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, Dao Thi Thu Hang1
1 Viet Duc Hospital

Main Article Content

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.

Article Details

References

[1] F Bray, J Ferlay, I Soerjomataram et al., Global
cancer statistics 2018: GLOBOCAN estimates
of incidence and mortality worldwide for 36
cancers in 185 countries; CA Cancer J Clin,
68(6), 2018, 394-424.
[2] J Ferlay, M Colombet, I Soerjomataram et al.,
Estimating the global cancer incidence and
mortality in 2018: GLOBOCAN sources and
methods; Int J Cancer, 144(8), 2019, 1941-1953.
[3] S Gill, CL Loprinzi, DJ Sargent et al., Pooled
analysis of fluorouracil-based adjuvant therapy
for stage II and III colon cancer: who benefits
and by how much? J Clin Oncol, 22(10), 2004,
1797-1806
[4] MA Shah, LA Renfro, CJ Allegra et al., Impact
of Patient Factors on Recurrence Risk and Time
Dependency of Oxaliplatin Benefit in Patients
With Colon Cancer: Analysis From Modern-Era
Adjuvant Studies in the Adjuvant Colon Cancer
End Points (ACCENT) Database; J Clin Oncol,
34(8), 2016, 843-853.
[5] Online program for colon cancer, Accessed on
September 21, 2011
[6] Đỗ Huyền Nga, Kết quả hóa trị phác đồ
bevacizumab kết hợp FOLFOX4 trong ung thư
đại trực tràng di căn, Tạp chí Ung thư học, số 4,
2013, 318-325.
[7] Từ Thị Thanh Hương, Đánh giá kết quả hóa trị
bổ trợ phác đồ FOLFOX4 trong ung thư biểu mô
tuyến đại tràng giai đoạn III; Luận văn tiến sĩ y
học, Đại học Y Hà Nội, 2019.
[8] Phạm Mạnh Cường và cộng sự, Yếu tố ảnh
hưởng đến tỉ lệ sống 3 năm sau mổ ung thư đại
tràng phải được phẫu thuật cắt nửa đại tràng; Tạp
chí Y- Dược học quân sự, số 4-2013.
[9] Nguyễn Thị Thu Hương, Đánh giá kết quả phác
đồ mFOLFOX6 điều trị bổ trợ ung thư đại trực
tràng giai đoạn II-III tại Bệnh viện đa khoa tỉnh
Hải Dương; Luận văn chuyên khoa 2- Đại học Y
Hà Nội, 2020.