title: [Long-term repeatable chemotherapy for patients with advanced pancreatic cancer].
abstract: At present, the advanced pancreatic cancer is known to be one of the most resistant malignancies on chemotherapy. To improve the efficacy of chemotherapy, we shifted the aim of chemotherapy from a tumor regression to long-term survival, and sought for a repeatable regimen with little toxicity. Some of the novel (repeatable) regimens used a combination of 5-FU/S-1, CDDP and paclitaxel performed for 10 patients with advanced pancreatic cancer (4 cases of Stage IVa and 6 cases of Stage IVb). As a result, the survival ratios of one and two years were 85.7% and 22.9%, respectively. The efficacy rate was 50% (5 cases of PR and 5 cases of NC). Hematological adverse reactions over grade 3 were observed in 8 out of 10 cases, although the decrease of platelet count was observed only in 2 cases (grade 3 and 4). The majority of hematological adverse reactions over grade 3 were leukocytepenia and anemia which were easy to control safely. All of non-hematological adverse reactions were observed under grade 2 and did not disrupt the maintenance of chemotherapy.
authors.affiliation: Sapporo Tsukisamu Hospital, Japan.
authors.forename: Susumu
authors.initials: S
authors.lastname: Yamamitsu
authors.forename: Hiromichi
authors.initials: H
authors.lastname: Kimura
authors.forename: Yoshiyuki
authors.initials: Y
authors.lastname: Yamada
authors.forename: Noriaki
authors.initials: N
authors.lastname: Inui
authors.forename: Shigema
authors.initials: S
authors.lastname: Hiyama
authors.forename: Kouichi
authors.initials: K
authors.lastname: Hirata
authors.forename: Yasutoshi
authors.initials: Y
authors.lastname: Kimura
authors.forename: Tetsuhiko
authors.initials: T
authors.lastname: Shirasada
mesh_terms: D000368:Aged; D000971:Antineoplastic Combined Chemotherapy Protocols / Q000627:therapeutic use*; D002166:Camptothecin / Q000008:administration & dosage / Q000031:analogs & derivatives; D002945:Cisplatin / Q000008:administration & dosage; D003131:Combined Modality Therapy; D004334:Drug Administration Schedule; D004338:Drug Combinations; D005260:Female; D005472:Fluorouracil / Q000008:administration & dosage; D006801:Humans; D000077146:Irinotecan; D008297:Male; D008875:Middle Aged; D009367:Neoplasm Staging; D010094:Oxonic Acid / Q000008:administration & dosage; D017239:Paclitaxel / Q000008:administration & dosage; D010190:Pancreatic Neoplasms / Q000188:drug therapy* / Q000401:mortality / Q000473:pathology / Q000601:surgery; D011788:Quality of Life; D012074:Remission Induction; D015996:Survival Rate; D005641:Tegafur / Q000008:administration & dosage
chemical_list: D004338:Drug Combinations; C079198:S 1 (combination); D005641:Tegafur; D010094:Oxonic Acid; D000077146:Irinotecan; D017239:Paclitaxel; D002945:Cisplatin; D005472:Fluorouracil; D002166:Camptothecin