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乳腺癌化疗联合内分泌治疗的新进展

Recent Progresses in Concurrent Chemotherapy and Endocrine Therapy for Breast Cancer

  • 摘要: 内分泌治疗和化疗是乳腺癌全身治疗的主要手段,在乳腺癌的治疗中具有极其重要的地位。当前的临床实践中,对于激素受体阳性的乳腺癌患者,早期辅助治疗、局部晚期新辅助治疗或晚期解救治疗,无论月经状态和使用何种药物,内分泌治疗与化疗都普遍采取序贯的方式。化疗与内分泌治疗联合是否会影响疗效及药物的安全性,目前仍存在一定争论。既往的研究表明将两者同时使用并没有产生预期的疗效叠加结果,反而影响化疗疗效。但近年来一系列研究进展显示出化疗与内分泌治疗联合具有一定的临床应用价值,本文就乳腺癌化疗联合内分泌治疗的最新研究进展作一综述。

     

    Abstract: Chemotherapy(CT) and endocrine therapy (ET) both are major and important systematic treatments for breast cancer. In the clinical practice, the clinicians prefer to afford CT followed by ET rather than concurrent CT and ET to early or advanced hormone receptor-positive breast cancer patients, regardless of menstrual state or regimen. There is no consensus about the efficacy and safety of concurrent CT and ET. Previous trials showed that the concurrent CT and ET is not beneficial, even contrary. However, some recent studies showed that the concurrent CT and ET may significantly improve the survival of breast cancer patients, which is worth more researches.

     

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