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Perioperative FOLFOX in Patients With Locally Advanced Oesogastric Adenocarcinoma.
Quesada, Stanislas; Samalin, Emmanuelle; Thezenas, Simon; Khellaf, Lakhdar; Mourregot, Anne; Portales, Fabienne; Mazard, Thibault; Ychou, Marc; Adenis, Antoine.
Afiliación
  • Quesada S; IRCM, Inserm, Université Montpellier, ICM, Montpellier, France.
  • Samalin E; IRCM, Inserm, Université Montpellier, ICM, Montpellier, France.
  • Thezenas S; IRCM, Inserm, Université Montpellier, ICM, Montpellier, France.
  • Khellaf L; IRCM, Inserm, Université Montpellier, ICM, Montpellier, France.
  • Mourregot A; IRCM, Inserm, Université Montpellier, ICM, Montpellier, France.
  • Portales F; IRCM, Inserm, Université Montpellier, ICM, Montpellier, France.
  • Mazard T; IRCM, Inserm, Université Montpellier, ICM, Montpellier, France.
  • Ychou M; IRCM, Inserm, Université Montpellier, ICM, Montpellier, France.
  • Adenis A; IRCM, Inserm, Université Montpellier, ICM, Montpellier, France antoine.adenis@icm.unicancer.fr.
Anticancer Res ; 42(1): 185-193, 2022 Jan.
Article en En | MEDLINE | ID: mdl-34969724
BACKGROUND: We hypothesized that perioperative FOLFOX (5-fluorouracil, leucovorin, oxaliplatin) might be used as an alternative to standard FLOT (docetaxel, 5-fluorouracil, leucovorin, and oxaliplatin) in patients with locally advanced oesogastric adenocarcinomas (OGA), particularly those with frailties. PATIENTS AND METHODS: We reviewed the charts of 61 consecutives patients treated with FOLFOX for resectable OGA to estimate overall survival, recurrence-free survival, and safety. RESULTS: The median follow-up was 69.7 (range=3.6-97.9) months. Few patients experienced grade 3 adverse events during the preoperative (n=6; 10%) and postoperative (n=6; 16%) phases. One patient experienced a fatal grade 5 adverse events (cardiogenic shock). Median overall survival was 51.7 months [95% confidence interval (CI)=31.6-93.2 months] and the 5-year survival rate was 44.4% (95% CI=30.3%-57.5%). CONCLUSION: Regarding its comparable efficacy and its favourable toxicity profile, perioperative FOLFOX is a reasonable alternative to FLOT for frail patients with resectable OGA.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Neoplasias Gástricas / Adenocarcinoma / Protocolos de Quimioterapia Combinada Antineoplásica Tipo de estudio: Prognostic_studies Límite: Adult / Aged / Female / Humans / Male / Middle aged Idioma: En Revista: Anticancer Res Año: 2022 Tipo del documento: Article País de afiliación: Francia Pais de publicación: Grecia

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Neoplasias Gástricas / Adenocarcinoma / Protocolos de Quimioterapia Combinada Antineoplásica Tipo de estudio: Prognostic_studies Límite: Adult / Aged / Female / Humans / Male / Middle aged Idioma: En Revista: Anticancer Res Año: 2022 Tipo del documento: Article País de afiliación: Francia Pais de publicación: Grecia