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米托蒽醌单药治疗晚期乳腺癌:诗里拉吉医院的临床经验

Mitoxantrone as single agent in the treatment of advanced breast cancer: clinical experience at Siriraj Hospital.

作者信息

Tepmongkol P, Suphaphongs N, Thansakul A, Jirapanuwat S, Skulchan V, Rojananin S, Chantarakul N

出版信息

J Med Assoc Thai. 1989 Feb;72(2):82-9.

PMID:2738491
Abstract

A total of 35 patients with advanced breast cancer were treated with mitoxantrone, 14 mg/m2 I.V. every 3 weeks. Of these, 27 patients or 78 lesions could be evaluated for response and all 35 patients for toxicity. The overall response rate (CR + PR) was 35 per cent (or CR + PR + SD = 82%), ten lesions achieved a complete response and 17 lesions a partial response. The duration of response varied from a minimum of 2 months to more than 11 months (median = 4 months). Myelosuppression was the dose-limiting toxicity with moderate to severe degree in 19 patients. The most frequent severe degree in 19 patients. The most frequent non-hematologic toxicity was mild grade of nausea and vomiting (67%). No cardiotoxicity was noted in this study after the maximum cumulative dose of mitoxantrone 157.5 mg.

摘要

共有35例晚期乳腺癌患者接受米托蒽醌治疗,静脉注射剂量为14mg/m²,每3周一次。其中,27例患者或78个病灶可评估疗效,所有35例患者可评估毒性。总缓解率(完全缓解+部分缓解)为35%(或完全缓解+部分缓解+疾病稳定=82%),10个病灶达到完全缓解,17个病灶部分缓解。缓解持续时间从最短2个月到超过11个月不等(中位数=4个月)。骨髓抑制是剂量限制性毒性,19例患者为中度至重度。19例患者中最常见的严重程度。最常见的非血液学毒性是轻度恶心和呕吐(67%)。在本研究中,米托蒽醌最大累积剂量达157.5mg后未观察到心脏毒性。

相似文献

1
Mitoxantrone as single agent in the treatment of advanced breast cancer: clinical experience at Siriraj Hospital.米托蒽醌单药治疗晚期乳腺癌:诗里拉吉医院的临床经验
J Med Assoc Thai. 1989 Feb;72(2):82-9.
2
Mitoxantrone as first-line chemotherapy for advanced breast cancer: results of a European collaborative study.米托蒽醌作为晚期乳腺癌一线化疗药物:一项欧洲协作研究的结果
Semin Oncol. 1984 Sep;11(3 Suppl 1):15-8.
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Mitoxantrone in elderly women with advanced breast cancer: a phase II study.米托蒽醌治疗老年晚期乳腺癌女性患者:一项II期研究。
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First-line intra-arterial chemotherapy (IAC) with epirubicin and mitoxantrone in locally advanced breast cancer.表柔比星和顺铂用于局部晚期乳腺癌的一线动脉内化疗(IAC)
Anticancer Res. 2003 Sep-Oct;23(5b):4339-45.
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Mitoxantrone, 5-fluorouracil and cyclophosphamide in advanced breast cancer.米托蒽醌、5-氟尿嘧啶和环磷酰胺用于晚期乳腺癌治疗
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引用本文的文献

1
Mitoxantrone. A review of its pharmacodynamic and pharmacokinetic properties, and therapeutic potential in the chemotherapy of cancer.米托蒽醌。对其药效学和药代动力学特性以及在癌症化疗中的治疗潜力的综述。
Drugs. 1991 Mar;41(3):400-49. doi: 10.2165/00003495-199141030-00007.