シスプラチン肝動脈化学塞栓療法時の悪心・嘔吐に対するグラニセトロン3日間投与とパロノセトロン1日間投与の後ろ向き比較試験

「緒言」肝動脈化学塞栓療法 (transcatheter arterial chemoembolization : TACE) は, 経カテーテル的に肝動脈内へ抗がん薬および塞栓物質を注入することで, 腫瘍部位における抗がん薬の濃度を高めるとともに, 腫瘍を阻血壊死に陥らせる治療法である. 進行肝細胞がんに対するTACEは, 複数のランダム化比較試験およびメタアナリシスにおいて無治療と比較して有意に生存を改善することが報告されており, 本邦の肝がん診療ガイドラインにおいて, 腫瘍個数4個以上, Child-Pugh分類のA~B, performance status (PS) 0のbarcel...

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Published in医療薬学 Vol. 45; no. 5; pp. 262 - 271
Main Authors 新井, 隆広, 藤田, 行代志, 大橋, 崇志, 齊藤, 妙子, 野川, 秀之, 三島, 八重子
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Published 一般社団法人日本医療薬学会 10.05.2019
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Abstract 「緒言」肝動脈化学塞栓療法 (transcatheter arterial chemoembolization : TACE) は, 経カテーテル的に肝動脈内へ抗がん薬および塞栓物質を注入することで, 腫瘍部位における抗がん薬の濃度を高めるとともに, 腫瘍を阻血壊死に陥らせる治療法である. 進行肝細胞がんに対するTACEは, 複数のランダム化比較試験およびメタアナリシスにおいて無治療と比較して有意に生存を改善することが報告されており, 本邦の肝がん診療ガイドラインにおいて, 腫瘍個数4個以上, Child-Pugh分類のA~B, performance status (PS) 0のbarcelona clinic liver cancer (BCLC) stage B (intermediate stage) の手術不能でかつ穿刺局所療法の対象とならない多血性肝細胞がんに対する治療法として強く推奨されている.
AbstractList 「緒言」肝動脈化学塞栓療法 (transcatheter arterial chemoembolization : TACE) は, 経カテーテル的に肝動脈内へ抗がん薬および塞栓物質を注入することで, 腫瘍部位における抗がん薬の濃度を高めるとともに, 腫瘍を阻血壊死に陥らせる治療法である. 進行肝細胞がんに対するTACEは, 複数のランダム化比較試験およびメタアナリシスにおいて無治療と比較して有意に生存を改善することが報告されており, 本邦の肝がん診療ガイドラインにおいて, 腫瘍個数4個以上, Child-Pugh分類のA~B, performance status (PS) 0のbarcelona clinic liver cancer (BCLC) stage B (intermediate stage) の手術不能でかつ穿刺局所療法の対象とならない多血性肝細胞がんに対する治療法として強く推奨されている.
Author 大橋, 崇志
三島, 八重子
齊藤, 妙子
新井, 隆広
藤田, 行代志
野川, 秀之
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SubjectTerms antiemetic therapy
cisplatin
dexamethasone
nausea and vomiting
palonosetron
transcatheter arterial chemoembolization
Title シスプラチン肝動脈化学塞栓療法時の悪心・嘔吐に対するグラニセトロン3日間投与とパロノセトロン1日間投与の後ろ向き比較試験
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