FIELD: medicine, pharmaceutics.
SUBSTANCE: invention refers to medicine, particularly oncology, X-ray therapy, chemotherapy and surgery, and may be used in treating locally advanced gastric cancer. That is ensured by pre-operative radiation therapy covering a primary tumour by deceleration radiation, daily for 24 days with weekend rest by daily dose graduation of three-pole exposure as 1 Gy + 1.5 Gy every 4-5 h between the fractions to SRD 45 Gy. The exposure covers a regional metastasis area with the chemotherapy course comprising the preparations eloxatin and capecitabine. The preparation eloxatin is introduced in a dose of 80 to 85 mg/m2 on the 1st and 21st days of the chemoradiation therapy. The preparation capecitabine is introduced in a daily dose of 1670 to 2000 mg/m2 in 2 stages for the entire course of the radiation therapy including weekends. The first introduction of capecitabine is performed 1 hour before the first session of the exposure. Further, 23-29 days later the chemoradiation therapy is followed by a radical surgical intervention including D2 lymphodissection.
EFFECT: method provides an evident therapeutic effect on the primary tumour and regional metastases with good tolerance and a high degree of anti-cancer effect ensured by reduced micrometastases and tumour complexes circulating in blood and lymph.
4 dwg, 3 ex
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Authors
Dates
2013-04-10—Published
2011-09-05—Filed