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논문 기본 정보

자료유형
학술저널
저자정보
Dong Won Ryu (고신대학교) Chung Han Lee (고신대학교)
저널정보
대한외과학회 Annals of Surgical Treatment and Research 대한외과학회지 Vol.79 No.3
발행연도
2010.9
수록면
173 - 179 (7page)

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초록· 키워드

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Purpose: Triple negative breast cancer (TNBC) has had poor prognosis compared with the luminal subtype. And there has been no benefit from doxorubicin. However, the addition of paclitaxel is known to improve both disease-free survival (DFS) and overall survival (OS). The aim of our study was to assess the effect of the addition of paclitaxel after adjuvant chemotherapy with doxorubicin plus cyclophosphamide in TNBC.
Methods: We randomly selected 87 women from 104 women with TNBC who had been randomly assigned to receive doxorubicin (60 ㎎ per square meter of body-surface area) plus cyclophosphamide (600 ㎎ per square meter) for four cycles, followed by four cycles of paclitaxel (175 ㎎ per square meter) or two more cycles of doxorubicin plus cyclophosphamide. Due to predictions of clinical outcomes in women who receive adjuvant paclitaxel based chemotherapy, immunohistochemical analyses of these tissue specimens for CK5/6 were used.
Results: Among patients with TNBC, 24 patients (27.6%) were classified as CK5/6-positive triple negative type. Twelve patients were classified as paclitaxel chemotherapy group and 75 patients were classified as no paclitaxel group. No interaction was observed between DFS or OS and paclitaxel regimens. CK5/6 was, however, not associated with a significant benefit from paclitaxel in our study.
Conclusion: In our study, the addition of paclitaxel after adjuvant treatment with doxorubicin (<60 ㎎ per square meter) is not associated with DFS or OS in TNBC.

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INTRODUCTION
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RESULTS
DISCUSSION
CONCLUSION
REFERENCES

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