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Adjuvant Docetaxel for High-Risk, Node-Negative Breast Cancer
Ist Teil von
The New England journal of medicine, 2010-12, Vol.363 (23), p.2200-2210
Ort / Verlag
Waltham, MA: Massachusetts Medical Society
Erscheinungsjahr
2010
Quelle
Free E-Journal (出版社公開部分のみ)
Beschreibungen/Notizen
As compared with the standard regimen, the combination of docetaxel, doxorubicin, and cyclophosphamide reduced the risk of recurrence of node-negative early-stage breast cancer, but it offered no survival advantage and was associated with significantly higher rates of toxicity.
The survival benefits of adjuvant chemotherapy for patients with early-stage breast cancer are well established. The 15-year survival results from the Early Breast Cancer Trialists' Collaborative Group (EBCTCG)
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showed that a combined chemotherapy regimen of cyclophosphamide, methotrexate, and fluorouracil (CMF) reduces annual recurrence and death rates, a benefit that is largely independent of tamoxifen use or nonuse, estrogen-receptor status, nodal status, and other tumor characteristics.
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This meta-analysis also showed that anthracycline-based regimens offer an additional advantage over CMF.
More recent studies and several other meta-analyses of randomized trials have shown that adding a taxane to anthracycline-based adjuvant therapy reduces the . . .