Neoadjuvant chemotherapy in scirrhous cancer of the stomach using uracil and tegafur and cisplatin

Intern Med. 1996 Dec;35(12):930-6. doi: 10.2169/internalmedicine.35.930.

Abstract

We administered a mixture of uracil and tegafur (UFT)/cisplatin (CDDP) chemotherapy in 28 patients with scirrhous gastric cancer. In the regimen, UFT was orally administered at a dose of 200 mg/m2 twice a day. The CDDP was administered at a dose of 90 mg/m2 by 24-hour continuous infusion every 4 weeks. As a result, antitumor effects for primary gastric foci were achieved in 14 of the 28 patients (50%). Ascites from peritoneal dissemination disappeared completely in eight of 13 patients (62%). Total gastrectomy was performed in ten patients after 2 to 3 courses of chemotherapy. Histological response grades assessed on the resected specimen were Grade 2 in four, Grade 1b in three, Grade 1a in one and Grade 0 in two patients. Neoadjuvant chemotherapy is feasible against scirrhous gastric cancer and a subsequent prospective randomized trial should be prepared to clarify the survival benefit of the treatment.

Publication types

  • Clinical Trial

MeSH terms

  • Adenocarcinoma, Scirrhous / drug therapy*
  • Adenocarcinoma, Scirrhous / surgery
  • Adult
  • Aged
  • Antineoplastic Combined Chemotherapy Protocols / therapeutic use*
  • Chemotherapy, Adjuvant
  • Cisplatin / administration & dosage
  • Dexamethasone / administration & dosage
  • Diuresis
  • Drug Administration Schedule
  • Female
  • Gastrectomy
  • Humans
  • Lorazepam / administration & dosage
  • Male
  • Metoclopramide / administration & dosage
  • Middle Aged
  • Nausea / prevention & control
  • Stomach Neoplasms / drug therapy*
  • Stomach Neoplasms / surgery
  • Survival Analysis
  • Tegafur / administration & dosage
  • Uracil / administration & dosage
  • Vomiting / prevention & control

Substances

  • Tegafur
  • Uracil
  • Dexamethasone
  • Metoclopramide
  • Lorazepam
  • Cisplatin

Supplementary concepts

  • FP protocol