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长效雌激素Turisteron治疗转移性乳腺癌的临床经验(作者译)

[Clinical experience with the depot estrogen Turisteron in the treatment of metastatic breast cancer (author's transl)].

作者信息

Gürtler R, Tanneberger S, Bodek B, Morack G

出版信息

Arch Geschwulstforsch. 1982;52(2):129-39.

PMID:7103689
Abstract

Turisteron is a depot estrogen with an average biological half-life of six days. It has the advantage compared to other oral estrogens that it can be administered once a week p.o. Forty late postmenopausal patients with metastatic breast cancer received Turisteron. Overall 19 (47,5%) had a positive response. An objective remission rate (tumor regression of greater than 50%) was achieved in 12 patients (30%). To date the mean duration of response is 27 months for complete remissions and 10 months for partial remissions. The risk-response relationship for Turisteron in older patients is favourable compared to that of polychemotherapy and it is therefore recommended that Turisteron be used as the initial therapy of choice for patients with metastatic breast cancer who are more than 5 years postmenopausal. Indications and contraindications for Turisteron are discussed in detail.

摘要

孕三烯酮是一种长效雌激素,平均生物半衰期为6天。与其他口服雌激素相比,它具有可以每周口服给药一次的优势。40例晚期绝经后转移性乳腺癌患者接受了孕三烯酮治疗。总体上,19例(47.5%)有阳性反应。12例患者(30%)实现了客观缓解率(肿瘤消退大于50%)。迄今为止,完全缓解的平均反应持续时间为27个月,部分缓解为10个月。与多药化疗相比,孕三烯酮在老年患者中的风险-反应关系较好,因此建议将孕三烯酮用作绝经后5年以上转移性乳腺癌患者的首选初始治疗药物。文中详细讨论了孕三烯酮的适应证和禁忌证。

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