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TKI类抗血管药物治疗晚期乳腺癌效果及安全性观察

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目的:评估晚期乳腺癌患者使用酪氨酸激酶抑制剂(TKI)类抗血管药物的效果和安全性.方法:回顾性分析 2020 年 6 月—2022 年 7 月在吉林省肿瘤医院晚期乳腺癌治疗的 102 例患者,将接受TKI类抗血管药物患者所接受治疗方案将患者作为观察组(41 例),同期接受白蛋白结合型紫杉醇治疗作为对照组(61 例).对比两组客观缓解率(ORR)、临床获益率(CBR)、无进展生存时间(PFS)、总生存时间(OS);检测血清肿瘤标志物[癌胚抗原(CEA)、糖类抗原(CA)153、组织多肽特异抗原(TPS)];按照CTCAE 4.0 标准进行分类和记录不良反应.结果:观察组ORR为 34.15%,CBR为 58.54%,PFS为(11.51±1.64)个月,OS为(28.45±4.84)个月.治疗后,同对照组相比,观察组CEA、CA153、TPS更低,差异均有统计学意义(P<0.05).观察组 1 级、2 级、3 级、4 级不良反应与对照组相比,差异均无统计学意义(P>0.05).结论:TKI类抗血管药物在晚期乳腺癌治疗中显示出一定的效果,具有较高的疾病控制率和可接受的安全性.然而鉴于缺乏完全缓解病例,未来研究需进一步探索与其他治疗方法的联合应用,以提高晚期乳腺癌患者的总体治疗效果.
Observation of the Efficacy and Safety of TKI Class Anti-angiogenic Drugs in the Treatment of Advanced Breast Cancer
Objective:To evaluate the efficacy and safety of tyrosine kinase inhibitors(TKI)anti-angiogenic drugs in patients with advanced breast cancer.Method:A retrospective analysis was conducted on 102 advanced breast cancer patients treated at Jilin Cancer Hospital from June 2020 to July 2022.Patients received TKI anti-angiogenic drugs were designated as the observation group(41 cases),while those received albumin-bound paclitaxel were selected as the control group(61 cases).The objective response rate(ORR),clinical benefit rate(CBR),progression-free survival(PFS),overall survival(OS)were compared;serum tumor markers[carcinoembryonic antigen(CEA),cancer antigen(CA)153,tissue polypeptide-specific antigen(TPS)]were measured;adverse reactions were classified and recorded according to CTCAE 4.0 criteria.Result:The ORR of the observation group was 34.15%,and the CBR was 58.54%,PFS was(11.51±1.64)months,and OS was(28.45±4.84)months.Post-treatment,the levels of CEA,CA153 and TPS in the observation group were significantly lower than those in the control group,the differences were statistically significant(P<0.05).There were no statistically significant differences in grade 1,2,3,and 4 adverse reactions between the observation and control groups(P>0.05).Conclusion:TKI class anti-angiogenic drugs demonstrate certain efficacy in the treatment of advanced breast cancer,with a high disease control rate and acceptable safety profile.However,given the lack of complete remission cases,future research should further explore their combination with other treatment modalities to improve the overall treatment outcomes in advanced breast cancer patients.

Advanced breast cancerTyrosine kinase inhibitorsAnti-angiogenic drugsProgression-free survivalAdverse reactions

叶明石、王振龙、段明月

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吉林省肿瘤医院乳腺外一科 吉林 长春 132000

晚期乳腺癌 酪氨酸激酶抑制剂 抗血管药物 无进展生存时间 不良反应

2024

中国医学创新
中国保健协会

中国医学创新

影响因子:1.706
ISSN:1674-4985
年,卷(期):2024.21(19)
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