陈 峰,沈霞平,边林莉.TE方案与TEC方案在乳腺癌新辅助化疗中的疗效比较[J].中国肿瘤,2013,22(11):926-930.
TE方案与TEC方案在乳腺癌新辅助化疗中的疗效比较
Comparion of TE Regimen and TEC Regimen in Neoadjuvant Chemotherapy for Breast Cancer
投稿时间:2013-06-26  
DOI:10.11735/j.issn.1004-0242.2013.11.A019
中文关键词:  乳腺癌  新辅助化疗  多西他赛  表阿霉素
英文关键词:breast cancer  neoadjuvant chemotherapy  docetaxel  epirubicin
基金项目:
作者单位
陈 峰 浙江萧山医院 
沈霞平 浙江萧山医院 
边林莉 浙江萧山医院 
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中文摘要:
      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(?字2=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(?字2=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。
英文摘要:
      Abstract:[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 2006 to 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 108 patients 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 (?字2=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(?字2=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.
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