谢雪情^1,,
姚轶群²,
张殿龙^2,,
1. 大连大学 中山临床学院, 辽宁 大连 116622
2. 大连大学附属中山医院 乳腺甲状腺外科, 辽宁 大连 116001

详细信息 作者简介: 谢雪情(1993-), 女, 住院医师。E-mail: 798451608@qq.com



通讯作者: 张殿龙, 主任医师。E-mail: zdldoctor@163.com 中图分类号: R739.9


摘要:绝经前激素受体（hormone receptor，HR）阳性乳腺癌的辅助内分泌治疗是近年的热点问题。绝经前HR阳性乳腺癌的内分泌治疗包括选择性雌激素受体调节剂（selective estrogen receptor modulator，SERM），例如他莫昔芬（tamoxifen，TAM）；卵巢功能抑制（ovarian function suppression，OFS），包括手术、放疗或药物去势；OFS联合TAM；以及芳香化酶抑制剂（aromatase inhibitors，AI）联合OFS。目前建议对复发风险较高的绝经前HR阳性乳腺癌患者使用（AI或TAM）+OFS，但TAM+OFS与AI+OFS之间疗效是否存在差异仍待进一步探索。本文就目前绝经前HR阳性乳腺癌患者的TAM+OFS与AI+OFS之间的疗效及不良反应差异进行综述。
关键词: HR阳性乳腺癌/
绝经前/
辅助内分泌治疗/
他莫昔芬/
芳香化酶抑制剂/
卵巢功能抑制


Abstract:Adjuvant endocrine therapy for premenopausal hormone receptor (HR) positive breast cancer has been a hot topic in recent years. Endocrine therapy for premenopausal HR-positive breast cancer includes selective estrogen receptor modulators (SERM) such as tamoxifen (TAM), ovarian function suppression (OFS) including surgery, radiation or drug castration, TAM combined with OFS, and aromatase inhibitor (AI) combined with OFS. AI or TAM plus OFS is currently recommended for premenopausal HR-positive breast cancer patients with a higher risk of recurrence. However, there is still more to be explored on whether there is a difference between TAM plus OFS and AI plus OFS. This review focuses on the differences in efficacy and side effects between TAM plus OFS and AI plus OFS in the treatment of premenopausal HR-positive breast cancer patients.
Keywords:HR-positive breast cancer/
premenopausal/
adjuvant endocrine therapy/
TAM/
AI/
OFS

PDF全文下载地址:

https://journal.dmu.edu.cn/data/article/export-pdf?id=dlykdxxb_20210516