22-hr continuous infusions (450 mg/m 2 ) for 2 consecutive days every 2 weeks until progression, unacceptable toxicity or patient refusal. Sixteen patients were evaluable for response with an over-all response rate of 43.8%. Median progression-free survival was 4.8 months (95% CI: 3.0-6.7) and overall survival was 13.5 months (95% CI: 11.1-16.0). The main side effects were anemia and neutropenia, which were observed in 20.8% and 17.7%, respectively, of the total cycles administered. There were no grade 4 toxicities and only one patient suffered from febrile neutropenia. No grade 3 toxicities occurred except for anemia (5.2%) and vomiting (1.0%). In conclusion, the mini-FOLFOX-4 regimen was found to be well tolerated with acceptable toxicity, and to provide a benefit for elderly patients with colorectal cancer.
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