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[转移性乳腺癌的附加治疗,特别涉及绝经后年龄(一项随机研究的结果)]

[Additive treatment of metastasizing breast cancer with special reference to postmenopausal age (results of a randomized study)].

作者信息

Firusian N, Schietzel M

出版信息

Strahlentherapie. 1976 Sep;152(3):235-47.

PMID:968923
Abstract

Two therapy groups were formed at random out of 82 patients with progressive carcinoma of the breast. One was treated with estrogens, namely 17-ethinyl 1,3,5-estratriene 3,17 diol (SH 8.1083). The second group was treated with depot preparations consisting of a combination of estrogens and gestagens; these patients received 90 mg estradiol valerianate and 300 mg 17-hydroxy-19-norprogesterone caproate (SH 8.0834) weekly. The estrogen therapy resulted in a remission rate of 48% (complete remission 21.1%, partial remission 26.9%). The remission rate of the combination treatment was 46.6% (complete remission 23.3%, partial remission 23.3%). There was no considerable difference between the remission rates produced by the two therapeutik methods. It is remarkable that much more osseous remissions were found under the combination therapy of estrogens and gestagens. There were no substantial differences between the remission rates of the soft-tissue metastases and the pleuropulmonary metastases. In the estrogen group the remissions took 7.7 months, whereas an average remission period of 8.3 months was observed in the estrogen-gestagen group.

摘要

82例晚期乳腺癌患者被随机分为两个治疗组。一组接受雌激素治疗,即17-乙炔基-1,3,5-雌三烯-3,17-二醇(SH 8.1083)。第二组接受由雌激素和孕激素组合而成的长效制剂治疗;这些患者每周接受90毫克戊酸雌二醇和300毫克己酸17-羟基-19-去甲孕酮(SH 8.0834)。雌激素治疗的缓解率为48%(完全缓解21.1%,部分缓解26.9%)。联合治疗的缓解率为46.6%(完全缓解23.3%,部分缓解23.3%)。两种治疗方法产生的缓解率之间没有显著差异。值得注意的是,在雌激素和孕激素联合治疗下发现了更多的骨转移缓解。软组织转移和胸膜肺转移的缓解率之间没有实质性差异。在雌激素组,缓解持续7.7个月,而在雌激素-孕激素组观察到的平均缓解期为8.3个月。

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