icon fsr

文献詳細

雑誌文献

臨床婦人科産科65巻7号

2011年07月発行

文献概要

今月の臨床 卵巣がん─最新の治療戦略 初回治療 3.ファーストラインの化学療法

1)Dose-dense TC療法

著者: 菅野哲平1 勝俣範之1

所属機関: 1国立がん研究センター中央病院臨床試験・開発部

ページ範囲:P.874 - P.877

文献購入ページに移動
 卵巣癌患者に対する初回の主たる治療は手術療法であり,組織診断,病期決定とともに腫瘍減量術を確実に行う.しかし手術のみでは治癒は望めないため手術療法と化学療法を併用して治療を行う必要がある.

 1990年代後半に,パクリタキセル(TXL)の導入後,多くのランダム化比較試験を経て上皮性卵巣癌に対する,現在の標準的な初回化学療法はTri-weekly TC療法〔TXL 175 mg/m2+カルボプラチン(CBDCA)AUC 6〕となった1, 2)

参考文献

1) du Bois A, Luck HJ, Meier W, et al : A randomized clinical trial of cisplatin/paclitaxel versus carboplatin/paclitaxel as first-line treatment of ovarian cancer. Journal of the National Cancer Institute 95 : 1320─1329, 2003
2) Ozols RF, Bundy BN, Greer BE, et al : Phase III trial of carboplatin and paclitaxel compared with cisplatin and paclitaxel in patients with optimally resected stage III ovarian cancer : a Gynecologic Oncology Group study. J Clin Oncol 21 : 3194─3200, E 2003
3) Vasey PA, Jayson GC, Gordon A, et al : Phase III randomized trial of docetaxel-carboplatin versus paclitaxel-carboplatin as first-line chemotherapy for ovarian carcinoma. J Natl Cancer Inst 96 : 1682─1691, 2004
4) Bookman MA, Brady MF, McGuire WP, et al : Evaluation of new platinum-based treatment regimens in advanced-stage ovarian cancer : A Phase III Trial of the Gynecologic Cancer Intergroup. J Clin Oncol 27 : 1419─1425, 2009
5) Hoskins P, Vergote I, Cervantes A, et al : Advanced ovarian cancer : Phase III randomized study of sequential cisplatin-topotecan and carboplatin-paclitaxel vs carboplatin-paclitaxel. J Natl Cancer Inst 102 : 1547─1556, 2010
6) Rose PG, Smrekar M, Fusco N : A phase II trial of weekly paclitaxel and every 3 weeks of carboplatin in potentially platinum-sensitive ovarian and peritoneal carcinoma.Gynecol Oncol 96 : 296─300, 2005
7) Norton L : Theoretical concepts and the emerging role of taxanes in adjuvant therapy. Oncologist 6(Suppl 3) : 30─35, 2001
8) Skipper HE : Kinetics of mammary tumor cell growth and inplications for therapy. cancer 28 : 1479─1499, 1971
9) Norton L : A Gompertzian model of human breast cancer growth. Cancer Research Res 48 : 7067─7071, 1998
10) Norton L : Conceptual and Practical Implications of breast tsssue geometry : Toward a more effective,less toxictherap. The oncologist 10 : 370─381, 2005
11) Bolis G, Scarfone G, Polverino G, et al : Paclitaxel 175 or 225 mg per meters squared with carboplatin in advanced ovarian cancer : A randomized trial. J Clin Oncol 22 : 686─690, 2004
12) Omura GA, Brady MF, Look KY, et al : Phase III trial of paclitaxel at two dose levels, the higher dose accompanied by filgrastim at two dose levels in platinum-pretreated epithelial ovarian cancer : An intergroup study. J Clin Oncol 21 : 2843─2848, 2003
13) Noriyuki K, Makoto Y, Fumiaki T, et al : Dose-dense paclitaxel once a week in combination with carboplatin every 3 weeks for advanced ovarian cancer ; A phase 3, open-label, randomized controlled trial. Lancet 374 : 1331─1338, 2009
14) Klauber N, Parangi S, Flynn E, et al : Inhibition of angiogenesis and breast cancer in mice by the microtubule inhibitors 2-methoxyestradiol and taxol. Cancer Res 57 : 81─86, 1997

掲載誌情報

出版社:株式会社医学書院

電子版ISSN:1882-1294

印刷版ISSN:0386-9865

雑誌購入ページに移動
icon up
あなたは医療従事者ですか?