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短疗程辅助曲妥珠单抗联合化疗在乳腺癌中的疗效与安全性

Efficacy and safety of short course adjuvant trastuzumab combination chemotherapy in breast cancer.

作者信息

Hingmire Sachin S, Sambhus Mahesh B, Kelkar Dhananjay S, Joshi Sujit, Parikh Purvish M, Bharath R

机构信息

Department of Oncology, Deenanath Mangeshkar Hospital and Research Centre, Pune, India.

Department of Oncology, Asian Institute of Oncology, Mumbai, Maharashtra, India.

出版信息

South Asian J Cancer. 2017 Apr-Jun;6(2):47-50. doi: 10.4103/sajc.sajc_68_17.

DOI:10.4103/sajc.sajc_68_17
PMID:28702403
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5506806/
Abstract

BACKGROUND

The adjuvant short course 9-week trastuzumab combination therapy for human epidermal receptor 2 positive breast cancer patients may often be considered as a cost-effective and safe option and has important implications for the Indian subcontinent as well as other developing countries. However, such regimens of shorter duration trastuzumab therapy like FinHer, offered in view of economic constraints, may not be able to achieve globally comparable cure rates in early breast cancer especially with high-risk women with more than 3 lymph node positive.

METHODS AND MATERIAL

Outcome of 21 patients with HER2 positive breast cancer was treated with short course trastuzumab combination chemotherapy in the adjuvant setting was studied.

RESULTS

Out of 21 patients 15 are alive and disease free with a follow up of up to 73 months (median follow up 42 months).

摘要

背景

对于人表皮生长因子受体2阳性乳腺癌患者,辅助性短疗程9周曲妥珠单抗联合治疗通常被视为一种具有成本效益且安全的选择,对印度次大陆以及其他发展中国家也具有重要意义。然而,鉴于经济限制而提供的如FinHer方案这样的较短疗程曲妥珠单抗治疗,可能无法在早期乳腺癌中实现全球可比的治愈率,尤其是对于有3个以上淋巴结阳性的高危女性。

方法与材料

研究了21例HER2阳性乳腺癌患者在辅助治疗中接受短疗程曲妥珠单抗联合化疗的结果。

结果

21例患者中有15例存活且无疾病,随访时间长达73个月(中位随访时间42个月)。

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本文引用的文献

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Curr Oncol. 2015 Mar;22(Suppl 1):S114-22. doi: 10.3747/co.22.2322.
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Rural urban differences in breast cancer in India.印度城乡地区乳腺癌的差异。
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The efficacy of adjuvant trastuzumab in HER-2 positive breast cancer with axillary lymph node metastases according to the treatment duration.根据治疗持续时间,辅助性曲妥珠单抗在HER-2阳性伴腋窝淋巴结转移乳腺癌中的疗效。
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ICON 2013: practical consensus recommendations for hormone receptor-positive Her2-negative advanced or metastatic breastcancer.2013年国际乳腺癌大会(ICON 2013):激素受体阳性、人表皮生长因子受体2(Her2)阴性晚期或转移性乳腺癌的实用共识推荐
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Evaluation of ER, PR and HER-2 receptor expression in breast cancer patients presenting to a semi urban cancer centre in Western India.对就诊于印度西部半城市癌症中心的乳腺癌患者的雌激素受体(ER)、孕激素受体(PR)和人表皮生长因子受体2(HER-2)表达情况的评估。
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Lancet Oncol. 2014 Apr;15(5):489-538. doi: 10.1016/S1470-2045(14)70029-4.
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Nine-week trastuzumab treatment versus 52-week trastuzumab treatment for HER2-positive early-stage breast cancer.曲妥珠单抗治疗 9 周与治疗 52 周用于 HER2 阳性早期乳腺癌。
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