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帕妥珠单抗治疗HER2阳性乳腺癌的效果及安全性

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目的:探究帕妥珠单抗在HER2 阳性乳腺癌中的疗效、安全性及对T淋巴细胞亚群、NK细胞的影响.方法:将 2021 年 1 月—2023 年 1 月盐城市第二人民医院收治的 100 例HER2 阳性乳腺癌患者根据随机数字表法分为对照组和观察组,各 50 例.对照组采用曲妥珠单抗联合多西他赛治疗,观察组在对照组的基础上加用帕妥珠单抗.比较两组治疗总有效率、毒副反应发生率,治疗前后肿瘤标志物[癌胚抗原(CEA)、糖类抗原 15-3(CA15-3)及糖类抗原 125(CA125)]、生存质量[乳腺癌患者生命质量测定量表(FACT-B)]、T淋巴细胞亚群(CD3+及CD4+)、NK细胞.结果:观察组治疗总有效率显著高于对照组(P<0.05).两组毒副反应发生率比较,差异均无统计学意义(P>0.05).治疗前两组肿瘤标志物、FACT-B评分、T淋巴细胞亚群及NK细胞比较,差异均无统计学意义(P>0.05);治疗 2 个疗程后,观察组肿瘤标志物均显著低于对照组,FACT-B评分、T淋巴细胞亚群及NK细胞均显著高于对照组(P<0.05).结论:帕妥珠单抗在HER2 阳性乳腺癌中的疗效较好,安全性值得肯定,且对T淋巴细胞亚群及NK细胞的影响较小.
Effect and Safety of Pertuzumab in the Treatment of Patients with HER2-positive Breast Cancer
Objective:To explore the efficacy and safety of Pertuzumab in HER2-positive breast cancer and its influence on T lymphocyte subsets and NK cell.Method:A total of 100 patients with HER2-positive breast cancer admitted to Yancheng Second People's Hospital from January 2021 to January 2023 were divided into control group and observation group according to random number table method,with 50 cases in each group.The control group was treated with Trastuzumab combined with Docetaxel,and the observation group was treated with Pertuzumab on the basis of the control group.The total effective rate,the incidence of toxic and side effects,tumor markers[carcinoembryonic antigen(CEA),carbohydrate antigen 15-3(CA15-3)and carbohydrate antigen 125(CA125)],quality of life[functional assessment of cancer therapy-breast(FACT-B)],T lymphocyte subsets(CD3+and CD4+),NK cell before and after treatment were compared bewteen the tow groups.Result:The total effective rate of observation group was significantly higher than that of control group(P<0.05).There were no significant differences in the incidence of toxic and side effects between the two groups(P>0.05).Before treatment,there were no significant differences in tumor markers,FACT-B scores,T lymphocyte subsets and NK cell between the two groups(P>0.05);after two courses of treatment,tumor markers in observation group were significantly lower than those in control group,FACT-B scores,T lymphocyte subsets and NK cell were significantly higher than those in control group(P<0.05).Conclusion:The effect of Pertuzumab in HER2-positive breast cancer is better,the safety is worthy of recognition,and its influence on T lymphocyte subsets and NK cell is less.

PertuzumabHER2-positive breast cancerSafetyT lymphocyte subsetsNK cell

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盐城市第二人民医院肿瘤内科 江苏 盐城 224003

帕妥珠单抗 HER2阳性乳腺癌 安全性 T淋巴细胞亚群 NK细胞

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(26)