紫杉醇联合顺铂治疗48例蒽环类耐药性晚期乳腺癌

Paclitaxel plus Cisplatin in the Treatment of Anthracycine-Resistant Advanced Breastst Cancer

  • 摘要: 目的: 观察紫杉醇联合顺铂方案治疗蒽环类耐药性晚期转移性乳腺癌(MBC)的疗效与不良反应。 方法: 2000年3月~2002年10月,采用紫杉醇联合顺铂方案治疗蒽环类耐药性MBC48例。全组化疗共144个周期。中位周期数为3(2~5)个。 结果: CR6例,PR21例,SD12例,PD9例,总有效率(CR+PR)56.2%。全组中位缓解期6.5(2~12)个月,中位TTP为7.6(2~14)个月,主要剂量毒性为骨髓抑制,胃肠道反应和关节肌肉疼痛。骨髓抑制以白细胞减少为主,Ⅲ~Ⅳ度白细胞减少的发生率为18.7%。 结论: 紫杉醇联合顺铂方案治疗蒽环类耐药性MBC有较好的疗效且不良反应可以耐受。

     

    Abstract: Objective : To evaluate the efficacy and safety in the combined chemotherapy of paclitaxel with cisplatin on anthracycine -resistant advanced breastcancer. Methods : From March 2000 to October 2002, 48 patients with anthracycine -resistant advanced breast cancer were treated by therapeutic alliance of paclitaxel with cisplatin. The mean number of cycles was 3 (range2-5). Results : The overall response rate (CR+PR) was 56.2% for CR6, PR21, SD12 and PD9, respectively. The mean time of paracme was 6.5 months (range 2 to 12 months). The main side effect included bone marrow depression, emesis and nausea, and pain of joint and muscle. Conclusion : The regimen of paclitaxel plus cisplatin is active in treatment of nathracycine -resistant advanced breast cancer, with an acceptable drug tolerance.

     

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