Chemotherapy of large intestinal carcinoma. Current results and future prospects.

Abstract:

:Chemotherapy of advanced stages of large bowel cancer has until recently made little progress since the introduction of 5-FU 16 years ago. While survival is improved for patients who respond, 5-FU alone has made little impact on life span of the overall population of patients. Mitomycin-C and the chloroethyl nitrosourea antitumor agents, and in particular methyl-CCNU, have also demonstrated marginal activity in large bowel cancer. Two recently reported controlled clinical trials of combination chemotherapy have demonstrated response rates that are substantially better than those obtained with 5-FU alone; a 43% response rate in colorectal carcinoma has been reported using a combination of 5-FU, BCNU, vincristine, and DTIC, compared to a 25% response with 5-FU as a single agent; a 44% objective response rate with a combination of 5-FU, methyl-CCNU, and vincristine has been reported to be significantly better than 5-FU alone. 5-FU as an adjuvant following surgical resection with curative intent has not prevented tumor relapse; however, it is hoped that future studies employing more effective drug combinations will result in increased number of patients achieving disease free survival.

journal_name

Cancer

journal_title

Cancer

authors

Schein PS,Kisner D,MacDonald JS

doi

10.1002/1097-0142(197512)36:6<2418::aid-cncr282036

subject

Has Abstract

pub_date

1975-12-01 00:00:00

pages

2418-20

issue

6 Suppl

eissn

0008-543X

issn

1097-0142

journal_volume

36

pub_type

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