Sauer H, Jehn U, Wilmanns W
Klin Wochenschr. 1979 Sep 17;57(18):921-6. doi: 10.1007/BF01478548.
There is no well defined group of patients with primary breast cancer which benefits from combination chemotherapy as an adjuvant treatment, since, at present, the effect of this therapy in respect to the duration of disease-free interval, survival, and possible long-term side effects remain unknown. Therefore, controlled studies need to be initiated. Similarly, there seems to be no beneficial effect from unspecific immunotherapy. As far as combination chemotherapy in advanced breast cancer is concerned, we review on four different protocols which proved to be quite successful in our hands: adriamycine/cyclophosphamide (AC), cyclophosphamide/methotrexate/5-fluorouracil (CMF), CMF/vincristine/prednisone (CMFVP), and adriamycine/vincristine plus CMF plus Tamoxifen.
目前尚无明确的原发性乳腺癌患者群体能从辅助性联合化疗中获益,因为目前这种疗法对无病间期、生存率以及可能的长期副作用的影响仍不清楚。因此,需要开展对照研究。同样,非特异性免疫疗法似乎也没有益处。至于晚期乳腺癌的联合化疗,我们回顾了四种在我们手中被证明相当成功的不同方案:阿霉素/环磷酰胺(AC)、环磷酰胺/甲氨蝶呤/5-氟尿嘧啶(CMF)、CMF/长春新碱/泼尼松(CMFVP)以及阿霉素/长春新碱加CMF加他莫昔芬。