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Corticosteroids and Fluorouracil Toxicity

Authors: Kenneth B. Olson; John Horton; Henry F. Hosley;

Corticosteroids and Fluorouracil Toxicity

Abstract

FLUOROURACIL has found a definite place in the treatment of advanced cancer, especially those tumors primary in the breast or colon. 1 Probably the most disturbing toxic manifestation of this drug is the development of severe and occasionally lethal granulocytopenia. Once this state has developed, opinions vary as to the best form of therapy that will ensure or aid in recovery. Antibiotics are usually given but then the question as to whether corticosteroid drugs should be administered is frequently raised. There is inconclusive evidence that corticosteroids will adversely affect myelogenous leukemia 2,3 and even less evidence that they will "stimulate" an already depressed or aplastic bone marrow 4,5 nearly devoid of granulocytes. The purpose of this study was to determine whether the concurrent administration of a potent corticosteroid drug (methylprednisolone) with conventional courses of intravenous fluorouracil would protect the bone marrow and other normal tissues from the toxic effects of

Keywords

Diarrhea, Clinical Trials as Topic, Stomatitis, Leukopenia, Middle Aged, Methylprednisolone, Thrombocytopenia, Placebos, Bone Marrow, Neoplasms, Injections, Intravenous, Humans, Fluorouracil, Digestive System

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    citations
    This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
    4
    popularity
    This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
    Average
    influence
    This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
    Top 10%
    impulse
    This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
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Found an issue? Give us feedback
citations
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
4
Average
Top 10%
Average
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Cancer Research
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