文章摘要
陈霞 苏磊 桑剑锋 王雪晨 姚永忠.乳腺癌新辅助化疗的研究进展[J].,2015,15(15):2989-2992
乳腺癌新辅助化疗的研究进展
Research Progress of the Neoadjuvant Chemotherapy for Breast Cancer
  
DOI:
中文关键词: 乳腺癌  新辅助化疗  预测因子  研究进展
英文关键词: Breast cancer  Neoadj uvant chemotherapy  Efficacy prediction  Research progress
基金项目:南京市医学科技发展项目(YKK10080)
作者单位
陈霞 苏磊 桑剑锋 王雪晨 姚永忠 东南大学医学院南京大学医学院附属鼓楼医院普通外科 
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中文摘要:
      乳腺癌是一种女性最常见的恶性肿瘤,近年来我国乳腺癌的发病率呈逐年上升趋势。研究证实,新辅助化疗不仅可使不能 手术的晚期乳腺癌患者获得手术机会,而且也增加了部分患者的保乳概率,但是约20%的乳腺癌患者不能从新辅助化疗中获益, 并影响后续治疗效果。因此,制定合理的、个体化的新辅助化疗方案对于提高乳腺癌患者的生存质量和改善其预后尤为重要。目 前,研究已发现的NCT 相关的预测因子主要包块肿瘤类型、分子分型、ER、PR、Ki67 等,而HER2、TOP2A、P53、PRAP 单独作为预 测因子的还存在争议。本文主要对乳腺癌新辅助化疗的现状、各种预测因子的作用及其不足之处进行了综述。
英文摘要:
      Breast cancer is one of the women's major malignant tumors. In recent years, the incidence of breast cancer increases rapidly in our country. Some studies showed that neoadjuvant chemotherapy could convert an inoperable to a surgical resectable cancer and increase the rate of breast conserving therapy, but about 20% of the patients couldn't benefit from the neoadjuvant chemotherapy, which further affected the subsequent treatment. Therefore, it was particularly important to develop reasonable and individualized neoadjuvant chemotherapy for improving the quality of the survival of patients with breast cancer as well as their prognosis. Until now, the main researches included tumor types, molecular classification, ER, PR, Ki67, etc. However, HER2, TOP2A, P53, PRAP alone as predictors still remained controversial. In this article, an overview of predicting the efficacy, the status quo of neoadjuvant chemotherapy and its deficiency for breast cancer were reviewed.
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