首页|盐酸安罗替尼对晚期食管鳞癌患者的抗肿瘤作用

盐酸安罗替尼对晚期食管鳞癌患者的抗肿瘤作用

扫码查看
目的 观察盐酸安罗替尼对晚期食管鳞癌患者的抗肿瘤作用.方法 回顾性分析2020年1月至2023年8月在我科接受盐酸安罗替尼治疗的36例晚期食管鳞癌患者的临床资料,记录患者的临床疗效,比较治疗前及治疗2个周期后患者血清肿瘤标志物(CEA、CA125、SCC、细胞角蛋白19片段)及炎症免疫指标(外周血白细胞、中性粒细胞、CD4+T细胞)的变化,观察治疗的不良反应.结果 服用盐酸安罗替尼治疗的36例晚期食管鳞癌患者,客观缓解率为30.56%,疾病控制率为72.22%.盐酸安罗替尼能够抑制食管癌转移灶的生长.盐酸安罗替尼治疗2个周期后血清肿瘤标志物CEA、CA125、SCC较治疗前下降,差异有统计学意义(P<0.05).细胞角蛋白19片段在治疗前及治疗2个周期后无明显变化,P=0.06.盐酸安罗替尼治疗2个周期后外周血白细胞及中性粒细胞计数下降,P<0.001.盐酸安罗替尼治疗2个周期后CD4+T细胞上升,P<0.05.本研究观察到的不良反应主要是腹痛、腹泻、乏力、牙龈疼痛、口腔黏膜疼痛、声音嘶哑,未出现严重不良反应而停药.结论 盐酸安罗替尼应用在晚期食管鳞癌患者中有抗肿瘤作用,且不良反应可耐受.
Antitumor effect of Anlotinib hydrochloride on patients with advanced esophageal squamous cell carcinoma
Objective To observe the antitumor effect of Anlotinib hydrochloride on patients with advanced esophageal squamous cell carcinoma.Methods The clinical data of 36 patients with advanced esophageal squamous cell carcinoma treated with Anlotinib hydrochloride were retrospectively analyzed in our department from January 2020 to August 2023,and the clinical efficacy(CR,PR,PD,ORR,DCR)of the patients were recorded.The changes of serum tumor markers(CEA,CA125,SCC,cytokeratin 19 fragments)and inflammatory immune indicators(the white blood cells,neutrophils,CD4+T cells)were compared before treatment and after two cycles of treatment,and the adverse reactions of treatment were observed.Results 36 patients with advanced esophageal squamous cell carcinoma treated with Anlotinib hydrochloride,the ORR was 30.56%and DCR was 72.22%.Anlotinib hydrochloride can in-hibit the growth of esophageal cancer metastases.Serum tumor markers CEA,CA125 and SCC decreased after two cycles of treatment with Anlotinib hydrochloride compared with before treatment,and the difference was statistically significant(P<0.05).There was no significant change in cytokeratin 19 fragments before treatment and after two treatment cycles,P=0.06.After two cycles of Anlotinib hydrochloride treatment,peripheral blood leukocytes and neutrophils decreased,P<0.001.CD4+T cells increased after two treatment cycles with Anlotinib hydrochloride,P<0.05.The adverse reactions we observed were mainly abdominal pain,diarrhea,fatigue,gin-giva pain,oral mucosal pain,hoarseness,and no serious adverse reactions were reported.Conclusion Anlotinib hydrochloride has antitumor effect in patients of advanced esophageal squamous cell carcinoma,and the adverse reactions are tolerable.

advanced esophageal squamous cell carcinomaAnlotinibtumor markersinflammatory immune indicatorsadverse reaction

孟翠翠、汤华

展开 >

常州市肿瘤医院放疗科 213000

晚期食管鳞癌 安罗替尼 肿瘤标志物 炎症免疫指标 不良反应

2024

中国老年保健医学
中国老年保健医学研究会

中国老年保健医学

影响因子:0.637
ISSN:1672-4860
年,卷(期):2024.22(4)