KMID : 0371320080750040255
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Journal of the Korean Surgical Society 2008 Volume.75 No. 4 p.255 ~ p.261
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Gemcitabine-based Chemotherapy for Gallbladder Cancer
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Lee Seung-Won
Chung Jun-Chul Kim Hyung-Chul Chu Chong-Woo Jeong Gu-Ae
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Abstract
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Purpose: Patients with gallbladder cancer tend to have advanced, unresectable tumor at the time of presentation and they face a dismal prognosis in the absence of a standard chemotherapy regimen. This study was performed to evaluate the outcomes of patients with gallbladder cancer and who underwent postoperative gemcitabine-based chemotherapy.
Methods: From March of 2001 to February of 2008, a total of 27 patients underwent operation for gallbladder cancer. They underwent two types of gemcitabine-based chemotherapy. One type of regimen was the combined administration of gemcitabine 1,000 mg/m2 and 5-fluorouracil 200 mg/m2. The other one was combined administration of gemcitabine 1,000 mg/m2 and cisplatin 70 mg/m2.
Results: Among the 27 patients, 15 patients were treated with gemcitabine-based chemotherapy and 12 patients were treated with many kinds of the best supportive care without chemotherapy. The median survival was 29.1¡¾2.7 months and 15.7¡¾2.8 months, respectively. The median survival and disease free survival for the gemcitabine based chemotherapy group who received curative resection was 31.6¡¾2.5 and 15.7¡¾3.2 months, respectively. The median survival and disease free survival for the patients without chemotherapy after curative resection was 16.3¡¾2.9 and 15.7¡¾3.2 months, respectively.
Conclusion: Patients with gallbladder cancer and who received adjuvant gemcitabine-based chemotherapy had a relatively favorable prognosis. Especially, gemcitabine-based combination chemotherapy could be effective and acceptable for the treatment of gallbladder cancer patients who have undergone curative resection. (J Korean Surg Soc 2008;75:255-261)
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KEYWORD
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Gallbladder cancer, Chemotherapy, Gemcitabine
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