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岭南现代临床外科 ›› 2011, Vol. 11 ›› Issue (06): 417-419.

• 论著 • 上一篇    下一篇

单用蒽环类与紫杉醇+蒽环类在Luminal A型乳腺癌疗效的对照研究

黄恒1,崔彬2,米明2,刘付霖2,石育芬2,林春妙2   

  1. 1. 广东省廉江市人民医院
    2. 廉江市人民医院
  • 通讯作者: 黄恒

Anthracycline-Based Regimen is Enough for Luminal A Type Early Stage Breast Cancer

  • Received:2011-10-11 Revised:2011-11-27 Online:2011-12-20 Published:2011-12-20

摘要: 目的 回顾性研究Luminal A型可手术乳腺癌患者在含蒽环类的化疗方案之上加用紫杉醇类是否能提高患者的DFS及OS。方法 收集2006年1月到2009年1月可手术乳腺癌患者126例,根据化疗方案不同分为两组,T组83例,A组43例。回顾性分析两组患者的年龄、肿物大小、淋巴结状态、病理类型以及预后。分析对比两组的DFS及OS的差别。结果 两组患者在年龄、肿物大小、淋巴结状态均无统计学差异;在中位随访41.1个月后,两组的DFS分别为T组94.0%,A组95.3%(P=0.75),OS分别为T组95.2%,A组97.7%(P=0.48),均无统计学差异。结论 对于Luminal A型的可手术乳腺癌患者化疗方案的选择,单含蒽环类的化疗已足够,加用紫杉醇类的药物并不能增加患者的获益。

关键词: 乳腺癌,Luminal A型,蒽环类药物

Abstract: [Objective] To retrospectively investigate whether the use of docetaxel or paclitaxel adding to anthracycline-based regimen can improve the DFS and OS in luminal A type early stage breast cancer patients. [Methods] From January 2006 to January 2008, there were one hundred and twenty- six patients with Luminal A type early stage breast cancer included in this retrospective study. They were separated into two group according the different chemotherapy regimens, T group 83 patients and A group 43patients. The patients’ age, tumor size, lymph node status, pathology type, DFS and OS were compared between two groups. [Results] The patients’ age, tumor size and lymph node status were no significantly different between the two group. After a median follow-up of 41.1 moths, the DFS and OS was no significantly different between the two group, T 94.0% VS A 95.3%; P=0.75, and T 95.2% VS A 97.7%; P=0.48, separately. [Conclusion] Anthracycline-based regimen is enough for Luminal A type early stage breast cancer, the use of docetaxel or paclitaxel can not improve patients DFS and OS.

Key words: breast cancer, Luminal A type, anthracycline.

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