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고형암 항암치료 환자의 부작용 관리                                                               Neutropenia






                     Risk for FN                                   Regimen


                                    Soft Tissue Sarcoma
                       High
                                       - MAID (mesna, doxorubicin, ifosfamide, dacarbazine)
                      (>20%)
                                       - Doxorubicin
                                       - Ifosfamide/doxorubicin

                                    Occult Primary-Adenocarcinoma
                                       - Gemcitabine/docetaxel
                                    Breast Cancer
                                       - Docetaxel
                                       - AC (doxorubicin, cyclophosphamide) + sequential docetaxel (taxane portion only)
                    Intermediate       - Paclitaxel every 21 days
                      (10-20%)      Colorectal Cancer
                                       - FOLFOX (fluorouracil, leucovorin, oxaliplatin)
                                    Esophhageal and Gastric Cancer
                                       - Irinotecan/cisplatin
                                       - Epirubicin/cisplatin/5-FU
                                       - Epirubicin/cisplatin/capecitabine


               2) First chemotherapy cycle


























               3) Second and subsequent chemotherapy cycle






















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