JAMA Oncol:高RS评分早期乳腺癌患者接受内分泌联合辅助化疗可显著改善预后

2019-10-08 MedSci MedSci原创

对于RS评分26-100的早期乳腺癌患者,在辅助化疗基础上联合内分泌治疗后,5年无远端复发率可达到93%

乳腺癌21基因复发评分(Rs)对局部和内分泌治疗后早期乳腺癌的远端复发有较高的预测价值。近日研究人员开展TAILORx试验,考察辅助化疗联合内分泌治疗对高RS妇女的临床影响。

激素受体阳性、ERBB 2阴性以及腋窝淋巴结阴性乳腺癌患者参与研究,RS评分26-100,在辅助化疗基础上接受内分泌治疗。研究的主要终点为无乳腺癌在远端复发、局部复发、第二原发癌和死亡(IDFS)。

患者平均年龄56岁,其中1389名RS评分26-100,598名RS评分26-30,791人RS评分31-100。最常见的化疗方案有多西他赛/环磷酰胺589例(42%),蒽环类334例(24%),蒽环类联合紫杉烷244例(18%),环磷酰胺/甲氨蝶呤/5-氟尿嘧啶52例(4%),其他方案81例(6%),无化疗89例(6%)。5年后,无乳腺癌远端复发率为93.0%,无乳腺癌远端复发和或局部复发率为91.0%,IDFS为87.6%,总生存率为95.9%。

研究认为,对于RS评分26-100的早期乳腺癌患者,在辅助化疗基础上联合内分泌治疗后,5年无远端复发率可达到93%。

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    2020-01-16 gwc392
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    2020-04-06 minlingfeng
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    2019-10-08 anti-cancer

    谢谢梅斯分享这么多精彩信息

    0

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