Borisov A I
Vopr Onkol. 1978;24(12):23-7.
Seventy patients with breast cancer (stage IIIb--IV) were randomized by an "envelope" method into 2 groups, each including 35 persons. Patients of the first group were injected vincristin, 5-fluoruracil, methotrexate (once a week), cyclophosphane (3 times a week) and prednisolone daily during 3 weeks. The duration of the course of treatment was 4 weeks. The therapy course was repeated with an interval of 1--2 months. Patients of the second group in addition to the analogous treatment were subjected to ovariectomy with subsequent continuous administration of prednisolone, testosterone-propionate or synoestrol. An objective effect was noted in 24 patients of the first group (71.4%), the complete remission being gained in 4 of them. An average duration of the remission--7.6 months. An objective effect was noted in 31 patients of the second group (88.5%), the complete remission--in 4 of them. An average duration of the remission--10.7 months. Primary mammary tumors and metastases in regional lymph nodes proved to be mostly susceptible to the conducted therapy. Lung and pleural metastases were found to be less susceptible. No grave complications due to this kind of treatment were noted.
70例乳腺癌患者(Ⅲb - Ⅳ期)采用“信封”法随机分为2组,每组35人。第一组患者在3周内每周注射一次长春新碱、5 - 氟尿嘧啶、甲氨蝶呤,每周注射3次环磷酰胺,并每日服用泼尼松龙。疗程为4周。治疗疗程间隔1 - 2个月重复进行。第二组患者除进行类似治疗外,还接受了卵巢切除术,随后持续服用泼尼松龙、丙酸睾酮或己烯雌酚。第一组24例患者(71.4%)出现客观疗效,其中4例完全缓解。缓解的平均持续时间为7.6个月。第二组31例患者(88.5%)出现客观疗效,其中4例完全缓解。缓解的平均持续时间为10.7个月。原发性乳腺肿瘤和区域淋巴结转移对所进行的治疗最为敏感。肺部和胸膜转移的敏感性较低。未发现因这种治疗引起的严重并发症。