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紫杉醇联合顺铂治疗晚期乳腺癌30例临床观察

The Clinical Observation of Combined Chemotherapy Paclitaxel and Cisplatin in Treatment of Stage Advanced Breast Cancer of 30 Cases

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【作者】 种道群袁蕾蕾汤良赵海波贾雪峰国桂松李强

【Author】 Chong Daoqun, Yuan Leilei, Tang Liang, Zhao Haibo, Jia Xuefeng , Guo Guisong, Li Qiang (Department of Oncology, the First People’s Hospital of Jining, Jining 272111,China)

【机构】 济宁市第一人民医院肿瘤科济宁市第一人民医院肿瘤科 山东济宁272111山东济宁272111

【摘要】 目的评价紫杉醇联合顺铂治疗晚期乳腺癌的疗效和毒副作用。方法符合入组条件的晚期乳腺癌31例,化疗前常规抗过敏治疗,化疗方案紫杉醇(TAX)175mg/m2静脉滴注d1,顺铂(DDP)30mg/m2静脉滴注d1~3,21d为1周期,化疗3周期。结果30例完成疗效观察,RR56.7%(17例),CR2例(6.7%),PR15例(50.0%)。主要毒副作用为骨髓抑制,胃肠道反应,肌肉关节痛和周围神经痛。白细胞减少的发生率96.7%,其中Ⅲ度10.0%,无Ⅳ度发生。恶心、呕吐的发生率90.0%,无Ⅲ~Ⅳ度发生。结论紫杉醇联合顺铂是一个疗效肯定、毒副作用可耐受的方案。

【Abstract】 Objective To evaluate the therapeutic effects and toxicities of TP regimen (TAX+DDP) in the treatment of advanced breast cancer. Methods 30 patients with advanced breast cancer were treated with TAX 175mg/m~2 for day 1 and DDP 30 mg/m~2 for day 1 to day 3 for three period evaluated.Results An overall response rate of 56.7%, complete response was observed in 2 patients, partial response in 15.The major toxicities including myelosuppression, nausea and vomiting myalagia/arthralgia and peripheral neuropathy. leukopenia was observed in all patients(96.7%) and grade 3 leukopenia in most of patients(10.0%),no grade 4.The rates of vomiting were 90.0%, no grade 3 and grade 4 .Conclusions Paclitaxel combined with Cisplatin regimen is an effective and tolerable for patients with advanced breast cancer .

【关键词】 乳腺癌紫杉醇顺铂药物治疗
【Key words】 breast neoplasmsPaclitaxelCisplatinchemotherapy
  • 【文献出处】 肿瘤基础与临床 ,Journal of Basic and Clinical Oncology , 编辑部邮箱 ,2006年04期
  • 【分类号】R737.9
  • 【下载频次】51
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