卡培他滨联合贝伐珠单抗治疗HER2阴性局部复发/转移性乳腺癌发生手足综合征与疗效的相关性
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Observation of the correlation between handfoot syndrome and the curative effects of capecitabine plus bevacizumab forHER2negative locally recurrent/metastatic breast cancer
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    摘要:

    【摘要】 目的 观察卡培他滨(capecitabine,CAP)联合贝伐珠单抗(bevacizumab,BEV)治疗表皮生长因子2(HER2)阴性局部复发/转移性乳腺癌(locally recurrent/metastatic breast cancer,LR/mBC)时,手足综合征(handfoot syndrome,HFS)的出现与患者治疗疗效的相关性。方法 给予来自陕西中医药大学附属医院门诊或住院收治的100例HER2阴性LR/mBC患者行CAPBEV一线全身化疗,根据患者是否出现HFS将其分为HFS组和非HFS组,利用KaplanMeier方法绘制PFS和OS生存曲线。结果 HFS组患者的PFS为10.7个月,而非HFS组仅5.8个月,经Logrank检验,两组PFS生存曲线差别具有统计学意义(χ2=23.63,P=0.000);HFS组因OS最小生存率〉0.50,未得出具体数值,而非HFS组的OS为14.9个月,其生存曲线具有显著统计学意义(χ2=34.04,P=0.000)。针对不同程度HFS进行进一步分析,可见Ⅱ级HFS患者的PFS和OS生存曲线最高。结论 CAPBEV治疗HER2阴性LR/mBC患者时,如果患者出现HFS,尤其是Ⅱ级HFS时,其预后将显著优于未出现HFS患者。

    Abstract:

    【Abstract】 Objective To observe the correlation between HFS and therapeutic effect that CAP plus BEV in treatment of HER2negative LR/mBC. Methods 100 HER2negative LR/mBC patients from The Affiliated Hospital of Shanxi University of Traditional Chinese Medicine receiving firstline CAP plus BEV were divided into HFS group and non HFS group according to whether patients with HFS. The survival curves of PFS and OS were plotted by MeierKaplan method. Results Median PFS of HFS group and non HFS group were 10.7 months and 5.8 months, which was statistically significantly different (χ2=23.63, P=0.000). The HFS group did not reach a specific value because the OS minimum survival rate more than 0.50, and median OS from non HFS group was 14.90 months, which was statistically significantly different (χ2=34.04,P=0.000). The different degree of HFS, PFS and OS survival curves were the highest in patients with grade Ⅱ HFS. Conclusion If the patient appears HFS, especially when the grade II HFS, the prognosis of CAPBEV treatment of patients with Her2negative LR/mBC,will be significantly better than that of the patients without HFS.

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  • 在线发布日期: 2018-01-18
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