Miao Zhang,Jianing qiu,Shuxian Qu,Yaling Han,Zhaozhe Liu,xiaodong xie. The clinical observation of neoadjuvant chemotherapy in locally advanced breast cancer with DX regimen. Oncol Transl Med, 2014, 13: 515-517.
The clinical observation of neoadjuvant chemotherapy in locally advanced breast cancer with DX regimen
Received:September 19, 2014  Revised:November 03, 2014
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KeyWord:breast cancer; neoadjuvant chemotherapy; docetaxel; capecitabine
Author NameAffiliationDepartment
Miao Zhang Graduate School, Dalian Medical University, Dalian 116044, China Graduate School, Dalian Medical University, Dalian 116044, China
Jianing qiu Graduate School, Dalian Medical University, Dalian 116044, China Graduate School, Dalian Medical University, Dalian 116044, China
Shuxian Qu Oncology Department, General Hospital of Shenyang Military Region, Shenyang 110840, China 
Yaling Han Oncology Department, General Hospital of Shenyang Military Region, Shenyang 110840, China 
Zhaozhe Liu Oncology Department, General Hospital of Shenyang Military Region, Shenyang 110840, China 
xiaodong xie Oncology Department, General Hospital of Shenyang Military Region, Shenyang 110840, China Oncology Department, General Hospital of Shenyang Military Region, Shenyang 110840, China
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Abstract:
      Objective: The recent clinical curative effect and adverse events of docetaxel and capecitabine (DX) of neoadjuvant chemotherapy in patients with locally advanced breast cancer was discussed. Methods: The data of 72 cases of neoadjuvant chemotherapy (DX) in locally advanced breast cancer after 4 cycles were retrospectively analyzed. Docetaxel 75 mg/m2 by infusion 1 h on d1, capecitabine 2000 mg/m2 by oral for twice daily on d1–14, 21 days was a cycle. Results: All 72 patients were assessed for efficacy and adverse events. The total effective rate was 80.5% (58/72), including pathological complete response (pCR) was 7 (9.7%), clinical complete remission (cCR) was 15(20.8%), clinical partial response (PR) was 43 (59.7%), stable disease (SD) was 8 (11.1%) and progressive disease (PD) was 6 (8.3%). The main adverse events were gastrointestinal reactions and bone marrow suppression. The 3 to 4 degrees of adverse reactions including granulocytopenia in 7 patients (20.6%), hand-foot syndrome in 6 patients (15.2%). Conclusion: The DX regimen provide a favorable efficacy and safety profile in patients with locally advanced breast cancer for neoadjuvant chemotherapy.
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