首页|曲妥珠单抗联合多西他赛和替吉奥对复发转移性乳腺癌血清肿瘤标志物和凋亡因子的影响

曲妥珠单抗联合多西他赛和替吉奥对复发转移性乳腺癌血清肿瘤标志物和凋亡因子的影响

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目的 观察曲妥珠单抗联合多西他赛和替吉奥对复发转移性乳腺癌血清肿瘤标志物和凋亡因子的影响。方法 选取西安国际医学中心医院2020年8月至2023年8月收治的86例复发转移性乳腺癌患者,按照随机数字表法分为2组,各43例,对照组采用多西他赛和替吉奥治疗,研究组在对照组的基础上联用曲妥珠单抗,比较2组的临床疗效。结果 研究组治疗总有效率和卡氏(KPS)评分高于对照组,且环氧化酶-2(COX-2)、诱骗受体3(DcR3)、糖类抗原153(CA153)、乳腺癌易感基因1(BRCA1)、血管内皮生长因子(VEGF)和癌胚抗原(CEA)水平均低于对照组,无进展生存期长于对照组(P<0。05)。结论 曲妥珠单抗联合多西他赛和替吉奥治疗复发转移性乳腺癌效果较好,可有效降低肿瘤标志物、血管内皮因子和凋亡因子表达水平,改善患者生存质量和免疫功能,临床疗效和安全性更高。
Effects of trastuzumab combined with docetaxel and tegio on serum tumor markers and apoptosis factors in recurrent and metastatic breast cancer
Objective To observe the effect of trastuzumab combined with docetaxel and tegeol on serum tumor markers and apoptosis factors in recurrent and metastatic breast cancer.Methods A total of 86 patients with recurrent and metastatic breast cancer admitted to Xi'an International Medical Center Hospital from August 2020 to August 2023 were selected and divided into the study group and the control group according to the random number table method,43 patients in each group.The control group was treated with docetaxel and tegeol.The study group was combined with trastuzumab on the basis of the control group,then compare the clinical efficacy of the two groups.Results The total effective rate and KPS score of the study group were higher than those of the control group,and the levels of cyclooxygenase-2(COX-2),decoy receptor 3(DcR3),carbohydrate antigen 153(CA153),breast cancer susceptibility gene 1(BRCA1),vascular endothelial growth factor(VEGF)and carcinoembryonic antigen(CEA)were lower than those of the control group,and the progression free survival period was longer than that of the control group(P<0.05).Conclusion Trastuzumab combined with docetaxel and tegeol is effective in the treatment of recurrent and metastatic breast cancer,which can effectively reduce the expression of tumor markers,vascular endothelial factor and apoptosis factor,improve the quality of life and immune function of patients,and have higher clinical efficacy and safety.

NtrastuzumabDocetaxelTegioRecurrent and metastatic breast cancerTumor markersApoptosis factorVascular endothelial factor

尚晨星、姜鹏、张颖琦

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710000 西安国际医学中心医院放射治疗科

曲妥珠单抗 多西他赛 替吉奥 复发转移性乳腺癌 肿瘤标志物 凋亡因子 血管内皮因子

2024

山西医药杂志
山西医药卫生传媒集团有限责任公司

山西医药杂志

影响因子:0.504
ISSN:0253-9926
年,卷(期):2024.53(23)