参考文献:Final Analysis of 3 Versus 6 Months of Adjuvant Oxaliplatin and Fluoropyrimidine-Based Therapy in Patients With Stage III Colon Cancer: The Randomized Phase III ACHIEVE Trial Accepted on April 1, 2022 and published at ascopubs.org/journal/ jco on May 5, 2022: DOI 见原文链接. 1200/JCO.21.02628.
陈大姐因为肠癌化疗的关系,导致身体非常虚弱,化疗后也出现很多不良反应。初诊时,她告诉我说:前面化疗后,全身筋骨像被拉扯一样,疼得直冒汗,一动都不想动,什么都吃不下,一见东西就反胃,还总拉稀,拉稀到全身没力气。
结肠癌术后的辅助化疗要根据病理分期、有无危险因素、微卫星状态来综合决定。若术后病理分期为II期,需要根据危险度和微卫星状态来分层:1) 低危患者:T3N0M0伴有微卫星高度不稳定,无论有无高危因素,无需辅助化疗;