首页|TCbHP在老年HER-2阳性乳腺癌患者新辅助化疗中的应用效果

TCbHP在老年HER-2阳性乳腺癌患者新辅助化疗中的应用效果

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目的:研究TCbHP在老年HER-2阳性乳腺癌患者新辅助化疗中的应用效果.方法:选取2020年3月—2022年4 月苏州大学附属第三医院收治的 100 例老年HER-2 阳性乳腺癌患者,随机将其分为对照组(n=50)和观察组(n=50).对照组给予THP新辅助化疗,观察组给予TCbHP新辅助化疗.比较两组临床疗效、治疗前后肿瘤标志物及不良反应.结果:观察组客观缓解率高于对照组,差异有统计学意义(P<0.05).治疗后,两组癌胚抗原与糖类抗原 125 水平均低于治疗前,观察组癌胚抗原与糖类抗原 125 水平均低于对照组,差异有统计学意义(P<0.05).两组血小板减少、肝损伤、脱发、恶心呕吐、手足综合征发生率比较,差异无统计学意义(P>0.05).结论:相比THP,TCbHP可进一步抑制老年HER-2 阳性乳腺癌患者肿瘤标志物表达,有效控制疾病发展,不会加重化疗引起的不良反应.
Application Effect of TCbHP in Neoadjuvant Chemotherapy in Elderly Patients with HER-2 Positive Breast Cancer
Objective:To study the application effect of TCbHP in neoadjuvant chemotherapy in elderly patients with her-2 positive breast cancer.Method:A total of 100 elderly patients with HER-2 positive breast cancer admitted to Suzhou University Affiliated Third Hospital from March 2020 to April 2022 were selected,they were randomly divided into the control group(n=50)and the observation group(n=50).The control group was given THP neoadjuvant chemotherapy,and the observation group was given TCbHP neoadjuvant chemotherapy.The clinical efficacy,tumor markers before and after treatment and adverse reactions were compared between the two groups.Result:The objective remission rate of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).After treatment,the levels of carcinoembryonic antigen and carbohydrate antigen 125 in two groups were lower than those before treatment,and the levels of carcinoembryonic antigen and carbohydrate antigen 125 in the observation group were lower than those in the control group,the differences were statistically significant(P<0.05).There were no significant differences in the incidence of thrombocytopenia,liver injury,alopecia,nausea and vomiting and hand-foot syndrome between two groups(P>0.05).Conclusion:Compared with THP,TCbHP can further inhibit the expression of tumor markers in elderly patients with HER-2 positive breast cancer,effectively control the development of disease,and will not aggravate the adverse reactions caused by chemotherapy.

Human epidermal growth factor receptor-2 positiveMonoclonal antibodyNeoadjuvant chemotherapyPaclitaxelBreast cancer

王禾、方琦、王秀

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苏州大学附属第三医院(常州市第一人民医院) 江苏常州 213000

人表皮生长因子受体-2阳性 单抗 新辅助化疗 紫杉醇 乳腺癌

2024

中外医学研究
中国医院管理杂志社

中外医学研究

影响因子:1.149
ISSN:1674-6805
年,卷(期):2024.22(18)