目的:评价国产吉西他滨(泽菲)联合顺铂二线治疗晚期乳腺癌的疗效和不良反应。方法:34例晚期乳腺癌患者采用国产吉西他滨1000mg/m2,静脉滴注30min,第1、8天;顺铂25mg/m2,静脉滴注,第1~3天。21d为一个周期,至少完成两周期后评价疗效。结果:完全缓解2例(588%),部分缓解16例(4706%),总有效率为5294%。中位疾病进展时间为65月,中位生存期为114月;主要不良反应为骨髓抑制和胃肠道反应,所有不良反应在停药后或对症处理后均可恢复正常。结论:国产吉西他滨联合顺铂二线治疗晚期乳腺癌疗效较好,毒副反应可耐受,值得进一步研究。
                                 
                                    
                                  
                       
                           Citation:
                           YAN Jun.. Observation of Domestic Gemcitabine Combined Cisplatin in the Second Line of Treatment of Patients with Metastatic Breast Cancer. West China Medical Journal, 2009, 24(5): 1178-1179. doi: 
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		                                    - 1.  SEIDMAN A D. Gemcitabine as singleagent therapy in the management of advanced breast cancer[J]. Oncology,2001,15(2):1114.		                                    
		                                    
- 2.  张志强,江泽飞,宋三泰.吉西他滨在乳腺癌化疗中的临床应用[J].国外医学肿瘤学分册,2003,30(2):132135.		                                    
		                                    
- 3.  RHA S Y, JEUNG H, KIM Y, et al. Efficacy of gemcitabine as a salvage treatment in breast cancer[C]. Proc ASCO,2002,21:A2038.		                                    
		                                    
- 4.  徐从高,张茂宏,杨兴季,等,译.癌—肿瘤学原理与实践[M].济南:山东科学技术出版社,2001:15891673.		                                    
		                                    
- 5.  HEINEMAN V. Gemcitabine plus cisplatin for the treatment of metastastic breast cancer[J]. Clin Breast Cancer,2002,3(suppl 1):2429.