[Dose dense chemotherapy in the postoperative adjuvant treatment for breast cancer]

Zhonghua Zhong Liu Za Zhi. 2007 Apr;29(4):316-8.
[Article in Chinese]

Abstract

Objective: To investigate the safety and feasibility of dose dense chemotherapy in the postoperative adjuvant treatment for breast cancer.

Methods: The data of 114 breast cancer patients treated with adjuvant dose dense chemotherapy was retrospectively analyzed.

Results: 114 breast cancer patients received postoperative adjuvant dose dense chemotherapy from Jan. 2004 to March 2005. The patients were treated with different regimens according to their recurrence risk: 43 with paclitaxel + epirubicin (PE), 8 with taxotere + epirubicin (TE), 36 with cyclophosphamide + epirubicin + 5-Fu ( CEF) and 27 with epirubicin +5-Fu (EC). Totally, 111 patients except 3 completed the dose dense chemotherapy smoothly. Major toxicities severer than grade III included: neutropenia in 6.3% of the patients, nausea and vomit in 11.7%, peripheral neuropathy in 3.6%.

Conclusion: Postoperative adjuvant dose dense chemotherapy for breast cancer patient is feasible and safe, but the long-term outcome still needs further observation.

MeSH terms

  • Adult
  • Aged
  • Antineoplastic Combined Chemotherapy Protocols / adverse effects
  • Antineoplastic Combined Chemotherapy Protocols / therapeutic use*
  • Breast Neoplasms / drug therapy*
  • Breast Neoplasms / pathology
  • Breast Neoplasms / surgery
  • Chemotherapy, Adjuvant
  • Cyclophosphamide / administration & dosage
  • Disease-Free Survival
  • Docetaxel
  • Dose-Response Relationship, Drug
  • Epirubicin / administration & dosage
  • Female
  • Fluorouracil / administration & dosage
  • Follow-Up Studies
  • Humans
  • Liver Neoplasms / secondary
  • Lymphatic Metastasis
  • Mastectomy / methods
  • Middle Aged
  • Nausea / chemically induced
  • Neutropenia / chemically induced
  • Paclitaxel / administration & dosage
  • Postoperative Period
  • Retrospective Studies
  • Taxoids / administration & dosage

Substances

  • Taxoids
  • Docetaxel
  • Epirubicin
  • Cyclophosphamide
  • Paclitaxel
  • Fluorouracil