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戈舍瑞林联合依西美坦治疗绝经前转移性乳腺癌的临床观察 被引量:5

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摘要 目的:探讨戈舍瑞林联合依西美坦治疗绝经前转移性乳腺癌的效果。方法:采用戈舍瑞林联合依西美坦治疗绝经前激素受体阳性且人类表皮生长因子受体-2阴性的转移性乳腺癌患者17例,采用戈舍瑞林3.6mg,皮下注射,每28天1次;依西美坦25mg,口服,每日1次。研究终点为疾病无进展生存期(PFS)。结果:部分缓解(PR)4例(23.5%),稳定(SD)7例(41.2%),SD≥6个月以上6例(35.3%),进展(PD)6例(35.3%)。总有效率(ORR)23.5%,临床获益率(CB)58.8%,中位PFS 14(4~46)个月。无内脏转移者CB显著高于有内脏转移者(P〈0.05),且PFS较有内脏转移者显著延长(P=0.037)。不良反应主要为骨密度降低和潮热。结论:戈舍瑞林联合阿依西美坦是一种有效且安全的治疗绝经前转移性乳腺癌的方案。
作者 袁建良 张华
出处 《交通医学》 2016年第3期267-268,271,共3页 Medical Journal of Communications
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