Advertisement

 

doctorslounge.com

 
Powered by
Careerbuilder

 

                    Home  |  Forums  |  Humor  |  Advertising  |  Contact
   Ask a Doctor

   News via RSS

   Newsletter

   Oncology

   News

 

 Conferences


   CME

   Forum Archives

   Diseases

   Symptoms

   Labs

   Procedures

   Drugs

   Links

advertisement.gif (61x7 -- 0 bytes)

   Specialties

   Cardiology

   Dermatology

   Endocrinology

   Fertility

   Gastroenterology

   Gynecology

   Hematology

   Infections

   Nephrology

   Neurology

   Oncology

   Orthopedics

   Pediatrics

   Pharmacy

   Primary Care

   Psychiatry

   Pulmonology

   Rheumatology

   Surgery

   Urology

   Other Sections

   Membership

   Research Tools

   Medical Tutorials

   Medical Software

 

 Headlines:

 

 

 

Back to index

Cancer Chemotherapy Regimen for Colon Cancer


 FU-L                                                    colon(48)
 _________________________________________________________________
  fluorouracil.... 600 mg/sqm IV bolus 1 hour after start of 
                   leucovorin.
  leucovorin...... 500 mg/sqm IV over 2 hours.
  FREQUENCY....... Repeat every 7 days and continue for 6 weeks.

  reference...
    Petrelli N.  Herrera L.  Rustum Y.  Burke P.  Creaven P.  
    Stulc J.  Emrich LJ.  Mittelman A. A prospective randomized 
    trial of 5-fluorouracil versus 5-fluorouracil and high-dose 
    leucovorin versus 5-fluorouracil and methotrexate in 
    previously untreated patients with advanced colorectal 
    carcinoma. Journal of Clinical Oncology.  5(10):1559-65, 1987 
    Oct. 
  abstract...
    Seventy-four previously untreated patients with metastatic 
    colorectal adenocarcinoma were prospectively randomized into 
    one of three treatment regimens: (1) 5-fluorouracil (5-FU) 450 
    mg/m2 as an intravenous (IV) bolus daily for five days or 
    toxicity, then 200 mg/m2 IV bolus every other day for six 
    doses; (2) methotrexate (MTX) 50 mg/m2 in normal saline by IV 
    infusion over four hours followed by an IV bolus of 5-FU 600 
    mg/m2. This was administered weekly for 4 weeks and then every 
    2 weeks. (3) Leucovorin 500 mg/m2 in a two-hour IV infusion of 
    normal saline with 5-FU 600 mg/m2 as an IV bolus one hour 
    after the Leucovorin began every week for 6 weeks. The 
    combined complete and partial response rates in the three 
    regimens were 11%, 5%, and 48%, respectively (P = .0009). The 
    median duration of response in the 5-FU and Leucovorin regimen 
    was 10 months. There was no statistically significant 
    difference between the treatment regimens with respect to 
    survival time (P = .6). Toxicity in the 5-FU and Leucovorin 
    regimen was predominantly diarrhea (13 of 30 patients, 40%). 
    In this regimen, eight of 13 patients (52%) who developed 
    diarrhea not only required a dose reduction of 5-FU, but also 
    hospitalization for IV hydration. The predominant toxicity in 
    the 5-FU alone regimen and the 5-FU and MTX regimen was 
    leukopenia. One drug-related death occurred in each regimen. 
 
advertisement.gif (61x7 -- 0 bytes)
 

Are you a doctor or a nurse?

Do you want to join the Doctors Lounge online medical community?

Participate in editorial activities (publish, peer review, edit) and give a helping hand to the largest online community of patients.

Click on the link below to see the requirements:

Doctors Lounge Membership Application


 

 advertisement.gif (61x7 -- 0 bytes)

 

 

 



We subscribe to the HONcode principles of the HON Foundation. Click to verify.
We subscribe to the HONcode principles. Verify here

Privacy Statement | Terms & Conditions | Editorial Board | About us
Copyright © 2001-2007 The Doctors Lounge. All rights reserved.