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[蒽环类药物治疗失败后对米托蒽醌(MIT)和醋酸甲羟孕酮(MPA)联合治疗有显著反应的晚期乳腺癌:病例报告]

[Advanced breast cancer with remarkable response to the combination therapy of mitoxantrone (MIT) and medroxyprogesteron acetate (MPA) after failure of anthracycline therapy: a case report].

作者信息

Izumi M, Iino Y, Yokoe T, Inoue T, Yamada T, Kobayashi I, Andoh T, Yokota T, Iijima T, Morishita Y

机构信息

Dept. of Surgery, Maebashi Kyoritsu Hospital, Gunma University School of Medicine.

出版信息

Gan To Kagaku Ryoho. 1994 Feb;21(2):265-8.

PMID:8311500
Abstract

A 67-year-old advanced breast cancer patient with multiple bone metastases showed a remarkable response to the combination therapy of mitoxantrone (MIT) and medroxyprogesteron acetate (MPA) after failure of anthracycline therapy. Eight course of CTF (cyclophosphamide, THP-adriamycin, 5-fluorouracil) and subsequent 4'-epi-adriamycin were performed for locally advanced breast cancer and multiple bone metastases, but the ulcerated breast cancer enlarged. Then the combination therapy of MIT (10 mg/day) and MPA (1,200 mg/day) was carried out. Seven months after treatment, the ulcerated breast cancer disappeared completely and the serum levels of CA 15-3, TPA and CEA decreased within the normal range. These results suggest that combination therapy with mitoxantrone may well be effective against the anthracycline-resistant breast cancer.

摘要

一名67岁的晚期乳腺癌伴多发骨转移患者,在蒽环类药物治疗失败后,对米托蒽醌(MIT)和醋酸甲羟孕酮(MPA)联合治疗表现出显著反应。该患者针对局部晚期乳腺癌和多发骨转移接受了8个疗程的CTF(环磷酰胺、吡柔比星、5-氟尿嘧啶)治疗以及随后的表柔比星治疗,但溃疡性乳腺癌仍增大。随后进行了MIT(10毫克/天)和MPA(1200毫克/天)的联合治疗。治疗7个月后,溃疡性乳腺癌完全消失,血清CA 15-3、组织多肽抗原(TPA)和癌胚抗原(CEA)水平降至正常范围。这些结果表明,米托蒽醌联合治疗可能对耐蒽环类药物的乳腺癌有效。

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