THE VALUE OF ADJUVANT THERAPY AFTER RADICAL SURGERY FOR COLORECTAL-CANCER

被引:6
作者
GLIMELIUS, B [1 ]
PAHLMAN, L [1 ]
机构
[1] UNIV UPPSALA, AKAD SJUKHUSET, DEPT SURG, S-75185 UPPSALA, SWEDEN
关键词
COLORECTAL CANCER; ADJUVANT THERAPY; RADIOTHERAPY; CHEMOTHERAPY;
D O I
10.3109/07853899209164139
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Extensive efforts to improve survival for patients with colorectal cancer using adjuvant treatments in addition to radical surgery have long been tried but without success. Recent data from several controlled trials have, however, shown positive results. The collected information from several trials using different chemotherapy schedules indicate that overall survival is improved. The extent of this improvement is not properly known although several centres have considered it to be sufficiently large to merit routine use in certain stages. Likewise, the collected information from several trials using perioperative radiotherapy indicates that the proportion of local recurrences are reduced by about 50 % but without any major influence on survival. Most evidence favours additional radiotherapy before surgery rather than after. If proper dose planning is utilized, sufficiently high doses can be given preoperatively without increasing postoperative mortality.
引用
收藏
页码:9 / 14
页数:6
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