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5-氟尿嘧啶、表柔比星和环磷酰胺(FEC方案)用于晚期乳腺癌治疗

5-Fluorouracil, epirubicin and cyclophosphamide (FEC combination) in advanced breast cancer.

作者信息

Zamagni C, Martoni A, Ercolino L, Baroni M, Tanneberger S, Pannuti F

机构信息

Divisione di Oncologia Osp. S. Orsola-Malpighi, Bologna, Italy.

出版信息

J Chemother. 1991 Apr;3(2):126-9. doi: 10.1080/1120009x.1991.11739078.

DOI:10.1080/1120009x.1991.11739078
PMID:1875232
Abstract

Thirty patients with advanced breast cancer, not pretreated with chemotherapy for advanced disease, received a polychemotherapy regimen containing 5-fluorouracil (500 mg/m2 iv), epirubicin (50 mg/m2 iv) and cyclophosphamide (500 mg/m2 iv) every four weeks. All patients were evaluable for response and for toxicity. No complete remissions were observed, while 13 patients (43.5%) achieved a partial remission for a median duration of 46 weeks. The main side-effects were alopecia (grade 2-3 in 57%), leukopenia (grade 3-4 in 33%) and nausea/vomiting (grade 3-4 in 27%). In three cases we observed laboratory signs of cardiotoxicity without clinical symptoms.

摘要

30例晚期乳腺癌患者,未接受过晚期疾病的化疗预处理,每四周接受一次包含5-氟尿嘧啶(500mg/m²静脉注射)、表柔比星(50mg/m²静脉注射)和环磷酰胺(500mg/m²静脉注射)的多药化疗方案。所有患者均可评估疗效和毒性。未观察到完全缓解,13例患者(43.5%)达到部分缓解,中位缓解持续时间为46周。主要副作用为脱发(57%为2-3级)、白细胞减少(33%为3-4级)和恶心/呕吐(27%为3-4级)。3例患者观察到心脏毒性的实验室指标但无临床症状。

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