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[乳腺癌的治疗:从激素到抗体]

[Treatment of breast cancer: from hormones to antibodies].

作者信息

Eucker J, Emde A, Possinger K

机构信息

Medizinische Klinik mit Schwerpunkt Onkologie und Hämatologie, Charité, Universitätsmedizin Berlin, Berlin.

出版信息

Internist (Berl). 2006 Dec;47(12):1223-4, 1226-8. doi: 10.1007/s00108-006-1728-2.

DOI:10.1007/s00108-006-1728-2
PMID:17063333
Abstract

Breast cancer, as one of the most frequent tumor entities, is the object of intensive research activity. Clinical research over the last few years has resulted in an increasing differentiation in treatment strategies in the adjuvant setting as well as in metastatic breast cancer. Treatment decision is guided by different risk groups, and relevant changes in clinical practice have arisen in hormonal treatment as well as in chemotherapy. Furthermore, new agents have shown clinical activity, in particular trastuzumab has emerged as standard treatment in HER2 positive breast cancer. It was even licensed in 2006 for adjuvant treatment.

摘要

乳腺癌作为最常见的肿瘤类型之一,是深入研究的对象。过去几年的临床研究使得辅助治疗以及转移性乳腺癌的治疗策略越来越分化。治疗决策由不同风险组指导,激素治疗和化疗在临床实践中都出现了相关变化。此外,新药物已显示出临床活性,特别是曲妥珠单抗已成为HER2阳性乳腺癌的标准治疗方法。它甚至在2006年被批准用于辅助治疗。

相似文献

1
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Internist (Berl). 2006 Dec;47(12):1223-4, 1226-8. doi: 10.1007/s00108-006-1728-2.
2
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Perspective of trastuzumab treatment.曲妥珠单抗治疗的前景。
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6
Adjuvant treatment of breast cancer.乳腺癌的辅助治疗。
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本文引用的文献

1
Benefit of taxanes as adjuvant chemotherapy for early breast cancer: pooled analysis of 15,500 patients.紫杉烷类作为早期乳腺癌辅助化疗的益处:15500例患者的汇总分析
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Estrogen-receptor status and outcomes of modern chemotherapy for patients with node-positive breast cancer.雌激素受体状态与淋巴结阳性乳腺癌患者现代化疗的疗效
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序贯术前或术后多西他赛联合术前多柔比星加环磷酰胺用于可手术乳腺癌:美国国家外科辅助乳腺和肠道项目协议B - 27
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Comparison of rapidly cycled tandem high-dose chemotherapy plus peripheral-blood stem-cell support versus dose-dense conventional chemotherapy for adjuvant treatment of high-risk breast cancer: results of a multicentre phase III trial.快速循环串联高剂量化疗联合外周血干细胞支持与剂量密集型传统化疗用于高危乳腺癌辅助治疗的比较:一项多中心III期试验的结果
Lancet. 2005 Dec 3;366(9501):1935-44. doi: 10.1016/S0140-6736(05)67784-7.
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Randomized, controlled trial of cyclophosphamide, methotrexate, and fluorouracil versus cyclophosphamide, doxorubicin, and fluorouracil with and without tamoxifen for high-risk, node-negative breast cancer: treatment results of Intergroup Protocol INT-0102.环磷酰胺、甲氨蝶呤和氟尿嘧啶与环磷酰胺、多柔比星和氟尿嘧啶联合或不联合他莫昔芬治疗高危、淋巴结阴性乳腺癌的随机对照试验:肿瘤协作组INT-0102治疗结果
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Assessment of cardiac dysfunction in a randomized trial comparing doxorubicin and cyclophosphamide followed by paclitaxel, with or without trastuzumab as adjuvant therapy in node-positive, human epidermal growth factor receptor 2-overexpressing breast cancer: NSABP B-31.在一项随机试验中评估心脏功能障碍,该试验比较了多柔比星联合环磷酰胺后序贯紫杉醇,联合或不联合曲妥珠单抗作为淋巴结阳性、人表皮生长因子受体2过表达乳腺癌的辅助治疗:NSABP B - 31。
J Clin Oncol. 2005 Nov 1;23(31):7811-9. doi: 10.1200/JCO.2005.02.4091.
7
Trastuzumab plus adjuvant chemotherapy for operable HER2-positive breast cancer.曲妥珠单抗联合辅助化疗用于可手术的HER2阳性乳腺癌
N Engl J Med. 2005 Oct 20;353(16):1673-84. doi: 10.1056/NEJMoa052122.
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Trastuzumab after adjuvant chemotherapy in HER2-positive breast cancer.HER2阳性乳腺癌辅助化疗后使用曲妥珠单抗。
N Engl J Med. 2005 Oct 20;353(16):1659-72. doi: 10.1056/NEJMoa052306.
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Randomized trial of letrozole following tamoxifen as extended adjuvant therapy in receptor-positive breast cancer: updated findings from NCIC CTG MA.17.来曲唑继他莫昔芬之后作为受体阳性乳腺癌延长辅助治疗的随机试验:NCIC CTG MA.17的最新研究结果
J Natl Cancer Inst. 2005 Sep 7;97(17):1262-71. doi: 10.1093/jnci/dji250.
10
Effects of chemotherapy and hormonal therapy for early breast cancer on recurrence and 15-year survival: an overview of the randomised trials.早期乳腺癌化疗和激素治疗对复发及15年生存率的影响:随机试验综述
Lancet. 2005;365(9472):1687-717. doi: 10.1016/S0140-6736(05)66544-0.