Efficacy of multimodality therapy for patients with large-sized locally advanced breast cancer-a retrospective analysis of 17 cases

摘要

The objective of this study was to explore the clinical significance of multimodality therapy for huge-sized locally advanced breast cancer (LABC) in a retrospective analysis of 17 patients with large-sized locally advanced breast cancer. The mean tumor size was 11.5 x 10.1 x cm. Among these 17 patients, three (17.6%) cases developed clinical evidence of distant metastases (liver, lung, bone, etc.), ten cases (58.8%) had skin ulcers, and discharges with a peculiar smell. The patients underwent TEC/AT chemotherapy, interventional therapy, and Ad-p53 gene therapy. All treatments were well-tolerated and 15 (88.2%) cases of the patient underwent standard or modified radical mastectomy successfully. The other two patients, who di not undergo surgical treatment because of metastases and other reasons, were treated with endocrine therapy. Until now, the average survival time has reached 31.5 months. In treating large-sized locally advanced breast cancer, multimodal therapies are able to diminish the burthen of the tumor, lower the clinical stage, and increase resection rate of cancer, thus improving survival rates and quality of life for patients.