郑天郢, 王永刚, 张昕, 王秀问, 黎莉, 于学军. 两组解救方案治疗蒽环类耐药的晚期乳腺癌疗效观察[J]. 中国肿瘤临床, 2004, 31(16): 943-945.
引用本文: 郑天郢, 王永刚, 张昕, 王秀问, 黎莉, 于学军. 两组解救方案治疗蒽环类耐药的晚期乳腺癌疗效观察[J]. 中国肿瘤临床, 2004, 31(16): 943-945.
Zheng Tian-ying, Wang Yong-gang, Zhang Xin, . Evaluation of Two Difierent Regimens as Salvage Treatment of Anthracycline-resistant Advanced Breast Cancer[J]. CHINESE JOURNAL OF CLINICAL ONCOLOGY, 2004, 31(16): 943-945.
Citation: Zheng Tian-ying, Wang Yong-gang, Zhang Xin, . Evaluation of Two Difierent Regimens as Salvage Treatment of Anthracycline-resistant Advanced Breast Cancer[J]. CHINESE JOURNAL OF CLINICAL ONCOLOGY, 2004, 31(16): 943-945.

两组解救方案治疗蒽环类耐药的晚期乳腺癌疗效观察

Evaluation of Two Difierent Regimens as Salvage Treatment of Anthracycline-resistant Advanced Breast Cancer

  • 摘要: 目的:比较两组化疗方案作为晚期乳腺癌蒽环类耐药患者的解救治疗疗效及不良反应。方法:采用多西紫杉醇(DXL)+顺铂(DDP)、长春瑞滨(NVB)+顺铂方案治疗蒽环类耐药的晚期乳腺癌64例,比较患者的近期有效率、不良反应、疾病进展时间及1年生存率。DXL+DDP方案DXL 60mg/m2,持续1小时静脉滴注,d1;DDP 30mg/m2d2~4。NVB+DDP方案NVB 25mg/m2d1,8;DDP 30mg/m2,d2~4,上述两个方案每3周为一个周期。结果:DXL+DDP方案的总有效率为52.9%(18/34),其中CR5.9%(2/34),PR47.1%(16/34);中位疾病进展时间(TTP)8个月;中位生存时间18个月,1年生存率62.9%。NVB+DDP方案的总有效率为43.3%(13/30),其中CR3.3%(1/30),PR40.0%(12/30);中位TTP7个月;中位生存时间15个月,1年生存率54.8%。两组方案的主要不良反应为骨髓抑制及胃肠道反应。结论:两组方案对于蒽环类耐药的晚期乳腺癌患者均有较好疗效,不良反应可耐受,其近期疗效无明显差异。

     

    Abstract: Objective : To evaluate the efficacy and toxicity of two different regimens as salvage treatment in patients w ith anthracycline-resistant advanced breast cancer (ABC). Methods : 64 patients with anthracycline-resistant ABC were treated with docetaxel (DXL) (60mg/m2 on day 1) plus cisplatin (DDP, 30mg/m2 on days 1,2,3) or vinorelbine (NYB, 2smg/m2, on days 1,8) plus cisplatin (30mg/m2 on days 1,2,3) every 3 weeks. Analyses were by intention to treat. Results : In arm of D XL plus DDP, there were 2 complete (5.9%) and 16 partial responses (47%) among 34 patients for an overall response rate of 52.9%. The median time to progression was 8 months, the median survival time was 18 months, and the probability of 1-year survival was 62.9%. For 30 patients treated with NYB and DDP, the regimen produced an overall response rate of 43.3% (1CR, 12 PRs), a median time to progression of 7 months,and a median survival time of 15 months. The probability of 1-year survival was 54.8%. Grade 3-4 neutropenia was the main hematologic toxicity in both arms (48% vs.47%). The main non-hematologic toxicity was nausea/vomiting. Conclusion : Combinations of DXL w ith DDP and NYB with DDP are active salvage regimens for patients with anthracycline-resistant ABC, and the toxic effects were tolerable.There is no significant difference between objective responses of two regimens.

     

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