首页|帕妥珠单抗联合白蛋白结合型紫杉醇和卡铂治疗人表皮生长因子受体2阳性晚期乳腺癌患者的疗效

帕妥珠单抗联合白蛋白结合型紫杉醇和卡铂治疗人表皮生长因子受体2阳性晚期乳腺癌患者的疗效

Therapeutic effect of pertuzumab combined with albumin-bound paclitaxel and carboplatin in patients with human epidermal growth factor receptor 2-positive advanced breast cancer

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目的 探讨帕妥珠单抗联合白蛋白结合型紫杉醇和卡铂治疗人表皮生长因子受体2(HER2)阳性晚期乳腺癌患者的疗效.方法 根据治疗方式的不同将108例HER2阳性晚期乳腺癌患者分为观察组(n=63)和对照组(n=45),对照组患者给予白蛋白结合型紫杉醇联合卡铂治疗,观察组患者给予帕妥珠单抗联合白蛋白结合型紫杉醇和卡铂治疗.比较两组患者的肿瘤标志物[癌胚抗原(CEA)、糖类抗原125(CA125)、糖类抗原15-3(CA15-3)]水平、血管内皮生长因子(VEGF)水平、临床疗效及不良反应发生情况.结果 治疗后,两组患者CEA、CA125、CA15-3、VEGFA、VEGFB 水平均低于本组治疗前,观察组患者 CEA、CA125、CA15-3、VEGFA、VEGFB水平均低于对照组,差异均有统计学意义(P<0.05).观察组患者的疾病控制率高于对照组,差异有统计学意义(P<0.05).两组患者的不良反应总发生率比较,差异无统计学意义(P>0.05).结论 帕妥珠单抗联合白蛋白结合型紫杉醇和卡铂治疗HER2阳性晚期乳腺癌患者的疗效显著,可降低肿瘤标志物及VEGFA、VEGFB水平,且具有一定的安全性.
Objective To explore the therapeutic effect of pertuzumab combined with albumin-bound paclitaxel and carboplatin in patients with human epidermal growth factor receptor 2(HER2)-positive advanced breast cancer.Method According to different treatment methods,108 patients with HER2-positive advanced breast cancer were divided into ob-servation group(n=63)and control group(n=45).Patients in the control group were treated with albumin-bound paclitax-el combined with carboplatin,and patients in the observation group were treated with pertuzumab combined with albu-min-bound paclitaxel and carboplatin.The tumor markers[carcinoembryonic antigen(CEA),carbohydrate antigen 125(CA125),carbohydrate antigen 15-3(CA15-3)]levels,vascular endothelial growth factor(VEGF)levels,clinical effica-cy and adverse reactions were compared between the two groups.Result After treatment,the CEA,CA125,CA15-3,VEGFA and VEGFB levels in both groups were lower than those before treatment,and the CEA,CA125,CA15-3,VEGFA and VEGFB levels in observation group were lower than those in control group,and the differences were statisti-cally significant(P<0.05).The disease control rate of observation group was higher than that of control group,and the dif-ference was statistically significant(P<0.05).There was no significant difference in the total incidence of adverse reac-tions between the two groups(P>0.05).Conclusion Pertuzumab combined with albumin-bound paclitaxel and carboplat-in have significant efficacy in the treatment of HER2-positive advanced breast cancer patients,which can reduce the lev-els of tumor markers and VEGFA,VEGFB,and has a certain safety.

pertuzumabalbumin-bound paclitaxelcarboplatinhuman epidermal growth factor receptor 2ad-vanced breast cancer

李鸿业、张菡、温琳琳、梁丽

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郑州大学第一附属医院药学部,郑州 450000

郑州大学第一附属医院肿瘤科,郑州 450000

帕妥珠单抗 白蛋白结合型紫杉醇 卡铂 人表皮生长因子受体2 晚期乳腺癌

2024

癌症进展
中国医学科学院,北京协和医学院

癌症进展

影响因子:1.004
ISSN:1672-1535
年,卷(期):2024.22(18)