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Pharmacology of per...
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Van der Speeten, Kurt,1970-Uppsala universitet,Kolorektalkirurgi
(författare)
Pharmacology of perioperative 5-fluorouracil
- Artikel/kapitelEngelska2010
Förlag, utgivningsår, omfång ...
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2010-11-23
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Wiley,2010
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printrdacarrier
Nummerbeteckningar
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LIBRIS-ID:oai:DiVA.org:uu-133273
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https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-133273URI
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https://doi.org/10.1002/jso.21702DOI
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Språk:engelska
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Sammanfattning på:engelska
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Ämneskategori:art swepub-publicationtype
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Background The purpose of this study was to analyze our current pharmacologic data regarding the perioperative use of 5-fluorouracil in the treatment of peritoneal surface malignancies. Methods Twenty-nine patients with peritoneal carcinomatosis from appendiceal malignancy were included in this pharmacological study. Results In the nine patients who received early postoperative intraperitoneal chemotherapy, the area under the curve for intraperitoneal 5-fluorouracil was 43,000 (+20,300) µg/ml x minutes and for intravenous 5-fluorouracil was 157 (+99) µg/ml x minutes. The area under the curve ratio was 422 (+360). In 20 patients who received intravenous 5-fluorouracil in the operating room intraperitoneal 5-fluorouracil levels maintained a higher level as compared to the intravenous drug level over the 90 minutes of drug sampling. The area under the curve ratio of peritoneal fluid to plasma was 2.3 (+1.3). The area under curve ratio of peritoneal fluid to tumor nodules was 9.9 (+9.8). The area under the curve ratio of plasma to tumor nodules was 5.2 (+4.7). Conclusions By modulating the route or timing of administration of 5-fluorouracil, it becomes a pharmacologic advantageous molecule in patients with peritoneal carcinomatosis of an appendiceal malignancy. 5-fluorouracil remains the cornerstone of the perioperative management of peritoneal carcinomatosis of gastrointestinal origin.
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Biuppslag (personer, institutioner, konferenser, titlar ...)
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Stuart, O.A.Washington Cancer Institute, Washington D.C., USA
(författare)
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Mahteme, HaileUppsala universitet,Kolorektalkirurgi(Swepub:uu)hailmaht
(författare)
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Sugarbaker, P.H.Washington Cancer Institute, Washington D.C., USA
(författare)
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Uppsala universitetKolorektalkirurgi
(creator_code:org_t)
Sammanhörande titlar
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Ingår i:Journal of Surgical Oncology: Wiley102:7, s. 730-7350022-47901096-9098
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