Bontenbal M, de Wit R, Klijn J G, Seynaeve C
Academisch Ziekenhuis Rotterdam-Daniel den Hoed Kliniek, afd. Interne Oncologie, Rotterdam.
Ned Tijdschr Geneeskd. 1998 Jul 25;142(30):1709-13.
Metastatic breast cancer is still an incurable disease. Standard hormonal and chemotherapeutic treatment modalities yield at the best a survival advantage of 1 to 2 years. However, palliation is still the second, very important goal of treatment for metastatic disease. First-line chemotherapeutic treatment with an anthracycline-containing regimen induces a response in about half the patients. In second-line treatment docetaxel is an effective agent even in patients failing first-line therapy with an anthracycline-containing regimen. There is no effective standard third-line chemotherapy scheme.
转移性乳腺癌仍然是一种无法治愈的疾病。标准的激素和化疗治疗方式最多只能带来1至2年的生存优势。然而,姑息治疗仍然是转移性疾病治疗的第二个非常重要的目标。含蒽环类药物的一线化疗方案可使约一半的患者产生反应。在二线治疗中,多西他赛即使对含蒽环类药物一线治疗失败的患者也是一种有效的药物。目前尚无有效的标准三线化疗方案。