Skip to main content

5-Fluorouracil (FUra) and Folinic Acid (FA) Therapy in Patients with Colorectal Cancer

  • Chapter
  • First Online:
The Expanding Role of Folates and Fluoropyrimidines in Cancer Chemotherapy

Part of the book series: Advances in Experimental Medicine and Biology ((AEMB,volume 244))

Abstract

Colorectal cancer is the third most common cancer in North America today (1). Whereas surgery is the mainstay of primary therapy for this disease, it cures on average only 50% of all patients who develop this disease(2). The impact of surgery is greatest at the early stages of this cancer. When the tumour has penetrated to serosa or metastasized to local or distant sites the probability of cure with surgery alone is decreased markedly. In attempts to improve the prognosis for patients in this latter category, new therapies are constantly tested in the metastatic setting(3) and some are investigated in the adjuvant setting(4). We have performed a randomized trial comparing FUra to FUra and FA in patients with previously untreated metastatic colorectal cancer(5). I will describe this study and an ongoing trial of this combination in the adjuvant treatment of patients who have undergone curative resection of the colon.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 39.99
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 54.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Silverberg, E., Lubera, J.A., 1968, Cancer Statistics 1988, Ca- A Cancer Journal for Clinicians, 38: 5.

    Google Scholar 

  2. Surgarbaker, P., Gunderson, L.L., Wittes, R.E., 1985, Colorectal Cancer, in: Cancer Principles and Practices of Oncology, DeVita, V.T., Helleman, S., Rosenberg, S.A. ed. Lippincott Co., Toronto, 795–884.

    Google Scholar 

  3. Buroker, T.R., Moertel, C.G., Fleming, T.R. et al, 1985, A Controlled Evaluation of Recent Approaches to Biochemical Modulation or Enhancement of 5-fluorouracil therapy in Colorectal Carcinoma, J. Clin. Oncol. 3: 1624.

    Article  CAS  Google Scholar 

  4. Wolmark, N., Fisher, B., Rockette, H. et al, 1988, Post-operative adjuvant chemotherapy or BCG for colon cancer: results of NSABP protocol C-01, J. Natl. Cancer Inst., 80: 30.

    Article  CAS  Google Scholar 

  5. Erlichman, C., Fine, S., Wong, A., Elhakim, T., 1988, A Randomized Trial of Fluorouracil and Folinic Acid in Patients with Metastatic Colorectal Cancer, J. Clin. Oncol., 6: 469.

    Article  CAS  Google Scholar 

  6. Kroener, J.F., Saleh, F., Howell, S.B., 1982, 5-FU and Allopurinol: Toxicity Modulation and Phase II Results in Colon Cancer, Cancer Treat. Rep., 66: 1133.

    CAS  PubMed  Google Scholar 

  7. Clark, P.I., Slevin, M.L., 1985, Allopurinol mouthwashes and 5-fluorouracil induced oral toxicity, Europ. J. Surg. Oncol., 11: 267.

    CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 1988 Plenum Press, New York

About this chapter

Cite this chapter

Erlichman, C. (1988). 5-Fluorouracil (FUra) and Folinic Acid (FA) Therapy in Patients with Colorectal Cancer. In: Rustum, Y., McGuire, J.J. (eds) The Expanding Role of Folates and Fluoropyrimidines in Cancer Chemotherapy. Advances in Experimental Medicine and Biology, vol 244. Springer, New York, NY. https://doi.org/10.1007/978-1-4684-5607-3_19

Download citation

  • DOI: https://doi.org/10.1007/978-1-4684-5607-3_19

  • Published:

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4684-5609-7

  • Online ISBN: 978-1-4684-5607-3

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics