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Turkish Journal of Cancer
2006, Volume 36, Number 2, Page(s) 069-074
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Evaluation of efficacy and toxicity of systemic chemotherapy of combined epirubicin, cisplatin and bolus 5- fluorouracil for hepatobiliary tumors
GÜZİN GÖNÜLLÜ1, TÜRKKAN EVRENSEL2, ENDER KURT2, MUTLU DEMİRAY2, MURAT ARSLAN2, ÖZKAN KANAT2, ABDULLAH ZORLUOĞLU3, OSMAN MANAVOĞLU2
1Ondokuz May›s University Medical School, Department of Medical Oncology, Samsun
2Uludağ University Medical School, Departments of Medical Oncology Bursa-Turkey
3Uludağ University Medical School, Departments of General Surgery, Bursa-Turkey

We aimed to search the efficacy and toxicity of epirubicin, cisplatin, bolus 5-fluorouracil regimen in hepatobiliary tumors. Twelve patients, (8 with biliary tumors, 4 with hepatocellular carcinoma) were included. All patients were inoperable or metastatic. 5- Fluorouracil 500 mg/m2 i.v. bolus (day 1-5), cisplatin 60 mg/m2 i.v. (day 1), epirubicin 50 mg/m2 i.v. (day 1) chemotherapy was given every 21 days. The patients were evaluated after median 4 cycles. There was partial response in 3 (37.5%), stable disease in 2 (25%) and progression in 3 (37.5%) patients with biliary tumor. One patient showed partial response (25%), 1 had stable disease (25%) and 2 patients had progression (50%) in hepatocellular carcinoma group. Grade 3/4 side effects were thrombocytopenia in 2 patients (17%), neutropenia in 2 patients (17%), emesis in 1 patient (8%) and alopecia in 4 patients (33%). Treatment of hepatobiliary tumors with this regimen was well tolerated. More definite results with further studies including homogeneous groups of patients must be performed. [Turk J Cancer 2006;36(2):69-74].

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