В работе анализируется эффективность неоадъювантной химиотерапии с включением капецитабина (Кселода®) (САХ) по сравнению со стандартным режимом (FAC) у больных раком молочной железы. Результаты исследования показали, что включение капецитабина в схемы предоперационного лечения позволило получить более высокие показатели клинического ответа и увеличить количество органосохраняющих операций. Наибольшее число полных морфологических регрессий было достигнуто у больных тройным негативным раком молочной железы.
The study was performed to analyze the efficаcy of the neoadjuvant chemotherapy including capecitabine (САХ) compared to standard regime of the chemotherapy (FAC) for breast cancer patients. Results of research showed an increase of overall response rate and amount of the breast-conserving surgeries by adding capecitabine to the scheme of presurgical treatment. The most cases of pathologic complete response were achieved in patients with triple-negative breast cancer.
Key words: breast cancer, neoadjuvant chemotherapy, capecitabine, triple-negative breast cancer.
1. Тюляндин С.А., Носов Д.А., Переводчикова Н.И. Минимальные клинические рекомендации Европейского общества медицинской онкологии (ЕSМО) М.: Издательская группа РОНЦ им. Н.Н.Блохина РАМН. 2010; с. 13.
2. Rastogi P, Anderson SJ et al. Preoperative chemotherapy: updates of National Surgical Adjuvant Breast and Bowel Project Protocols B-18 and B-27. J Clin Oncol 2008; 26 (5): 778–85.
3. Saeki T, Takashima S. Mechanism and possible biochemical modulation of capecitabine (Xeloda), a newly generated oral fluoropyrimidine. Gan To Kagaku Ryoho 1999; 26 (4): 447–55.
4. Gampenrieder SP, Bartch R et al. Capecitabine and Vinorelbine as an All-Oral Chemotherapy in Her2-Negative Locally Advanced and Metastatic Breast Cancer. Breast Care 2010; 5: 158–62.
5. Seidman AD, Brufsky A et al. Phase III trial of gemcitabine plus docetaxel versus capecitabine plus docetaxel with planned crossover to alternate single agent in metastatic breast cancer. Ann Oncology 2011; 22: 1094–101.
6. Shien T, Doihara H et al. Clinical Efficacy of Capecitabine and Cyclophosphamide (XC) in Patients with Metastatic Breast Cancer. Acta Med Okayama 2011; 65 (4): 231–7.
7. Amari M, Ishida T et al. Capecitabine Monotherapy is Efficient and Safe in All Line Settings in Patients with Metastatic and Advanced Breast Cancer. Jpn J Clin Oncology 2010; 40 (3): 188–93.
8. Wildiers H, Neven P et al. Neoadjuvant capecitabine and docetaxel (plus trasruzumab): an effective non-antracycline-based chemotherapy regimen for patients with locally advanced breast cancer. Ann Oncology 2011; 22 (3): 588–94.
9. Wardley AM. Capecitabine: Expanding Options for the Treatment of Patients with Early or Locally Advanced Breast Cancer. Oncologist 2006; 11: 20–6.
10. Gunter von Minckwitz et al. Neoadjuvant Vinorelbine–Capecitabine Versus Docetaxel–Doxorubicin–Cyclophosphamide in Early Nonresposive Breast Cancer: Phase III Randomized Gepar Trio Trial. JNCI 100 (8): 542–51.
11. Lindman H, Kellokumpu-Lehtinen P-L, Huovinen R. Integration of capecitabine into anthracycline- and taxane-based adjuvant therapy for triple-negative early breast cancer: final subgroup analysis of the FinXX study. SABCS 2010; PD01–2.
12. Steger GG, Barrios C, O'Shaughnessy J et al. Review of Capecitabine for the Treatment of Triple-Negative Early Breast Cancer. Cancer Res 2010; 70 (Suppl. 24): PD01–3.
13. Mikhail SE, Sun JF, Marshall JL. Safety of capecitabine: a review. Expert Opin Drug Saf 2010; 9 (5): 831–41.
14. Park YH et al. High incidence of severe hand–foot syndrome during capecitabine–docetaxel combination chemotherapy. Ann Oncology 2003; 14: 1691–2.
15. Слонимская Е.М., Тарабановская Н.А., Дорошенко А.В., Гарбуков Е.Ю, Кокорина Ю.Л. Кселода в неоадъювантном лечении операбельного рака молочной железы. Сибирский онкологический журнал. 2009; 1 (31): 14–8.
16. Cleere DW. Triple-negative breast cancer: a clinical update. Community Oncology 2010; 5: 203–11.
17. Arnedos M, Bihan C, Delaloge S, Andre F. Triple- negative breast cancer: are we making headway at least? Ther Adv Med Oncology 2012; 4 (4): 195–210.
18. Gluz O, Liedtke C, Gottscchalk N et al. Triple-negative breast cancer – current status and future directions. Ann Oncology 2009; 20: 1913–27.