朱燕, 赵玉亮, 方红, 林蓉燕, 白羽, 于晶琳, 孙明霞, 徐玲, 王晓云. 紫杉醇联合顺铂治疗31例晚期乳腺癌的临床观察[J]. 中国肿瘤临床, 2008, 35(7): 369-371.
引用本文: 朱燕, 赵玉亮, 方红, 林蓉燕, 白羽, 于晶琳, 孙明霞, 徐玲, 王晓云. 紫杉醇联合顺铂治疗31例晚期乳腺癌的临床观察[J]. 中国肿瘤临床, 2008, 35(7): 369-371.
ZHU Yan, ZHAO Yu-liang, FANG Hong, LIN Rong-yan, BAI Yu, YU Jing-lin, SUN Ming-xia, XU Ling, WANG Xiao-yun. The Effect of Paclitaxel Combined with Cisplatin on Advanced Breast Cancer[J]. CHINESE JOURNAL OF CLINICAL ONCOLOGY, 2008, 35(7): 369-371.
Citation: ZHU Yan, ZHAO Yu-liang, FANG Hong, LIN Rong-yan, BAI Yu, YU Jing-lin, SUN Ming-xia, XU Ling, WANG Xiao-yun. The Effect of Paclitaxel Combined with Cisplatin on Advanced Breast Cancer[J]. CHINESE JOURNAL OF CLINICAL ONCOLOGY, 2008, 35(7): 369-371.

紫杉醇联合顺铂治疗31例晚期乳腺癌的临床观察

The Effect of Paclitaxel Combined with Cisplatin on Advanced Breast Cancer

  • 摘要: 目的: 观察紫杉醇联合顺铂治疗晚期转移性乳腺癌的疗效及不良反应。 方法: 采用紫杉醇联合顺铂治疗晚期转移性乳腺癌31例。紫杉醇135-175mg/m2静脉滴注第1天,顺铂70mg/m2静脉滴注第2天,21~28天为一周期。 结果: 总有效率58.1%,中位疾病进展时间7个月,中位生存时间20个月,1年生存率61.5%,3年生存率22.3%,5年生存率5.3%。初治组有效率显著优于复治组(77.8%:30.8%,P<0.05),曾经使用过蒽环类和未用过蒽环类药物患者的有效率分别为50%和66.7%(P>0.05),有1~2个转移灶患者及多个转移灶患者有效率分别为65%和45.5%(P>0.05),此方案对于内脏、淋巴结、软组织转移灶有效率相近,骨转移灶有效率相对低(28.6%),但尚未达统计学意义。主要不良反应为骨髓抑制、肌肉关节疼痛、周围神经毒性、胃肠道反应、肝功能异常,多为Ⅰ~Ⅱ度;Ⅲ~Ⅳ度不良反应主要为白细胞减少和胃肠道反应,发生率分别为16.1%和12.9%。 结论: 紫杉醇联合顺铂治疗晚期乳腺癌具有较好的疗效,不良反应可耐受。

     

    Abstract: Objective: To evaluate the efficacy and safety of Paclitaxel-Cisplatin regimen in treating advanced breast cancer. Methods: A total of 31 patients with advanced breast cancer were treated with combination of Paclitaxel and Cisplatin. Paclitaxel was administered at 135-175mg/m2iv d1, and Cisplatin was administered at 70mg/m2iv d2. Theabove regimen was repeated every 21~ 28 days. Results: The overall response rate was 58.1%, with a median time to pro-gression of 7 months. The median overall survival was 20 months. The 1-year, 3-year and 5-year overall survival rates were 61.5%, 22.3%, and 5.3%, respectively. The response rate was higher in patients with the initial treatment than in those with retreat ment (77.8% vs. 30.8%, P<0.05). The response rate was 50% in patients previously exposed to anthracy-clines and 66.7% in patients without previous exposure to anthracyclines. The response rate of patients with one or two metastatic leisions and those with more leisions was 65% and 45.5%, respectively (P>0.05). Compared with metastases of viscera, lymph nodes and soft tissues, the response rate of bone metastasis was relatively low (28.6%), but with no statisti-cal significance. The main side effects were myelosuppression, arthralgia, muscle pain, peripheral neuropathy, gastrointesti-nal toxicity, and abnormal hepatic function. Most of the above side effects were grade Ⅰ-Ⅱ. The main grade Ⅲ-Ⅳ sideeffects were leukopenia and gastrointestinal toxicity with an incidence of 16.1% and 12.9%, respectively. Conclusion: Thecombination of Paclitaxel and Cisplatin has high efficacy in patients with advanced breast cancer. The side effects are tol-erable.

     

/

返回文章
返回