静脉化疗联合PEI治疗乳腺癌术后肝转移15例疗效观察
Clinical observation of systemic chemotherapy combined with percutaneous ethanol injection treatment on breast carcinoma postoperation with liver metastasis
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摘要: 目的:观察静脉化疗联合经皮穿刺无水乙醇瘤内注射(PEI)治疗乳腺癌伴肝转移的疗效。方法:15例均为乳腺癌术后并确诊有肝转移,给予化疗(TP方案):紫杉醇135 mg/m2,第1天,静脉输注;顺铂40 mg/d,第2~4天,静脉输注。28 d为1周期,均用4疗程以上。同时化疗前、后肝转移瘤灶给予彩超引导下PEI治疗,每个病灶最少2次,最多4次。结果:完全缓解3例,部分缓解12例,有效率100%;均存活6个月以上,10例病死患者中最长存活22个月。不良反应为食欲低下、恶心呕吐、白细胞减少、肝功能一过性异常和穿刺部位疼痛。结论:PET和TP方案静脉全身化疗对乳腺癌术后肝转移有一定疗效。Abstract: Objective: To explore the efficacy of systemic chemotherapy combined with percutaneous ethanol injection(PEI) treatment on breast carcinoma postoperative patients with liver metastasis. Methods: Fifteen cases were all breast cancer postoperative patients with liver metastasis. All patients were received paclitaxel toisplatin(TP) protocol. The treatment included systemic chemotherapy of paclitaxel 135 mg /m2 intravenous injection on first day followed by cisplatin 30 mg /d for 3 days, 28 days for one cycle, and each patient was experienced for more than 4 courses. Metastatic tumor foci of liver was also received therapy of PEI under ultrasound-guided. Each foci was experienced treatment for 2 to 4 times. results: Three cases were complete remission, 12 cases were partial remission, the total response rate was 100%. All patients survived for more than 6 months, in 10 cases of death, one patient survived for 22 months. Adverse reaction included lower appetite,nausea,vomiting,neutropenia, transient liver function abnormalities and the puncture site pain. Conclusions: The combination of PET and systemic chemotherapy by TP protocol may be an effective treatment to postoperative patients with breast carcinoma and hepatic metastasis.