1. Neoadjuvant Chemotherapy with Docetaxel, Cisplatin and S-1 for Resectable Advanced Esophageal Cancer.
- Author
-
Hayata K, Ojima T, Nakamori M, Nakamura M, Katsuda M, Kitadani J, Takeuchi A, Tabata H, Maruoka S, and Yamaue H
- Subjects
- Aged, Antineoplastic Combined Chemotherapy Protocols administration & dosage, Antineoplastic Combined Chemotherapy Protocols adverse effects, Cisplatin adverse effects, Docetaxel, Drug Administration Schedule, Drug Combinations, Esophageal Neoplasms pathology, Female, Humans, Male, Middle Aged, Neoadjuvant Therapy adverse effects, Neoplasm Grading, Oxonic Acid adverse effects, Survival Analysis, Taxoids adverse effects, Tegafur adverse effects, Treatment Outcome, Cisplatin administration & dosage, Esophageal Neoplasms drug therapy, Oxonic Acid administration & dosage, Taxoids administration & dosage, Tegafur administration & dosage
- Abstract
Background/aim: Although the efficacy is limited, standard therapy for Stage II/III esophageal cancer in Japan includes neoadjuvant chemotherapy with cisplatin plus 5-fluorouracil. A phase II trial was conducted on patients with resectable advanced esophageal cancer obtaining neoadjuvant chemotherapy with docetaxel, cisplatin plus S-1 (DCS)., Patients and Methods: A total of 40 patients were enrolled, each treated by the following DCS regimen: docetaxel 40 mg/m
2 , cisplatin 60 mg/m2 on day 1, and S-1 80 mg/m2 on days 1-14, repeated every four weeks, for a maximum of three cycles., Results: Clinical response rate was 76% and the pathological response rate (Grade 2/3) was 33%. Hematological toxicities of Grade 3/4 were leukopenia 50%, neutropenia 68%, and febrile neutropenia 18%., Conclusion: Neoadjuvant chemotherapy with DCS is a feasible therapeutic strategy for patients with advanced thoracic esophageal squamous cell carcinoma., (Copyright© 2018, International Institute of Anticancer Research (Dr. George J. Delinasios), All rights reserved.)- Published
- 2018
- Full Text
- View/download PDF