A comparison of two doses of adriamycin in the primary chemotherapy of disseminated breast carcinoma


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ABSTRACT Forty-eight patients with advanced breast carcinoma who had not received prior chemotherapy (minimum follow up 21 months) were randomised to receive either adriamycin 70 mg m-2 i.v.


3-weekly for 8 cycles (Regimen A) or adriamycin 35 mg m-2 i.v. 3-weekly for 16 courses (Regimen B). Objective responses were seen in 14/24 (58%) patients with regimen A (4 complete) and


6/24 (25%) with regimen B (1 complete) (P less than 0.02). The median duration of response was 14 months with regimen A and 6.5 months with regimen B. The median duration of survival was 20


months and 8 months respectively (P less than 0.01). The toxicity was similar with each regimen. There was no evidence of deterioration in left ventricular ejection fraction nor congestive


heart failure in any patient. It is concluded that when given at 3-weekly intervals adriamycin is a more effective treatment for advanced breast cancer at higher rather than lower dosage.


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AFFILIATIONS * Instituto Portugues de Oncologia Francisco Gentil, Lisboa, Portugal J Carmo-Pereira Authors * J Carmo-Pereira View author publications You can also search for this author


inPubMed Google Scholar * FO Costa View author publications You can also search for this author inPubMed Google Scholar * Elivra Henriques View author publications You can also search for


this author inPubMed Google Scholar * F Godinho View author publications You can also search for this author inPubMed Google Scholar * MG Cantinho-Lopes View author publications You can also


search for this author inPubMed Google Scholar * A Sales-Luis View author publications You can also search for this author inPubMed Google Scholar * RD Rubens View author publications You


can also search for this author inPubMed Google Scholar RIGHTS AND PERMISSIONS Reprints and permissions ABOUT THIS ARTICLE CITE THIS ARTICLE Carmo-Pereira, J., Costa, F., Henriques, E. _et


al._ A comparison of two doses of adriamycin in the primary chemotherapy of disseminated breast carcinoma. _Br J Cancer_ 56, 471–473 (1987). https://doi.org/10.1038/bjc.1987.226 Download


citation * Issue Date: 01 December 1987 * DOI: https://doi.org/10.1038/bjc.1987.226 SHARE THIS ARTICLE Anyone you share the following link with will be able to read this content: Get


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