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3D-PTA-guided chemotherapy + capecitabine is an experimental personalized adjuvant treatment regimen developed by Fudan University for patients with resected stage II/III cholangiocarcinoma. The regimen involves the administration of capecitabine, an oral fluoropyrimidine carbamate prodrug of 5-fluorouracil, in combination with a specific chemotherapeutic agent (such as gemcitabine, oxaliplatin, or cisplatin) that has been identified as the most effective for the individual patient's tumor through 3D-Patient-derived Tumor Assay (3D-PTA) drug sensitivity testing. Capecitabine works by inhibiting thymidylate synthase, thereby blocking the synthesis of thymidine triphosphate and disrupting DNA replication. The addition of a 3D-PTA-selected chemotherapy agent is intended to enhance the cytotoxic effect and improve survival outcomes compared to standard capecitabine monotherapy.
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