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1995年7月~1997年12月,用含泰素的联合化疗方案治疗了阿霉素抗药的晚期乳腺癌20例,其中ETP方案治疗12例,TIM方案治疗4例,TE方案治疗2例,CTF方案、TI方案治疗各1例。全组化疗共74周期,中位周期数3.5周期(2~6周期)。结果,CR4例,PR10例,MR2例,SD1例,PD3例,总有效率(CR+PR)70%。全组中位缓解期7个月(2~13个月)。主要剂量限制毒性为骨髓抑制,以白细胞减少为主,Ⅲ度~Ⅳ度白细胞减少发生率为43%。与泰素相关的常见不良反应为脱发、肌肉/关节痛和周围神经痛,发生率分别为100%、80%和40%,均为轻、中度,停药后可恢复。我们认为含泰素的联合化疗对阿霉素耐药的转移性乳腺癌有很好的疗效,可以考虑作为第二线治疗方案
From July 1995 to December 1997, 20 patients with adriamycin-resistant advanced breast cancer were treated with a combination chemotherapy regimen containing Taxol, including 12 patients with ETP regimen, 4 patients with TIM regimen, and 2 patients with TE regimen. , CTF program, TI program treatment in 1 case. A total of 74 cycles of chemotherapy were performed in the whole group, with a median cycle of 3.5 cycles (2 to 6 cycles). As a result, there were 4 cases of CR, 10 cases of PR, 2 cases of MR, 1 case of SD, 3 cases of PD, and a total effective rate (CR+PR) of 70%. The median remission period of the whole group was 7 months (2 to 13 months). The main dose-limiting toxicity was myelosuppression, with neutropenia predominant, with a neutropenia of grade III-IV of 43%. The common adverse reactions associated with Taxol were hair loss, muscle/joint pain, and peripheral neuralgia. The incidences were 100%, 80%, and 40%, respectively. Both were mild to moderate and could be recovered after drug withdrawal. We believe that combination therapy with paclitaxel has a good effect on adriamycin-resistant metastatic breast cancer and can be considered as a second-line treatment option