Articles Vol. 65 No. 1 18/01/2024

30. RESULTS OF SUPPLEMENTAL TREATMENT OF MFOLFOX 6 REGIMEN ON PATIENTS AFTER COLON CANCER SURGERY AT THE ONCOLOGY DEPARTMENT OF VIET DUC UNIVERSITY HOSPITAL, PERIOD 2015 TO 2022

Tran Thi Ngoc1,2, Dao Thi Thu Hang1,2
1 Viet Duc Hospital
2 Bệnh viện Hữu nghị Việt Đức
Corresponding author: tranthingoc26879@gmail.com
DOI: 10.52163/yhc.v65i1.904
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Abstract

Objective: Evaluate the results of adjuvant chemotherapy mFOLFOX6 regimen and monitor the survival time of colon cancer patients after surgery.

Subject and method: Retrospective, descriptive study with 50 patients after colon cancer surgery using the mFOLFOX6 regimen.

Results: The rate of tumor enlargement ≥ 5cm in the study group is over 50%, which means the larger the tumor, the higher the chance of recurrence, the worse the prognosis, affecting the patient’s survival time; 78% of patients after surgery have late-stage cancer (stages III and IV). 24% of patients have metastatic lymph nodes of 4 or more lymph nodes similar to stages III and IV. This proves that tumor size is also related to local recurrence rate and negatively affects survival of the patient if they do not receive adjuvant chemotherapy. Results after treatment immediately after 01 month of re-examination showed that 86% of patients did not relapse. This shows that the mFOLFOX6 post-operative adjuvant regimen has a high success rate. The survival time of patients after adjuvant treatment with mFOLFOX6 regimen was prolonged. Over 50% of patients in the study lived for 5 years or more and most of the patients are aged from 50 to 70 years old.

Conclusion: Adjuvant chemotherapy mFOLFOX6 regimen in patients after colon cancer surgery is highly effective in treating 86% of patients living 3 years or more and 54% living more than 5 years.

References
[1]
F Bray, J Ferlay, I Soerjomataram et al., Global Google Scholar
[2]
cancer statistics 2018: GLOBOCAN estimates Google Scholar
[3]
of incidence and mortality worldwide for 36 Google Scholar
[4]
cancers in 185 countries; CA Cancer J Clin, Google Scholar
[5]
(6), 2018, 394-424. Google Scholar
[6]
J Ferlay, M Colombet, I Soerjomataram et al., Google Scholar
[7]
Estimating the global cancer incidence and Google Scholar
[8]
mortality in 2018: GLOBOCAN sources and Google Scholar
[9]
methods; Int J Cancer, 144(8), 2019, 1941-1953. Google Scholar
[10]
S Gill, CL Loprinzi, DJ Sargent et al., Pooled Google Scholar
[11]
analysis of fluorouracil-based adjuvant therapy Google Scholar
[12]
for stage II and III colon cancer: who benefits Google Scholar
[13]
and by how much? J Clin Oncol, 22(10), 2004, Google Scholar
[14]
[15]
MA Shah, LA Renfro, CJ Allegra et al., Impact Google Scholar
[16]
of Patient Factors on Recurrence Risk and Time Google Scholar
[17]
Dependency of Oxaliplatin Benefit in Patients Google Scholar
[18]
With Colon Cancer: Analysis From Modern-Era Google Scholar
[19]
Adjuvant Studies in the Adjuvant Colon Cancer Google Scholar
[20]
End Points (ACCENT) Database; J Clin Oncol, Google Scholar
[21]
(8), 2016, 843-853. Google Scholar
[22]
Online program for colon cancer, Accessed on Google Scholar
[23]
September 21, 2011 Google Scholar
[24]
Đỗ Huyền Nga, Kết quả hóa trị phác đồ Google Scholar
[25]
bevacizumab kết hợp FOLFOX4 trong ung thư Google Scholar
[26]
đại trực tràng di căn, Tạp chí Ung thư học, số 4, Google Scholar
[27]
, 318-325. Google Scholar
[28]
Từ Thị Thanh Hương, Đánh giá kết quả hóa trị Google Scholar
[29]
bổ trợ phác đồ FOLFOX4 trong ung thư biểu mô Google Scholar
[30]
tuyến đại tràng giai đoạn III; Luận văn tiến sĩ y Google Scholar
[31]
học, Đại học Y Hà Nội, 2019. Google Scholar
[32]
Phạm Mạnh Cường và cộng sự, Yếu tố ảnh Google Scholar
[33]
hưởng đến tỉ lệ sống 3 năm sau mổ ung thư đại Google Scholar
[34]
tràng phải được phẫu thuật cắt nửa đại tràng; Tạp Google Scholar
[35]
chí Y- Dược học quân sự, số 4-2013. Google Scholar
[36]
Nguyễn Thị Thu Hương, Đánh giá kết quả phác Google Scholar
[37]
đồ mFOLFOX6 điều trị bổ trợ ung thư đại trực Google Scholar
[38]
tràng giai đoạn II-III tại Bệnh viện đa khoa tỉnh Google Scholar
[39]
Hải Dương; Luận văn chuyên khoa 2- Đại học Y Google Scholar
[40]
Hà Nội, 2020. Google Scholar