Home anti-
cancer chemotherapy and palliation in the terminal stage were performed for patients with advanced
cancer of the digestive system, using a venous port implanted beneath the skin via the subclavian vein. Patients under 75 years of age (5 with esophageal, 61 gastric, 59 colorectal, 5 cholangio, 5 pancreatic, 1 hepatic and 1
ileal cancer) were treated. With two portable balloon pumps, continuous
intravenous infusion of
5-FU (300 or 400 mg/body/day) combined low-dose injection of
cisplatin (5 mg/body/day) was continued for 10 days, and repeated 3 times for 6 weeks. The response rate was 17.9% in 78 patients according to valuation of the
tumor mass. In 119 patients also undergoing a
tumor marker evaluation, an effect was seen in 26.1%. No severe side effects such as renal dysfunction or bone marrow suppression were seen, and no special infusion was needed. Therefore, such treatment can be continued for a long time. Use of a venous port should make easy the switchover to HPN and the amelioration of the symptoms of the terminal stage, such as
pain, and helps patients cope with the worry. Therefore, the present technique is useful in a series of
cancer treatments including surgery,
chemotherapy and the amelioration of symptoms.