摘要
[目的]对比分析多西他赛联合表柔比星加/不加环磷酰胺(TEC/TE)两种新辅助化疗方案治疗乳腺癌的近期疗效。[方法]回顾性分析2006~2009年收治的Ⅱ~Ⅲ期乳腺癌新辅助化疗患者108例的临床病理资料,分别术前接受新辅助化疗的TE方案(n=62)及TEC方案(n=46),两组患者均在术前接受2~4个周期化疗。TE方案:多西他赛75mg/m2,第1天静脉滴注;表柔比星(EPI)60mg/m2,第1天静脉滴注。[结果]全组108例患者均可评价疗效,CR 10例(9.25%),PR 75例(69.44%)。TE组有效率为75.81%,而TEC组有效率为82.61%,两组有效率无统计学差异(χ2=0.729,P=0.392)。Ⅱ期患者28例均生存。Ⅲ期患者80例3年生存率为82.4%,其中TE组44例3年生存率为74.6%;而TEC组36例3年生存率为91.8%,差异有统计学意义(χ2=4.149,P=0.042)。[结论]在Ⅱ~Ⅲ期乳腺癌患者新辅助化疗中,TE与TEC方案近期疗效相似,TEC组3年生存率较佳,有待于进一步加大样本量进行研究。
[Purpose] To compare the short-term efficacy of two neoadjuvant chemotherapy regimens:TE regimen(docetaxel,epirubicin) versus TEC regimen(docetaxel,epirubicin plus cyclophosphamide).[Methods] The clinical data of 108 breast cancer patients with stage Ⅱ~Ⅲ from 2006to 2009 were analyzed retrospectively. All the patients received neoadjuvant chemotherapy with TE(n=62) or TEC(n=46) regimen for 2~4 cycles before surgery. [Results] The assessments of 108patients were available, 10 cases achieved CR(9.25%) and 75 cases achieved PR(69.44%). The response rate of TE group was 75.81%,and TEC group was 82.61% with no significant difference(χ2=0.729,P =0.392). Twenty-eight patients with stage Ⅱ were all survival during the follow-up.The 3-year overall survival in 80 patients stage Ⅲ was 82.4%, and 3-year overall survival in TE group(n=44) was 74.6% and 82.4% in TEC group(n=36) with significant difference(χ2=4.149,P=0.042). [Conclusion] The short-term efficacy of TE and TEC neoadjuvant chemotherapy regimens in stage Ⅱ~Ⅲ breast cancer patients are similar. The 3-year overall survival rate might be higher in TEC group. It should be further researched with larger samples.
出处
《中国肿瘤》
CAS
2013年第11期926-930,共5页
China Cancer
关键词
乳腺癌
新辅助化疗
多西他赛
表阿霉素
breast cancer
neoadjuvant chemotherapy
docetaxel
epirubicin