剂量密集方案在乳腺癌新辅助化疗中的应用
Dose-Dense Neoadjuvant Chemotherapy for Breast Cancer
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摘要: 剂量密集化疗是指在单次化疗剂量不变的前提下,缩短每次化疗之间的时间间隔,以达到更好的疗效。以往的研究表明相对于传统的化疗方案,剂量密集方案在乳腺癌辅助化疗中的疗效是值得肯定的,这一点尤其体现在无疾病生存期和总生存期方面。但目前关于其在乳腺癌新辅助化疗中的应用存在争议。本文旨在阐述剂量密集方案理论基础的同时,总结近年关于剂量密集方案在乳腺癌新辅助化疗上的进展。Abstract: Dose-dense chemotherapy is a strategy to reduce the interval between each dose of chemotherapy with the same amount of drug and to achieve the maximal effectiveness of chemotherapy. Several trials have demonstrated that dose-dense adjuvant chemotherapy could achieve longer disease-free survival and overall survival comparing with conventionally-dosed chemotherapy. However, the value of dose-dense neoadjuvant chemotherapy is currently not clear. This review aims to outline the theoretical base of dose-dense chemotherapy and to summarize the progress of dose-dense neoadjuvant chemotherapy for breast cancer.