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Combination of pegylated liposomal doxorubicin and docetaxel as neoadjuvant therapy for breast cancer with axillary lymph node metastasis

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机构: [1]Xingtai Peoples Hosp, Dept Breast Surg, Xingtai, Hebei, Peoples R China [2]Hebei Med Univ, Dept Breast Ctr, Hosp 4, Jiankanglu 12, Shijiazhuang 050011, Hebei, Peoples R China [3]Tangshan Peoples Hosp, Dept Breast Surg, Tangshan, Hebei, Peoples R China [4]First Hosp Qinhuangdao, Dept Breast Surg, Qinhuangdao, Hebei, Peoples R China
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关键词: Pegylated liposomal doxorubicin breast cancer neoadjuvant chemotherapy docetaxel lymph node metastasis cardiovascular toxicity

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Objective To evaluate the efficacy and safety of the combination of pegylated liposomal doxorubicin and docetaxel as neoadjuvant therapy for breast cancer (BC) in patients with axillary lymph node metastasis. Methods In this single-arm study, 91 patients with clinical stage IIA-IIIc breast cancer received six cycles of pegylated liposomal doxorubicin plus docetaxel as neoadjuvant chemotherapy (NAC). Trastuzumab was allowed for patients with human epidermal growth factor receptor 2-positive tumors. The primary endpoint was pathologic complete response (pCR) in the breast after surgery. The overall response rate (ORR), Miller-Payne (MP) score of the primary tumors, and incidence of adverse events were also evaluated. Results In total, 88 patients completed all cycles of NAC. Fourteen patients (15.4%, 95% confidence interval [CI] = 7.8-22.9) achieved pCR. The ORR was 89% (95% CI = 82.5-95.6), and 72 lesions (79.1%) were rated as MP grade 3 or higher. The left ventricular ejection fraction (LVEF) was within the normal range, although four (4.4%) patients experienced an LVEF decline exceeding 10%. No symptomatic cardiac events were reported. Conclusion Preoperative NAC with pegylated liposomal doxorubicin and docetaxel appears effective and safe for treating BC with axillary lymph node metastasis.

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出版当年[2020]版:
大类 | 4 区 医学
小类 | 4 区 医学:研究与实验 4 区 药学
最新[2025]版:
大类 | 4 区 医学
小类 | 4 区 医学:研究与实验 4 区 药学
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出版当年[2020]版:
Q4 PHARMACOLOGY & PHARMACY Q4 MEDICINE, RESEARCH & EXPERIMENTAL
最新[2024]版:
Q3 MEDICINE, RESEARCH & EXPERIMENTAL Q4 PHARMACOLOGY & PHARMACY

影响因子: 最新[2024版] 最新五年平均 出版当年[2020版] 出版当年五年平均 出版前一年[2019版] 出版后一年[2021版]

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第一作者机构: [1]Xingtai Peoples Hosp, Dept Breast Surg, Xingtai, Hebei, Peoples R China
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通讯机构: [2]Hebei Med Univ, Dept Breast Ctr, Hosp 4, Jiankanglu 12, Shijiazhuang 050011, Hebei, Peoples R China [*1]Department of Breast Center, the Fourth Hospital of Hebei Medical University, Jiankanglu 12, Shijiazhuang 050011, Hebei, China.
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