BRCA1和EGFR是多西他赛联合顺铂方案治疗的三阴性乳腺癌预后的重要标志物

来源 :中德临床肿瘤学杂志(英文版) | 被引量 : 0次 | 上传用户:liweibin522
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: The triple negative (TN) metastatic breast cancer (MBC) patients are known to have worse prognosis, shorter progressive free survival (PFS), and overall survival (OS), that mandates using aggressive chemotherapy regimens. This phase II study aimed at investigating the efficacy and safety of using cisplatin and docetaxel in patients with triple negative metastatic breast cancer, and the possibility of using breast cancer susceptibility genei (BRCA1) expression as a predictive marker of chemotherapy response, and epidermal growth factor receptor (EGFR) as prognostic marker. Method: Between January 2006 and March 2009,40 eligible patients with TN MBC were included in the study. We examined BRCA1 expression and EGFR protein in their specimens using immunohistochemistry. The patients were treated with cisplatin 75 mg/m2 and docetaxel 75 mg/m2 every 3 weeks, TN measurable MBC patients previously treated with anthracycline in their adjuvant or neo adjuvant settings were included in the study. Results: The median age of the treated patients was 43.5 years. Nearly half of the patients had an ECOG performance status of 0 or 1, and about third of them had one metastatic site. These metastatic sites were predominantly visceral in 80% of the patients. Fifty-five percent of TNMBC stained positive for BRCA1 and sixty-five percent for EGFR. Positivity for both markers was significantly associated with grade III tumors (P = 0.004), OS, and PFS (P = 0.001 and 0.009) respectively. Overall, the regimen was well tolerated as Gill vomiting and neurological side effects were observed in 20% of the patients. Other toxicities were generally mild and medically manageable; with no treatment mortality was recorded. The overall disease control rate (ODCR) was 60%; the median PFS was 8 months, with a median overall OS of 17.5 months; while the median OS among responders was 23 months (95% Cl 21.35 to 25.32). The patients with negative EGFR had a significantly better OR, PFS, and OS than EGFR positive cases. There was no significant difference concerning OR, PFS, and OS, between positive and negative BRCA1 cases, which could be attributed to the better efficacy of cisplatin in the positive BRCA1 cases. Conclusion: This chemotherapy regimen is effective with tolerable toxicity profile, our results point out the importance of BRCA1 expression as predictive marker of chemotherapy response, and EGFR as prognostic marker, which could identify a certain group of patients with more aggressive disease who might benefit from using anti EGFR targeted therapy plus cisplatin.
其他文献
目的分析郴州市肺结核疫情动态,为预防和控制肺结核提供科学依据。方法对13年间的肺结核疫情资料进行描述流行病学分析。结果郴州市1997-2009年肺结核年均发病率为60.74/10万
目的 探讨血浆同型半胱氨酸浓度与再发脑梗死之间的关系.方法 采用酶免疫法分别检测初发脑梗死组、再发脑梗死组和正常对照组的血浆同型半胱氨酸浓度.结果 初发脑梗死组和再
2011 CIT中国影音集成科技展于7月8日上午9:30在国家会议中心隆重开幕。本次展会得到了各级领导、国内外资深专家、各界朋友以及众多合作伙伴的大力支持。开幕当天就吸引了数
公元960年,北宋王朝,定都河南开封.公元1127年,康王赵构偏安江南,建都临安(今浙江杭州),史称南宋.作为文化高度发达的朝代,宋代服饰文化在中国服饰文化发展史上起着承上启下
推动网上商业发展是上海建设国际贸易中心的需要,是加快上海商业创新、提升能级的需要,是促进上海产业转型升级的重要抓手之一据中国电子商务研究中心数据显示,国内网上商业
近年来,随着我国经济的不断发展,对于财务管理也提出了新的要求.因为财务管理在企业经营中起着非常重要的作用。财务管理,也越来越受到企业的重视,良好的财务管理模式对于提高企业
制造业不仅为人们提供工作,下一代技术创新将会与生产工艺密切相关。美国是世界上最大的制造业强国之一,制造出占世界制成品19.4%的产品,仅排在市场占有率为19.8%的中国之后
目的 根据胃癌术后不同时期的腹腔B超表现,探讨胃癌术后腹腔B超探测的必要性。方法 胃癌切除术115例,术中均于肝下和/或左上腹放置多侧孔引流管。术后 1、3、5、7、10 天作
高血压、糖尿病和动脉粥样硬化等是急性脑梗死明确的危险因素,胰岛素抵抗(insulin resistance,IR)是高血压、动脉粥样硬化和冠状动脉粥样硬化性心脏病(冠心病)的独立危险因素
期刊
目的 探讨系统护理干预对食管癌切除术患者镇痛效果和术后身体恢复的影响.方法 择期食管癌切除术患者200例,随机分成观察组和对照组各100例.对照组进行常规的术后疼痛护理,观