EFFECT OF GRANULOCYTE-COLONY-STIMULATING FACTOR (G-CSF) ON CHEMOTHERAPY-INDUCED ORAL MUCOSITIS

被引:31
作者
KATANO, M
NAKAMURA, M
MATSUO, T
IYAMA, A
HISATSUGU, T
机构
[1] Department of Surgery, Saga Medical School, Saga, 849
来源
SURGERY TODAY-THE JAPANESE JOURNAL OF SURGERY | 1995年 / 25卷 / 03期
关键词
ORAL MUCOSITIS; GRANULOCYTE COLONY-STIMULATING FACTOR (G-CSF); ADRIAMYCIN; CHEMOTHERAPY;
D O I
10.1007/BF00311527
中图分类号
R61 [外科手术学];
学科分类号
摘要
In this study, the ability of granulocyte colony-stimulating factor (G-CSF) to treat or prevent chemotherapy-induced oral mucositis in patients with advanced breast cancer was evaluated. A total of 14 patients who received intraarterial (i.a.) adriamycin (ADM) preoperatively were divided into two groups according to whether or not G-CSF was given. Thus, group A (n = 7) was given G-CSF and group B (n = 7) was not. G-CSF therapy reduced both the incidence and duration of ADM-induced oral mucositis, and a positive correlation was also seen between the incidence of mucositis and ADM-induced leukopenia (<2,000/mm(3)). Group A was further divided into two subgroups according to whether G-CSF was given after or before the leukopenia had dropped below 2,000/mm(3): group A-1 (n = 3) and group A-2 (n = 4), respectively. ADM-induced mucositis was observed in two of the three patients in group A-1, but in none of the four patients in group A-2. These results strongly support the idea that G-CSF can effectively treat and prevent ADM-induced oral mucositis.
引用
收藏
页码:202 / 206
页数:5
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