Chemotherapy and Radiotherapy of Gastrointestinal Tumors
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Chemotherapy and Radiotherapy of Gastrointestinal Tumors

Chemotherapy and Radiotherapy of Gastrointestinal Tumors


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About the Book

Attempts to influence survival of patients with colorectal cancer (CRC) by adjuvant chemotherapy are limited by the variability of survival in different prognostic groups [4] and the paucity of drugs that have shown activity in the advanced disease [10]. Of the few drugs which are active in the advanced disease, only 5-fluorouracil (5-FU) and razoxane «±1,2-bis(3,4-dioxopiperazin-1-yl)propane) are suitable for long-term adjuvant treatment [2, 9]. 5-FU has been widely and intensively studied as adjuvant chemotherapy in CRC [7], but there is no unanimity that it has even the marginal influence on survival that has been claimed [3, 10]. Razoxane has not previously been tested for adjuvant or maintenance treatment in CRC. It has however a number of biological activities which might be thought useful in the treatment of residual or minimal tumours [1] and which might therefore make it useful as an adjuvant. Thus it specifically prevents tumour dissemination and metastases in some tumours and normalizes the neovasculature which the tumours induce [6, 8, 11]. The drug is not cytotoxic in the usual sense, does not affect non-dividing cells, and only blocks cell division during a brief period of the cell cycle in late G and/or early mitosis [12]. It does so non-selectively and most cells capable of 2 division examined so far have been affected by the drug. Even affected cells however are not destroyed immediately, but may increase in size and become multinucleate [5].


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Product Details
  • ISBN-13: 9780387109381
  • Publisher: Springer
  • Publisher Imprint: Springer
  • Language: English
  • Returnable: Y
  • ISBN-10: 0387109382
  • Publisher Date: 01 Nov 1981
  • Binding: Hardback
  • No of Pages: 112
  • Series Title: Crystals


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