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Fluorouracil in chemoprophylaxis of colorectal cancer

Results of a controlled clinical trial

  • Published:
Diseases of the Colon & Rectum

Abstract

In a randomized prospective clinical trial in 128 patients undergoing radical surgical resection of primary colorectal cancer, 63 patients received intravenous fluorouracil (5-FU) in two courses, four and eight weeks after surgery; 65 controls received no chemotherapy. The duration of follow-up exceeded five years in all cases, and 28 patients have died in each group. Recurrent disease was present in 26 5-FU patients (41.2 percent) and in 22 controls (33.9 percent). There is no evidence that short-term 5-FU therapy was of significant value in the chemoprophylaxis of colorectal cancer.

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References

  1. Li MC, Ross ST. Chemoprophylaxis for patients with colorectal cancer: prospective study with five-year follow-up. JAMA 1976; 235:2825–8.

    Article  PubMed  CAS  Google Scholar 

  2. Higgins GA, Dwight RW, Smith JV, Keehn RJ. Fluorouracil as an adjuvant to surgery in carcinoma of the colon. Arch Surg 1971;102:339–43.

    PubMed  CAS  Google Scholar 

  3. Lawrence W Jr, Tetz JJ, Horsley S III, Brown PW, Romero C. Chemotherapy as an adjuvant to surgery for colorectal cancer: a follow-up report. Arch Surg 1978;113:164–8.

    PubMed  Google Scholar 

  4. Hafström L, Rudenstam CM, Domellöf L. Swedish Gastrointestinal Tumour Adjuvant Therapy Group. A randomized trial of oral 5-fluorouracil versus placebo as adjuvant therapy in colorectal cancer Dukes' B and C: results after 5 years observation time. Br J Surg 1985;72:138–41.

    PubMed  Google Scholar 

  5. Gastrointestinal Tumor Study Group. Adjuvant therapy of colon cancer: results of a prospectively randomized trial. N Engl J Med 1984;310:737–43.

    Article  Google Scholar 

  6. Gastrointestinal Tumor Study Group. Prolongation of the disease-free interval in surgically treated rectal carcinoma. N Engl J Med 1985;312:1465–72.

    Article  Google Scholar 

  7. Editorial. Adjuvant treatment of carcinoma of the rectum and colon. Lancet 1985;2:367–8.

  8. Taylor I, Machin D, Mullee M, Trotter G, Cooke T, West C. A randomized controlled trial of adjuvant portal vein cytotoxic perfusion in colorectal cancer. Br J Surg 1985;72:359–63.

    PubMed  CAS  Google Scholar 

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Irvin, T., Vowles, K.D.J. & Golby, M.G. Fluorouracil in chemoprophylaxis of colorectal cancer. Dis Colon Rectum 29, 704–706 (1986). https://doi.org/10.1007/BF02555313

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  • DOI: https://doi.org/10.1007/BF02555313

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