Nicolato A
Istituto di Radiologia, Università, Pavia.
Radiol Med. 1990 Sep;80(3):347-51.
A multimodal treatment combining intra-arterial chemotherapy and intensive loco-regional radiotherapy was administered to 55 patients with locally advanced breast cancer. Adjuvant polychemotherapy followed, and eventually endocrino-therapy. Combined intra-arterial chemotherapy and intensive radiotherapy gave excellent results in both primary and lymph node lesions, with 90.9% and 92.2% complete/partial response rates. Three-year and 5-year actuarial survival rates were 69% and 59%, respectively. Patients showing better local responses to combined intra-arterial chemotherapy and intensive radiotherapy had longer survival and less frequent local recurrences. Combined intra-arterial chemotherapy and intensive loco-regional radiotherapy seems to be an effective modality for the treatment of locally advanced breast cancer.
对55例局部晚期乳腺癌患者采用动脉内化疗联合局部强化放疗的多模式治疗方法。随后进行辅助多药化疗,最终进行内分泌治疗。动脉内化疗联合强化放疗在原发灶和淋巴结病灶中均取得了优异的效果,完全缓解/部分缓解率分别为90.9%和92.2%。三年和五年精算生存率分别为69%和59%。对动脉内化疗联合强化放疗局部反应较好的患者生存期更长,局部复发频率更低。动脉内化疗联合局部强化放疗似乎是治疗局部晚期乳腺癌的一种有效方式。