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本文报告15例局部晚期乳腺癌采用动脉内灌注化疗作为术前诱导治疗,其中1例CR,11例PR,3例MR,有效率为80%(12/15)。在6例曾接受CMF或FAC方案全身化疗无效者中,1例CR,4例PR,1例MR,有效率83%(5/6)。灌注化疗后,全部病例均进行手术,放疗,全身化疗等综合治疗。术后满3年的8例中,有2例死于远处转移,6例健在,未见有局部复发者。作者认为对局部晚期乳腺癌,灌注化疗能有效地为手术等综合治疗提供良好的条件。全身化疗无效者,动脉内灌注化疗仍有可能取得较好的效果
In this report, 15 cases of locally advanced breast cancer were treated with intraarterial infusion chemotherapy as preoperative induction therapy. Among them, 1 case of CR, 11 cases of PR, and 3 cases of MR, the effective rate was 80% (12/15). Of the 6 patients who had received CMF or FAC regimen for systemic chemotherapy failure, 1 had CR, 4 had PR, and 1 had MR. The effective rate was 83% (5/6). After infusion chemotherapy, all cases were treated with surgery, radiotherapy, and systemic chemotherapy. Of the 8 patients who had been under surgery for 3 years, 2 died of distant metastasis, 6 were alive, and no local recurrence occurred. The authors believe that for local advanced breast cancer, perfusion chemotherapy can effectively provide a good condition for comprehensive treatment such as surgery. Systemic chemotherapy is ineffective, intra-arterial infusion chemotherapy may still achieve better results