Previous RT has been shown to result in a greater incidence of grades 3–4 diarrhoea with irinotecan ( P =0.046) ( Freyer et al , 2000 ), although this observation was only of borderline significance.
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Elderly patients with fluoropyrimidine and thymidylate synthase inhibitor-resistant advanced colorectal cancer derive similar benefit without excessive toxicity when treated with irinotecan monotherapy.
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