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他莫昔芬与大剂量醋酸甲羟孕酮在晚期雌激素受体阳性乳腺癌中的周期性应用

Cyclical use of tamoxifen and high-dose medroxyprogesterone acetate in advanced estrogen receptor positive breast cancer.

作者信息

Gundersen S, Kvinnsland S, Lundgren S, Klepp O, Lund E, Børmer O, Høst H

机构信息

Department of Medical Oncology and Radiotherapy, Norwegian Radium Hospital, Montebello, Oslo.

出版信息

Breast Cancer Res Treat. 1990 Nov;17(1):45-50. doi: 10.1007/BF01812683.

DOI:10.1007/BF01812683
PMID:2151369
Abstract

One-hundred and seventy patients with estrogen receptor positive (greater than or equal to 10 pmol/g protein) advanced breast cancer have been treated in a prospective randomized study either with continuous tamoxifen 30 mg x 1 daily (TAM), or with TAM 30 mg x 1 daily for 8 weeks alternating with medroxyprogesterone acetate 500 mg x 2 daily for 8 weeks (TAM/HD-MPA). The response rate was 62% in the group treated with cyclic TAM/HD-MPA versus 41% in the TAM alone group (p = 0.02). There was no significant difference in duration of remissions or survival.

摘要

170例雌激素受体阳性(大于或等于10 pmol/g蛋白质)的晚期乳腺癌患者参与了一项前瞻性随机研究,他们被分为两组,一组接受持续每日一次30 mg他莫昔芬(TAM)治疗,另一组接受每日一次30 mg他莫昔芬治疗8周,之后交替每日两次500 mg醋酸甲羟孕酮治疗8周(TAM/HD-MPA)。接受TAM/HD-MPA周期治疗组的缓解率为62%,而单纯TAM治疗组为41%(p = 0.02)。缓解持续时间或生存率无显著差异。

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本文引用的文献

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Increase of progesterone receptor by tamoxifen as a hormonal challenge test in breast cancer.他莫昔芬增加孕激素受体作为乳腺癌的一种激素激发试验
Cancer Res. 1980 May;40(5):1750-2.
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Effects of tamoxifen on estrogen and progesterone receptors in human breast cancer.他莫昔芬对人乳腺癌中雌激素和孕激素受体的影响。
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The effects of cyclosporin A, tamoxifen, and medroxyprogesterone acetate on the enhancement of adriamycin cytotoxicity in primary cultures of human breast epithelial cells.环孢素A、他莫昔芬和醋酸甲羟孕酮对人乳腺上皮细胞原代培养物中阿霉素细胞毒性增强作用的影响。
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Eur J Cancer (1965). 1980 Nov;16(11):1513-5. doi: 10.1016/0014-2964(80)90064-x.
4
Oestrogen receptors in primary and advanced breast cancer: an eight year review of 704 cases.原发性和晚期乳腺癌中的雌激素受体:704例病例的八年回顾
Br J Cancer. 1987 Jan;55(1):67-73. doi: 10.1038/bjc.1987.14.
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High-dose megestrol acetate in the treatment of postmenopausal women with advanced breast cancer.大剂量醋酸甲地孕酮治疗绝经后晚期乳腺癌妇女
Semin Oncol. 1986 Dec;13(4 Suppl 4):20-5.
6
Endocrine therapy for advanced carcinoma of the breast: relationship between the effect of tamoxifen upon concentrations of progesterone receptor and subsequent response to treatment.晚期乳腺癌的内分泌治疗:他莫昔芬对孕酮受体浓度的影响与后续治疗反应之间的关系。
Cancer Res. 1987 Jan 1;47(1):300-4.
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The influence of progestins on receptor levels in breast cancer metastasis.孕激素对乳腺癌转移中受体水平的影响。
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8
Pharmacokinetics and metabolism of medroxyprogesterone acetate in patients with advanced breast cancer.醋酸甲羟孕酮在晚期乳腺癌患者中的药代动力学与代谢
J Steroid Biochem. 1988 Oct;31(4A):437-41. doi: 10.1016/0022-4731(88)90312-3.
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Characterization and assay of progesterone receptor in human mammary carcinoma.人乳腺癌中孕激素受体的表征与测定
Cancer Res. 1977 Feb;37(2):464-71.
10
Design and analysis of randomized clinical trials requiring prolonged observation of each patient. II. analysis and examples.需要对每位患者进行长期观察的随机临床试验的设计与分析。II. 分析与示例。
Br J Cancer. 1977 Jan;35(1):1-39. doi: 10.1038/bjc.1977.1.