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    陶云霞, 王翔. 阿帕替治疗鳞癌安全性的和疗效分析[J]. 徐州医科大学学报, 2018, 38(10): 648-651.
    引用本文: 陶云霞, 王翔. 阿帕替治疗鳞癌安全性的和疗效分析[J]. 徐州医科大学学报, 2018, 38(10): 648-651.
    A retrospective analysis of safety and efficacy of apatinib for patients with squamous cell carcinoma[J]. Journal of Xuzhou Medical University, 2018, 38(10): 648-651.
    Citation: A retrospective analysis of safety and efficacy of apatinib for patients with squamous cell carcinoma[J]. Journal of Xuzhou Medical University, 2018, 38(10): 648-651.

    阿帕替治疗鳞癌安全性的和疗效分析

    A retrospective analysis of safety and efficacy of apatinib for patients with squamous cell carcinoma

    • 摘要: 目的:探索阿帕替尼在鳞癌中应用价值。方法:本研究纳入了2015年12至2017年4月间在徐州市中心医院肿瘤内科经阿帕替尼治疗的的17例鳞癌患者。结果:肺鳞癌10例,其他7例;阿帕替尼作为二线及以上治疗16例;15例患者可评价疗效,部分缓解7例(46.7%) ,稳定 7例(46. 7%),进展 1例(6.7%);3/4度 的不良反应主要为血液学毒性,高血压和手足综合征发生率为为23.5%,均为1~2级,严重不良事件3例;中位 PFS为5.20月(95%可信区间3.32月~7.08月),肺鳞癌的中位PFS为6.10月(95%可信区间4.63月~7.57月)。结论:阿帕替尼治疗鳞癌疗效确切,值得临床应用。

       

      Abstract: The aim of our study is to explore the safety and efficacy of apatinib in treatment of squamous cell carcinoma. Methods: This study comprised 17 patients histologically confirmed with squamous cell carcinoma in the oncology department of Xuzhou Central Hospital from December 2015 to April 2017. Results: There were 17 patients, including 10 patients with lung cancer, 7 patients with other cancers. Sixteen patients received apatinib second-line and beyond therapy. The rate of partial response (PR), stable disease (SD), and progression disease were 46.7%, 46.7% and 6.7% for the 15 evaluated patients, respectively. There were no grade 3/4 hypertension (23.5%) and hand-foot syndrome (23.5%) occurred. Severe adverse events occurred in 3 patients.. The median PFS (mPFS) of all patients was 5.20 (95% confidence interval CI, 3.32-7.08 months) months, while the mPFS of lung caner was 6.10 (95% CI, 4.63-7.57 months) months. Conclusions: Apatinib is effective for squamous cell carcinoma. The toxicity of apatinib is acceptable.

       

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