Poster Presenter
Retrospective Analysis of
Complex Treatment of Patients with Rectal Cancer
A.V.Borota, A.W.Nowicky, A.A.Borota
We performed a randomized investigation of clinical efficacy
of newly produced anticancer drug Ukrain, which is characterized
like a potent immunomodulating and cancer-suppressing agent.
In the course of investigation we compared two identical groups
of RC-patients, each comprised 24 peoples. Patients of the I group
received Ukrain in dose of 60 mg i/v before surgical intervention,
then operation was performed, after that another dose of Ukrain
(40 mg i/v) was repeatedly injected. Patients of the II group were
underwent to alternative (traditional) scheme of treatment: administration
of 5-fluoruracyl (5000 mg) in combination with the course of radial
therapy (25 Gr) was followed by surgical intervention, then 5-fluoruracyl
(5000 mg) was injected again. Patients of the I group was found
to be in better clinical state. Course of non-adjuvant chemotherapy
led to improving as general state of patients, as parameters of
their immunological status (IgA, IgM, IgG; T-B-lymphocytes, phagocytic
activity; CIC; AFP; CEA).
Radical surgical interventions-resection of the rectum in different
modification were performed to patients of both groups. Course of
postoperative period proved to be more favorable in patients of
the I group. Occurrence of postoperative complications (purulent-inflammatory
in main) constituted 8,3% in I and 16,7% in II group of patients.
Postponed results of complex treatment of RC-patients were more
favorable on background of Ukrain chemotherapy as well. 12-years
survival in patients of the I group was as much as 75% (6 patients
died), in patients of the II group - 45,8% (13 patients died).
Conclusions: Complex therapy, which is based on Ukrain
administration in neo-adjuvant regimen allowed to improve both direct
and postponed results of treatment of RC-patients.
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