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氨鲁米特在晚期乳腺癌患者激素治疗中的应用

[Use of aminoglutethimide in the hormonal treatment of patients with advanced breast cancer].

作者信息

Wojtacki J, Dziewulska-Bokiniec A, Czech I

机构信息

Kliniki Chirurgii Onkologicznej AM w Gdańsku.

出版信息

Ginekol Pol. 1994 Sep;65(9):508-11.

PMID:7721164
Abstract

54 patients (pts) with metastatic breast cancer were treated with aminoglutethimide 250 mg p.o. twice a day with hydrocortisone 40 mg p.o./day. All pts were postmenopausal, mean age 63 years, and pretreated with cytostatics and/or hormones. Dominant sites of metastases were: soft tissues 29 pts. bone 12 pts. lungs 6 pts. Objective responses were: 4 (7.4%) CR, 15 (27.8%) PR, 16 (29.6%) NC and 19 (35.2%) PD (UICC criteria). The response (CR + PR) at metastatic sites was: soft tissues 12 (41%), bone 4 (33%). The mean response duration was 15.0 months for CR; 10.2 for PR and 5.5 months for NC. The results of the study confirm that low--dose aminoglutethimide is an effective second-line hormonal treatment of advanced breast cancer.

摘要

54例转移性乳腺癌患者接受氨鲁米特治疗,口服250毫克,每日两次,并口服氢化可的松40毫克/天。所有患者均为绝经后女性,平均年龄63岁,此前接受过细胞抑制剂和/或激素治疗。转移的主要部位为:软组织29例,骨12例,肺6例。客观反应为:4例(7.4%)完全缓解(CR),15例(27.8%)部分缓解(PR),16例(29.6%)病情稳定(NC),19例(35.2%)病情进展(PD)(国际抗癌联盟标准)。转移部位的反应(CR+PR)为:软组织12例(41%),骨4例(33%)。完全缓解的平均反应持续时间为15.0个月;部分缓解为10.2个月,病情稳定为5.5个月。研究结果证实,低剂量氨鲁米特是晚期乳腺癌有效的二线激素治疗药物。

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