OVARIAN-FUNCTION SUPPRESSION WITH THE GONADOTROPIN-RELEASING-HORMONE (GNRH) ANALOG GOSERELIN IN PREMENOPAUSAL ADVANCED BREAST-CANCER

被引:14
作者
BAJETTA, E [1 ]
CELIO, L [1 ]
ZILEMBO, N [1 ]
BONO, A [1 ]
GALLUZZO, D [1 ]
ZAMPINO, MG [1 ]
LONGHI, A [1 ]
FERRARI, L [1 ]
BUZZONI, R [1 ]
机构
[1] IST NAZL STUDIO & CURA TUMORI,DIV SURG & DIAGNOST ONCOL,I-20133 MILAN,ITALY
关键词
BREAST CANCER; MEDICAL CASTRATION; GNRH ANALOG;
D O I
10.1177/030089169408000105
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Aims and background: Goserelin is a gonadotrophin-releasing hormone (GnRH) analogue that induces the suppression of gonadal steroidogenesis, and it could therefore be a medical alternative to irreversible surgical castration. We report the clinical and endocrine results from 40 goserelin-treated premenopausal patients with advanced breast cancer. Methods: A depot formulation of the drug (3.6 mg s.c.) was administered fortnightly for the first 4 doses, and monthly thereafter. Gonadotrophins and estradiol (E2) levels were measured before and at specific times during the treatment. Results: Objective responses were observed in 17 of the 38 evaluable patients (45%), six of whom achieved complete remission. The best responses were observed on soft tissues (65%). Castration E2 levels were achieved in all of the patients. Conclusions: Our results confirm that goserelin is as effective as surgical oophorectomy in premenopausal advanced breast cancer.
引用
收藏
页码:28 / 32
页数:5
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