首页> 外文期刊>Urology >Systemic absorption and pharmacokinetics of single-dose intravesical gemcitabine after transurethral resection of the bladder in non-muscle-invasive bladder cancer.
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Systemic absorption and pharmacokinetics of single-dose intravesical gemcitabine after transurethral resection of the bladder in non-muscle-invasive bladder cancer.

机译:非肌肉浸润性膀胱癌的经尿道膀胱电切术后单剂量膀胱内吉西他滨的全身吸收和药代动力学。

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摘要

OBJECTIVES: To evaluate the systemic quantitative absorption, pharmacokinetics, and toxicities of gemcitabine administered intravesically at the recommended, high-concentration dose of 40 mg/mL, immediately after transurethral resection. METHODS: For a single intravesical instillation of gemcitabine after resection, 15 consecutive patients with recurrent, low-, or intermediate-risk non-muscle-invasive bladder cancer candidates were selected. The extent of resection was defined as "small" if
机译:目的:评估经建议的高浓度40 mg / mL尿道静脉电切术后,立即行膀胱内注射吉西他滨的全身定量吸收,药代动力学和毒性。方法:对于切除后单次膀胱内滴注吉西他滨的患者,连续选择了15例复发,低危或中危非肌肉浸润性膀胱癌患者。如果切除环的偏移小于或等于6,则切除范围定义为“小”,大切除分别进行。手术后立即滴入2000 mg吉西他滨的50 mL盐水,并在膀胱中放置1小时。用高效液相色谱法测定血浆中吉西他滨及其代谢物2',2'-二氟脱氧尿苷的药代动力学。评估局部和全身毒性。结果:吉西他滨的最高平均浓度在小范围切除术中为1.38 microg / mL,在大范围切除术中为2.47 microg / mL。滴注后15分钟的差异最大(1.10对2.47 microg / mL,P = .001)。发现吉西他滨血浆水平的切除时间和切除类型之间存在显着差异(P = .02),而2',2'-二氟脱氧尿苷则无差异。毒性从未超过2级。在平均2年的随访中,发现9例(60%)无复发。结论:一次手术后高浓度吉西他滨膀胱内滴注的全身吸收与切除程度成正比。 15分钟时达到的最高血浆浓度低于静脉内给药的水平。

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