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洛铂联合卡培他滨治疗22例晚期乳腺癌的临床观察

肖华伍,欧阳取长

  

  1. 410013 长沙 湖南省肿瘤医院 中南大学湘雅医学院附属肿瘤医院乳腺内科
  • 收稿日期:2012-09-25 修回日期:2012-11-15 出版日期:2013-03-31 发布日期:2013-03-31
  • 通讯作者: 欧阳取长

Clinical observation of lobaplatin plus capecitabine in treating 22 advanced breast cancer patients

XIAO Huawu,OUYANG Quchang.

  

  1. Department of Breast Internal Medicine,Hunan Tumor Hospital,Tumor Hospital Affiliated to Xiangya Medical School,Central South University,Changsha 410013,China
  • Received:2012-09-25 Revised:2012-11-15 Online:2013-03-31 Published:2013-03-31
  • Contact: OUYANG Quchang

摘要: 目的 观察洛铂联合卡培他滨治疗晚期乳腺癌的疗效和不良反应。方法 22例晚期乳腺癌患者均采用洛铂联合卡培他滨方案治疗,具体如下:洛铂30mg/m2静滴3h,d1;卡培他滨2500mg/m2,每日分2次口服,d1~d14。3周为1个周期。按照RECIST 1.0版标准评价疗效以及WHO急性及亚急性毒性标准评价不良反应。结果 全组22例患者中,无1例获CR,获PR 9例,SD 8例,PD 5例;有效率为409%,疾病控制率为773%。中位无进展生存时间为8.9个月,中位总生存时间为14.2个月,1年生存率为72.7%。主要不良反应为胃肠道反应、骨髓抑制和手足综合征,均以1~2级为主。结论 洛铂联合卡培他滨治疗复发转移性乳-腺癌的疗效较好,不良反应轻,值得临床推广。

Abstract: Objective To evaluate the efficacy and adverse effects of lobaplatin plus capecitabine in the treatment for advanced breast cancer. Methods Twentytwo patients with advanced breast cancer accepted lobaplatin plus capecitabine chemotherapy. Lobaplatin 30mg/m2 iv 3h,d1;capecitabine 2500mg/m2 for twice daily 30min after meal with oral administration, d1d14.Three weeks was a cycle. Objective response was evaluated by RECIST 1.0 standard and adverse effects were evaluated by WHO standard.Results In the 22 patients,no one got CR,with 9 of PR,8 of SD and 5 of PD. The objective response rate was 40.9% and the disease control rate was 77.3%. The median progressionfree survival was 8.9 months and the median overall survival was 14.2 months. The main adverse effects were gastrointestinal reaction,bone marrow suppresion and handfoot syndrome,mainly in grade 1-2. Conclusion Lobaplatin plus capecitabine regimen is effective and well tolerated for advanced breast cancer,worthy of further clinical study.

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