ASSESSMENT OF TREATMENT OUTCOMES AND ADVERSE EFFECTS OF CHEMOTHERAPY WITH 4AC-4T AMONG STAGE III BREAST CANCER AT PHU THO PROVINCIAL GENERAL HOSPITAL

Xuân Vĩnh Trần , Xuân Hạnh Cấn , Thị Thu Hà Nguyễn

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Abstract

Objectives: To evaluate treatment outcomes and adverse effects of chemotherapy with 4AC-4T regimen among patients with stage III breast cancer at Phu Tho Provincial General Hospital. Methods: An uncontrolled clinical intervention study on 58 patients with stage III breast cancer. The implementation period is from January 2015 to September 2020. Results: 96.6% of patients had clinical response to 4AC-4T chemotherapy regimen (65.6% partial response and 31% complete response). 24.1% of patients had response on histopathology (pCR: ypT0/is-ypN0) (1.7% partial response and 22.4% complete response). 100% of patients were treated with 8 cycles of chemotherapy. 52.4% had neutropenia of all degrees (grade 3-4 accounted for 5.1%), 45.1% had hemoglobin, 6.9% had thrombocytopenia. 37.9% of patients recorded peripheral neurotoxicity level 1, 2. Conclusion: Applying chemotherapy by 4AC-4T regimen among patients with stage III breast cancer had high treatment response rate. The adverse effects recorded were all mild (Grade 1, 2).

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References

1. Sung H, Ferlay J, Siegel R.L et al (2021). Global Cancer Statistics 2020: GLOBOCAN Estimates of Incidence and Mortality Worldwide for 36 Cancers in 185 Countries. CA Cancer J Clin, 71(3), 209-249.
2. Lv L, Zhao B, Kang J et al (2022). Trend of disease burden and risk factors of breast cancer in developing countries and territories, from 1990 to 2019: Results from the Global Burden of Disease Study 2019. Front Public Health, 10, 1078191.
3. Waks A.G and Winer E.P (2019). Breast Cancer Treatment: A Review. Jama, 321(3), 288-300.
4. Hong W.S, Jeon J.Y, Kang S.Y et al (2013). Comparison of neoadjuvant adriamycin and docetaxel versus adriamycin, cyclophosphamide followed by paclitaxel in patients with operable breast cancer. J Korean Surg Soc, 85(1), 7-14.
5. Nguyễn Thị Thủy (2016). Đánh giá kết quả hóa trị bổ trợ trước phác đồ 4AC-4T trên bệnh nhân ung thư vú giai đoạn III, Luận văn thạc sỹ y học, Trường Đại học Y Hà Nội.
6. Hà Thành Kiên (2018). Đánh giá kết quả hóa trị trước phẫu thuật phác đồ 4AC-4T liều dày trên bệnh nhân ung thư vú tại Bệnh viện K, Luận văn Bác sĩ nội trú, Trường Đại học y Hà Nội.
7. Lê Thanh Đức (2014). Nghiên cứu hiệu quả hóa trị bổ trợ trước phẫu thuật phác đồ AP trong ung thư vú giai đoạn III, Luận án Tiến sĩ Y học, Đại học Y Hà Nội.
8. Evans T.R, Yellowlees A, Foster E et al (2005). Phase III randomized trial of doxorubicin and docetaxel versus doxorubicin and cyclophosphamide as primary medical therapy in women with breast cancer: an anglo-celtic cooperative oncology group study. J Clin Oncol, 23 (13), 2988-95.
9. Melichar B, Hornychová H, Kalábová H et al (2012). Increased efficacy of a dose-dense regimen of neoadjuvant chemotherapy in breast carcinoma: a retrospective analysis. Med Oncol, 29(4), 2577-85.