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20例乳腺癌患者一线使用生长抑素联合褪黑素、维甲酸、维生素D3及低剂量环磷酰胺治疗的安全性和有效性评估:初步报告

Evaluation of the safety and efficacy of the first-line treatment with somatostatin combined with melatonin, retinoids, vitamin D3, and low doses of cyclophosphamide in 20 cases of breast cancer: a preliminary report.

作者信息

Di Bella Giuseppe, Mascia Fabrizio, Ricchi Alessandro, Colori Biagio

机构信息

Di Bella Foundation, Via G. Marconi 51, Bologna 40122, Italy.

Rizzoli Institute, Scientific Research and Care Institute, Bologna, Italy.

出版信息

Neuro Endocrinol Lett. 2013;34(7):660-8.

Abstract

OBJECTIVE

The current strategies for the treatment of breast cancer are essentially based on surgery, preceded and/or followed by chemotherapy often supplemented by radiotherapy and/or the administration of hormonal therapy and monoclonal antibodies. Their combined use has made it possible to increase an overall survival but they are still penalized by adverse effects and toxicity. The marked anti-cancer effects of biological molecule such as somatostatin, melatonin, retinoid, vitamin D3 and prolactin inhibitors have been studied and documented for several decades. Their integrated and synergic action have been demonstrated, but only a few studies have as yet been carried out on their combined application in humans. The aim of the present investigation was to evaluate both the objective clinical response and toxicity of the biological multimodal treatment named Di Bella Method (DBM).

MATERIAL AND METHODS

The clinical data from a total of 20 women with a certified diagnosis of breast cancer,defined disease stage, and who independently decided to follow the DBM as first-line treatment, were retrospectively reviewed.

RESULTS

The mean age of the patients was 51 years (min 30; max 73). Twelve (12) patients (60%) presented an early stage disease, while the other 40% had a locally advanced/metastatic stage. An overall clinical benefit was achieved in 75% of cases, with 55% of complete response and 20% of partial response. For metastatic patients, the overall survival rate was 71%. The main toxicity effects included leukopenia, gastrointestinal phenomena and drowsiness.

CONCLUSIONS

The preliminary results of this report confirm the positive action of the biological treatment in terms of efficacy and survival, showing a more than favorable profile of tolerability.

摘要

目的

目前乳腺癌的治疗策略主要基于手术,手术前后常辅以化疗,放疗和/或激素治疗及单克隆抗体的使用也较为常见。这些方法的联合应用提高了总体生存率,但仍受到不良反应和毒性的影响。几十年来,人们一直在研究和记录诸如生长抑素、褪黑素、类视黄醇、维生素D3和催乳素抑制剂等生物分子显著的抗癌作用。它们的综合协同作用已得到证实,但关于它们在人体中的联合应用的研究还很少。本研究的目的是评估名为迪贝拉方法(DBM)的生物多模式治疗的客观临床反应和毒性。

材料与方法

回顾性分析了20例经确诊为乳腺癌、明确疾病分期且自主决定将DBM作为一线治疗方法的女性患者的临床资料。

结果

患者的平均年龄为51岁(最小30岁;最大73岁)。12例(60%)患者处于疾病早期,其余40%为局部晚期/转移期。75%的病例获得了总体临床益处,其中55%为完全缓解,20%为部分缓解。对于转移性患者,总生存率为71%。主要毒性反应包括白细胞减少、胃肠道反应和嗜睡。

结论

本报告的初步结果证实了生物治疗在疗效和生存率方面的积极作用,显示出良好的耐受性。

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