Adjuvant treatment for triple-negative breast cancer: a retrospective study of immunotherapy with au

来源 :癌症生物学与医学(英文版) | 被引量 : 0次 | 上传用户:xiaochongcheng
下载到本地 , 更方便阅读
声明 : 本文档内容版权归属内容提供方 , 如果您对本文有版权争议 , 可与客服联系进行内容授权或下架
论文部分内容阅读
Objective:To examine the efficacy and safety of a sequential combination of chemotherapy and autologous cytokine-induced killer (CIK) cell treatment in triple-negative breast cancer (TNBC) patients. Methods:A total of 294 post-surgery TNBC patients participated in the research from January 1, 2009 to January 1, 2015. After adjuvant chemotherapy, autologous CIK cells were introduced in 147 cases (CIK group), while adjuvant chemotherapy alone was used to treat the remaining 147 cases (control group). The major endpoints of the investigation were the disease-free survival (DFS) and overall survival (OS). Additionally, the side effects of the treatment were evaluated. Results:In the CIK group, the DFS and OS intervals of the patients were significantly longer than those of the control group (DFS:P = 0.047; OS:P = 0.007). The multivariate analysis demonstrated that the TNM (tumor-node-metastasis) stage and adjuvant CIK treatment were independent prognostic factors for both DFS [hazard ratio (HR) = 0.520, 95% confidence interval (CI):0.271-0.998,P = 0.049; HR = 1.449, 95% CI:1.118-1.877,P = 0.005, respectively] and OS (HR=0.414, 95% CI:0.190-0.903,P = 0.027; HR= 1.581, 95% CI:1.204-2.077,P = 0.001, respectively) in patients with TNBC. Additionally, longer DFS and OS intervals were associated with increased number of CIK treatment cycles (DFS:P = 0.020; OS:P = 0.040). The majority of the patients who benefitted from CIK cell therapy were relatively early-stage TNBC patients. Conclusion:Chemotherapy in combination with adjuvant CIK could be used to lower the relapse and metastasis rate, thus effectively extending the survival time of TNBC patients, especially those at early stages.
其他文献
期刊
期刊
简单介绍了超临界流体的特性 ,着重对国内外超临界技术在化学工业中的应用状况进行了综述 ,并指出了超临界技术的发展方向。 The characteristics of supercritical fluid a
期刊
期刊
期刊
期刊
期刊
期刊
期刊