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Concurrent weekly nedaplatin-based radiotherapy for high risk, recurrent and advanced cervical cancer

机译:基于每周的Nedaplatin的高风险,复发和晚期宫颈癌

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Advanced cervical cancer has been predominantly treated with a combination of external beam and brachytherapy in Japan. Recent studies suggest concurrent use of cisplatin and radiation treatment has superior disease control to radiation only treatment. We have conducted a phase I pilot study of concurrent use of weekly nedaplatin (30 mg/m2) and sequential external beam and brachytherapy in advanced stage or recurrent uterine cervical cancer patients (n = 6). All patients completed the treatment without serious complications. Five patients had complete responses and one a partial response. The average AUC of nedaplatin after one administration was 5.0 micrograms/ml.hr. The therapeutic index was 2. We concluded that concurrent use of weekly nedaplatin and radiation is well tolerated by Japanese women, and may well be an excellent therapeutic modality for selected cases of advanced or recurrent cervical cancer.
机译:先进的宫颈癌主要用日本的外梁和近距离放射治疗组合治疗。 最近的研究表明,同时使用顺铂和放射治疗对辐射的疾病控制具有优异的疾病控制。 我们已经进行了一期试验研究,同时使用每周Nedaplatin(30mg / m2)和序列外梁和高级阶段或复发性子宫子宫颈癌患者的近期外梁和近距离放射治疗(n = 6)。 所有患者均完成治疗,没有严重并发症。 五名患者进行了完全的反应和一个部分反应。 一份给药后Nedaplatin的平均AUC为5.0微克/ mL.HR。 治疗指数是2.我们得出结论,日本女性同时使用每周Nedaplatin和辐射,并且可能是日本妇女的耐受性良好的疗效,适用于晚期或经常性宫颈癌的选定病例的优异治疗方式。

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