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[乳腺癌脑转移]

[Brain metastasis from breast cancer].

作者信息

Miyaoka K, Ogawa M, Horikoshi N, Inoue K, Ueno K, Nakamura T, Yamazaki H, Mukaiyama T, Ito Y, Imajo K

出版信息

Gan To Kagaku Ryoho. 1986 Jul;13(7):2370-5.

PMID:3015043
Abstract

Thirty-seven patients with breast cancer who developed brain metastasis were analyzed. At the diagnosis of brain metastasis, all patients had widespread metastasis, and 36 patients were receiving chemotherapy. Thirty patients were treated by radiotherapy to the brain at doses of 4,000 rads. There were 6 CRs (20%) and 5 PRs (17%). The median survival time for all patients was 53 months (8-177+) from diagnosis of the primary tumor, 24 months (7-126+) from the first recurrence, and 6 months (1-47+) from diagnosis of brain metastasis. Patients who achieved CR or PR survived longer than non-responders (11+ months vs. 6 months: p less than 0.01). Several backgrounds factors were analyzed, and the results indicated that patients with better performance status survived significantly longer than those with poorer performance status (11 months vs. 4 months: p less than 0.001).

摘要

对37例发生脑转移的乳腺癌患者进行了分析。在脑转移诊断时,所有患者均已有广泛转移,36例患者正在接受化疗。30例患者接受了脑部放疗,剂量为4000拉德。有6例完全缓解(20%)和5例部分缓解(17%)。所有患者从原发性肿瘤诊断起的中位生存时间为53个月(8 - 177 +),从首次复发起为24个月(7 - 126 +),从脑转移诊断起为6个月(1 - 47 +)。达到完全缓解或部分缓解的患者比无反应者存活时间更长(11 +个月对6个月:p < 0.01)。分析了几个背景因素,结果表明,身体状况较好的患者比身体状况较差的患者存活时间显著更长(11个月对4个月:p < 0.001)。

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