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乳腺癌辅助内分泌治疗——雌激素与抗雌激素的对照临床试验:哥本哈根乳腺癌试验的初步结果

Adjuvant endocrine therapy of breast cancer--a controlled clinical trial of oestrogen and anti-oestrogen: preliminary results of the Copenhagen breast cancer trials.

作者信息

Palshof T, Mouridsen H T, Daehnfeldt J L

出版信息

Recent Results Cancer Res. 1980;71:185-9. doi: 10.1007/978-3-642-81406-8_28.

DOI:10.1007/978-3-642-81406-8_28
PMID:6988914
Abstract

In an attempt to clarify the value of adjuvant endocrine therapy as an alternative to other treatment modalities, we have started two controlled, prospective, double-blind trials, the Copenhagen Breast Cancer Trials. In these studies postmenopausal women are randomised after primary local treatment to treatment with DES, tamoxifen, or placebo. Premenopausal women are similarly randomised to receive treatment with tamoxifen or placebo. Entry to the trials was closed in March 1978, when 343 patients had entered the studies. The preliminary results indicate that postmenopausal patients with ER+ tumours benefit from adjuvant treatment with tamoxifen. Adjuvant treatment with DES seems to be effective in ER- postmenopausal patients. In postmenopausal patients the ER+ tumors have a lower rate of recurrence. At present these preliminary results do not permit definite conclusions.

摘要

为了阐明辅助内分泌治疗作为其他治疗方式替代方案的价值,我们启动了两项对照、前瞻性、双盲试验,即哥本哈根乳腺癌试验。在这些研究中,绝经后女性在进行原发性局部治疗后被随机分配接受己烯雌酚、他莫昔芬或安慰剂治疗。绝经前女性同样被随机分配接受他莫昔芬或安慰剂治疗。试验于1978年3月结束入组,当时有343名患者进入研究。初步结果表明,雌激素受体(ER)阳性肿瘤的绝经后患者从他莫昔芬辅助治疗中获益。己烯雌酚辅助治疗似乎对ER阴性的绝经后患者有效。在绝经后患者中,ER阳性肿瘤的复发率较低。目前,这些初步结果尚无法得出明确结论。

相似文献

1
Adjuvant endocrine therapy of breast cancer--a controlled clinical trial of oestrogen and anti-oestrogen: preliminary results of the Copenhagen breast cancer trials.乳腺癌辅助内分泌治疗——雌激素与抗雌激素的对照临床试验:哥本哈根乳腺癌试验的初步结果
Recent Results Cancer Res. 1980;71:185-9. doi: 10.1007/978-3-642-81406-8_28.
2
Therapeutic effect of tamoxifen related to estrogen receptor level.他莫昔芬的治疗效果与雌激素受体水平相关。
Recent Results Cancer Res. 1980;71:134-41. doi: 10.1007/978-3-642-81406-8_19.
3
Therapeutic effect of tamoxifen alone versus tamoxifen in combination wtih gestagen and oestrogen in advanced breast cancer.他莫昔芬单药与他莫昔芬联合孕激素和雌激素治疗晚期乳腺癌的疗效比较
Recent Results Cancer Res. 1980;71:169-77. doi: 10.1007/978-3-642-81406-8_26.
4
Principles and indications of endocrine treatment of advanced breast cancer.晚期乳腺癌内分泌治疗的原则与指征
Recent Results Cancer Res. 1980;71:112-7. doi: 10.1007/978-3-642-81406-8_15.
5
Adjuvant tamoxifen treatment of elderly women with stage II breast cancer. A double-blind comparison with placebo.
Ann Intern Med. 1985 Sep;103(3):324-9. doi: 10.7326/0003-4819-103-3-324.
6
[Internal endocrine therapy of breast cancer].
Gan To Kagaku Ryoho. 1984 May;11(5):989-98.
7
Adjuvant tamoxifen in postmenopausal breast cancer: preliminary results of a randomized trial.
Breast Cancer Res Treat. 1986;7(2):105-9. doi: 10.1007/BF01806795.
8
Quantitative oestrogen and progesterone receptor values in primary breast cancer and predictability of response to endocrine therapy.原发性乳腺癌中雌激素和孕激素受体的定量值及内分泌治疗反应的可预测性
Clin Oncol. 1983 Sep;9(3):245-50.
9
Adjuvant therapy with tamoxifen in operable breast cancer. 10 year results of the Naples (GUN) study.他莫昔芬辅助治疗可手术乳腺癌。那不勒斯(GUN)研究的10年结果。
Lancet. 1988 Nov 12;2(8620):1095-9.
10
Chemoendocrine compared with endocrine adjuvant therapies for node-negative breast cancer: predictive value of centrally reviewed expression of estrogen and progesterone receptors--International Breast Cancer Study Group.化疗内分泌与内分泌辅助治疗用于淋巴结阴性乳腺癌的比较:雌激素和孕激素受体中心评估表达的预测价值——国际乳腺癌研究组
J Clin Oncol. 2008 Mar 20;26(9):1404-10. doi: 10.1200/JCO.2007.10.6393.

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Adjuvant chemo-endocrine therapy for androgen-dependent mammary tumor in mice.
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