实用肿瘤学杂志 ›› 2013, Vol. 27 ›› Issue (2): 97-98.doi: 10.3969/j.issn.1002-3070.2013.02.001

• 论著 •    下一篇

曲妥珠单抗联合蒽环类药物应用于Her-2阳性乳腺癌的新辅助治疗初步临床研究

宋金洁1,2,王涛2,边莉2,郭芸菲2,张少华2,吴世凯2,宋三泰2,江泽飞2   

  1. 1.解放军医学院(北京 100048);
    2.军事医学科学院附属医院乳腺肿瘤科
  • 收稿日期:2012-02-26 出版日期:2013-04-28 发布日期:2013-04-26
  • 通讯作者: 江泽飞,E-mail:jiangzf@hotmail.com
  • 作者简介:宋金洁,女,(1986-),硕士研究生,从事乳腺肿瘤学的研究。
  • 基金资助:
    国家863计划重大项目分课题(2006AA02A246)

A preliminary clinical study on the neoadjuvant therapy of treating Her-2 positive breast cancer by applying trastuzumab together with anthracyclines

SONG Jinjie1,2,WANG Tao2,BIAN Li2,GOU Yunfei2,ZHANG Shaohua2,WU Shikai2,SONG Santai2,JIANG Zefei2   

  1. 1.Medical School of Chinese PLA,Beijing 100048,China;
    2.Department of Breast Cancer,Affiliated Hospital,Academy of Military Medical Sciences
  • Received:2012-02-26 Online:2013-04-28 Published:2013-04-26

摘要: 目的分析曲妥珠单抗同时联合蒽环、紫杉类药物应用于Her-2阳性乳腺癌新辅助治疗的疗效。方法 30例Her-2阳性可手术的乳腺癌患者,给予4周期ATH序贯2~4周期TH新辅助治疗,治疗后行乳腺癌改良根治术或保乳术,结果进行统计分析。结果 30例入组患者,完全缓解(Complete remission,CR)和部分缓解(Partial remission,PR)的患者共25例(80.0%),其中CR的7例(23.3%),无疾病进展(Progression disease,PD)病例;病理完全缓解(Pathological complete response,pCR)15例(50.0%)。结论 对于Her-2阳性的乳腺癌患者给予含蒽环、紫杉类及曲妥珠单抗的新辅助治疗,可以达到较高的临床获益率和病理学完全缓解率,不良反应可以耐受。

Abstract: Objective To study a retrospective analysis of the clinical effect of the neoadjuvant therapy of treating Her-2 positive breast cancer by applying Trastuzumab together with athracyclines and taxane-based chemotherapy.Methods 30 patients with Her-2 positive operable breast cancer were accepted 4 cycles ATH which were followed by 2~4 cycles TH regimen neoadjuvant chemotherapy before modified radical mastectomy or conserving surgery.Then a statistical analysis was made.Results Among the 30 concerned patients,25(80%)reached completly remissio and Partial remission,and 15(50%)obtained pathological complete remission.Conclusion A complete pathological remission as well as a considerably high clinical benefit ratio can be achieved by treating Her-2 positive breast cancer with Trastuzumab together with athracyclines and taxane-based chemotherapy.Adverse reaction is tolerable.

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