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氨鲁米特与联合化疗联合治疗乳腺癌主要骨转移

[Combination of aminoglutethimide and polychemotherapy for the treatment of predominant bone metastasis in breast cancer].

作者信息

Rieche K, Dabag S, Scharlau L

出版信息

Dtsch Med Wochenschr. 1986 Nov 7;111(45):1726-9. doi: 10.1055/s-2008-1068700.

Abstract

A clinical phase II study was performed to evaluate the therapeutic efficacy of simultaneously administered aminoglutethimide and polychemotherapy in 31 patients with predominant bone metastases of breast cancer. The majority of patients was postmenopausal and pretreated with hormones and (or) chemotherapy. In 28 evaluable patients an overall objective response rate of 61% was achieved. Patients who received aminoglutethimide and polychemotherapy containing anthracyclines as FAC- or AV-regimen showed the highest objective response rate (67%). Thus, simultaneous combination of aminoglutethimide and polychemotherapy containing anthracycline derivatives is the most effective therapeutic regimen for those patients who were either pretreated or have progressive bone metastases with confinement to bed or have concomitant visceral metastases.

摘要

进行了一项临床II期研究,以评估在31例以骨转移为主的乳腺癌患者中同时给予氨鲁米特和多药化疗的治疗效果。大多数患者为绝经后女性,曾接受过激素和(或)化疗。在28例可评估患者中,总客观缓解率达到61%。接受氨鲁米特和含蒽环类药物的多药化疗(如FAC或AV方案)的患者显示出最高的客观缓解率(67%)。因此,对于那些既往接受过治疗、出现骨转移进展且需卧床或伴有内脏转移的患者,氨鲁米特与含蒽环类衍生物的多药化疗同时联合是最有效的治疗方案。

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