乳腺癌骨移植的综合治疗：附70例临床分析

骨转移为乳腺癌的常见转移部位,其最大危害是骨痛,应采用一系列方法减轻骨痛,努力提高患者的生存质量。方法７０例乳腺癌骨转移患者采用化疗,放疗,内分泌,同位素和综合治疗,分单一方法治疗组和综合方法治疗组,观察治疗后疼痛缓解和功能障碍恢复情况,经ｔ检验得出结论。

Comprehensive treatment of bone metastases of breast cancer: a clinical analysis of 70 cases

OBJECTIVE: Bone metastasis is common in breast cancer patients and its main symptom is bone pain. A series of methods were tried to relieve bone pain and to improve quality of life. METHODS: 70 cases of bone metastases of breast cancer were divided into 2 groups and treated with either chemotherapy, radiotherapy, endocrine therapy or isotope therapy alone or in combination. RESULTS: Endocrine therapy or isotope therapy given alone was more responsive than chemotherapy or radiotherapy alone. When the treatment modalities were used comprehensively, the response rate was 90% as compared to 56.4% in patients given single modality treatment (P < 0.01). CONCLUSION: Endocrine or isotope therapy given alone is more effective than chemotherapy or radiotherapy alone. Patients positive for estrogen and progesterone receptors, are more suitable for endocrine therapy. Comprehensive treatment is recommended.