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用于治疗乳腺癌的帕妥珠单抗注射液获批上市

2018-12-17 佚名 国家药监局网站

近日,国家药品监督管理局批准帕妥珠单抗注射液(英文名:Pertuzumab Injection)进口注册申请,联合曲妥珠单抗和化疗用于具有高复发风险的人表皮生长因子受体2(HER2)阳性早期乳腺癌患者的辅助治疗。乳腺癌是女性发病率最高的恶性肿瘤。HER2阳性的早期乳腺癌患者接受赫赛汀联合化疗后,仍有约1/4的患者在10-11年后出现疾病复发或死亡,高危早期乳腺癌患者出现复发或死亡的比例更高。帕妥珠

近日,国家药品监督管理局批准帕妥珠单抗注射液(英文名:Pertuzumab Injection)进口注册申请,联合曲妥珠单抗和化疗用于具有高复发风险的人表皮生长因子受体2(HER2)阳性早期乳腺癌患者的辅助治疗。

乳腺癌是女性发病率最高的恶性肿瘤。HER2阳性的早期乳腺癌患者接受赫赛汀联合化疗后,仍有约1/4的患者在10-11年后出现疾病复发或死亡,高危早期乳腺癌患者出现复发或死亡的比例更高。帕妥珠单抗注射液为罗氏公司研发的一种新型抗HER2药物,通过抑制HER2异源性和同源性二聚体产生抗HER2作用。全球关键III期辅助治疗研究显示,与当前标准治疗曲妥珠单抗联合化疗相比,帕妥珠单抗联合曲妥珠单抗和化疗用于具有高复发风险的HER2阳性早期乳腺癌患者辅助治疗,显着改善了患者无侵袭性疾病生存期,不良反应可控。鉴于本品临床效益/风险优势明显,12月17日,国家药品监督管理局批准本品进口注册,与曲妥珠单抗和化疗联合用于具有高复发风险的HER2阳性早期乳腺癌患者的辅助治疗。

按照中共中央、国务院对深化药品审评审批制度改革的有关精神,国家药品监督管理局鼓励创新药品的境内外同步研发、申报注册,对于通过国际多中心临床试验取得的临床试验数据,符合药品注册相关要求的,直接批准上市,使我国患者尽早用上疗效确切、安全风险可控的创新药品,更好满足大众的用药需求。

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    2019-03-15 weiz
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    2018-12-27 jjr

    0

  4. 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replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20201006/4db877c2887649beb09cb5effd0b38c7/916f66edd48a4e77b20ebc3e14b6e45c.jpg, createdBy=141e1980133, createdName=Y—xianghai, createdTime=Thu Dec 20 09:39:11 CST 2018, time=2018-12-20, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=355919, encodeId=7f1c35591982, content=学习了新知识, beContent=null, objectType=article, channel=null, level=null, likeNumber=65, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20201006/4db877c2887649beb09cb5effd0b38c7/916f66edd48a4e77b20ebc3e14b6e45c.jpg, createdBy=141e1980133, createdName=Y—xianghai, createdTime=Thu Dec 20 09:39:04 CST 2018, time=2018-12-20, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=355918, encodeId=5abf3559187e, content=学习了长知识, beContent=null, objectType=article, 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beContent=null, objectType=article, channel=null, level=null, likeNumber=33, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20201006/4db877c2887649beb09cb5effd0b38c7/916f66edd48a4e77b20ebc3e14b6e45c.jpg, createdBy=141e1980133, createdName=Y—xianghai, createdTime=Thu Dec 20 09:38:51 CST 2018, time=2018-12-20, status=1, ipAttribution=)]
    2018-12-20 Y—xianghai

    学习了长知识

    0

  5. 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replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20201006/4db877c2887649beb09cb5effd0b38c7/916f66edd48a4e77b20ebc3e14b6e45c.jpg, createdBy=141e1980133, createdName=Y—xianghai, createdTime=Thu Dec 20 09:39:11 CST 2018, time=2018-12-20, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=355919, encodeId=7f1c35591982, content=学习了新知识, beContent=null, objectType=article, channel=null, level=null, likeNumber=65, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20201006/4db877c2887649beb09cb5effd0b38c7/916f66edd48a4e77b20ebc3e14b6e45c.jpg, createdBy=141e1980133, createdName=Y—xianghai, createdTime=Thu Dec 20 09:39:04 CST 2018, time=2018-12-20, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=355918, encodeId=5abf3559187e, content=学习了长知识, beContent=null, objectType=article, channel=null, level=null, likeNumber=32, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20201006/4db877c2887649beb09cb5effd0b38c7/916f66edd48a4e77b20ebc3e14b6e45c.jpg, createdBy=141e1980133, createdName=Y—xianghai, createdTime=Thu Dec 20 09:39:00 CST 2018, time=2018-12-20, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=355917, encodeId=c81e35591e05, content=学习了新知识, beContent=null, objectType=article, channel=null, level=null, likeNumber=25, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20201006/4db877c2887649beb09cb5effd0b38c7/916f66edd48a4e77b20ebc3e14b6e45c.jpg, createdBy=141e1980133, createdName=Y—xianghai, createdTime=Thu Dec 20 09:38:55 CST 2018, time=2018-12-20, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=355916, encodeId=332e35591690, content=学习了长知识, beContent=null, objectType=article, channel=null, level=null, likeNumber=33, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20201006/4db877c2887649beb09cb5effd0b38c7/916f66edd48a4e77b20ebc3e14b6e45c.jpg, createdBy=141e1980133, createdName=Y—xianghai, createdTime=Thu Dec 20 09:38:51 CST 2018, time=2018-12-20, status=1, ipAttribution=)]
    2018-12-20 Y—xianghai

    学习了新知识

    0

  6. [GetPortalCommentsPageByObjectIdResponse(id=1632563, encodeId=ee35163256336, content=<a href='/topic/show?id=aa0488034a0' target=_blank style='color:#2F92EE;'>#获批上市#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=36, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=88034, encryptionId=aa0488034a0, topicName=获批上市)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=820f21933891, createdName=weiz, createdTime=Fri Mar 15 07:20:00 CST 2019, time=2019-03-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=2028905, encodeId=6dbf2028905b2, content=<a href='/topic/show?id=76463619101' target=_blank style='color:#2F92EE;'>#单抗注射液#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=44, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=36191, encryptionId=76463619101, topicName=单抗注射液)], attachment=null, authenticateStatus=null, 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replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20201006/4db877c2887649beb09cb5effd0b38c7/916f66edd48a4e77b20ebc3e14b6e45c.jpg, createdBy=141e1980133, createdName=Y—xianghai, createdTime=Thu Dec 20 09:39:11 CST 2018, time=2018-12-20, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=355919, encodeId=7f1c35591982, content=学习了新知识, beContent=null, objectType=article, channel=null, level=null, likeNumber=65, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20201006/4db877c2887649beb09cb5effd0b38c7/916f66edd48a4e77b20ebc3e14b6e45c.jpg, createdBy=141e1980133, createdName=Y—xianghai, createdTime=Thu Dec 20 09:39:04 CST 2018, time=2018-12-20, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=355918, encodeId=5abf3559187e, content=学习了长知识, beContent=null, objectType=article, channel=null, level=null, likeNumber=32, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20201006/4db877c2887649beb09cb5effd0b38c7/916f66edd48a4e77b20ebc3e14b6e45c.jpg, createdBy=141e1980133, createdName=Y—xianghai, createdTime=Thu Dec 20 09:39:00 CST 2018, time=2018-12-20, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=355917, encodeId=c81e35591e05, content=学习了新知识, beContent=null, objectType=article, channel=null, level=null, likeNumber=25, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20201006/4db877c2887649beb09cb5effd0b38c7/916f66edd48a4e77b20ebc3e14b6e45c.jpg, createdBy=141e1980133, createdName=Y—xianghai, createdTime=Thu Dec 20 09:38:55 CST 2018, time=2018-12-20, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=355916, encodeId=332e35591690, content=学习了长知识, beContent=null, objectType=article, channel=null, level=null, likeNumber=33, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20201006/4db877c2887649beb09cb5effd0b38c7/916f66edd48a4e77b20ebc3e14b6e45c.jpg, createdBy=141e1980133, createdName=Y—xianghai, createdTime=Thu Dec 20 09:38:51 CST 2018, time=2018-12-20, status=1, ipAttribution=)]
    2018-12-20 Y—xianghai

    学习了长知识

    0

  7. 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replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20201006/4db877c2887649beb09cb5effd0b38c7/916f66edd48a4e77b20ebc3e14b6e45c.jpg, createdBy=141e1980133, createdName=Y—xianghai, createdTime=Thu Dec 20 09:39:11 CST 2018, time=2018-12-20, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=355919, encodeId=7f1c35591982, content=学习了新知识, beContent=null, objectType=article, channel=null, level=null, likeNumber=65, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20201006/4db877c2887649beb09cb5effd0b38c7/916f66edd48a4e77b20ebc3e14b6e45c.jpg, createdBy=141e1980133, createdName=Y—xianghai, createdTime=Thu Dec 20 09:39:04 CST 2018, time=2018-12-20, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=355918, encodeId=5abf3559187e, content=学习了长知识, beContent=null, objectType=article, channel=null, level=null, likeNumber=32, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20201006/4db877c2887649beb09cb5effd0b38c7/916f66edd48a4e77b20ebc3e14b6e45c.jpg, createdBy=141e1980133, createdName=Y—xianghai, createdTime=Thu Dec 20 09:39:00 CST 2018, time=2018-12-20, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=355917, encodeId=c81e35591e05, content=学习了新知识, beContent=null, objectType=article, channel=null, level=null, likeNumber=25, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20201006/4db877c2887649beb09cb5effd0b38c7/916f66edd48a4e77b20ebc3e14b6e45c.jpg, createdBy=141e1980133, createdName=Y—xianghai, createdTime=Thu Dec 20 09:38:55 CST 2018, time=2018-12-20, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=355916, encodeId=332e35591690, content=学习了长知识, beContent=null, objectType=article, channel=null, level=null, likeNumber=33, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20201006/4db877c2887649beb09cb5effd0b38c7/916f66edd48a4e77b20ebc3e14b6e45c.jpg, createdBy=141e1980133, createdName=Y—xianghai, createdTime=Thu Dec 20 09:38:51 CST 2018, time=2018-12-20, status=1, ipAttribution=)]
    2018-12-20 Y—xianghai

    学习了新知识

    0

  8. 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replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20201006/4db877c2887649beb09cb5effd0b38c7/916f66edd48a4e77b20ebc3e14b6e45c.jpg, createdBy=141e1980133, createdName=Y—xianghai, createdTime=Thu Dec 20 09:39:11 CST 2018, time=2018-12-20, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=355919, encodeId=7f1c35591982, content=学习了新知识, beContent=null, objectType=article, channel=null, level=null, likeNumber=65, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20201006/4db877c2887649beb09cb5effd0b38c7/916f66edd48a4e77b20ebc3e14b6e45c.jpg, createdBy=141e1980133, createdName=Y—xianghai, createdTime=Thu Dec 20 09:39:04 CST 2018, time=2018-12-20, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=355918, encodeId=5abf3559187e, content=学习了长知识, beContent=null, objectType=article, channel=null, level=null, likeNumber=32, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20201006/4db877c2887649beb09cb5effd0b38c7/916f66edd48a4e77b20ebc3e14b6e45c.jpg, createdBy=141e1980133, createdName=Y—xianghai, createdTime=Thu Dec 20 09:39:00 CST 2018, time=2018-12-20, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=355917, encodeId=c81e35591e05, content=学习了新知识, beContent=null, objectType=article, channel=null, level=null, likeNumber=25, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20201006/4db877c2887649beb09cb5effd0b38c7/916f66edd48a4e77b20ebc3e14b6e45c.jpg, createdBy=141e1980133, createdName=Y—xianghai, createdTime=Thu Dec 20 09:38:55 CST 2018, time=2018-12-20, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=355916, encodeId=332e35591690, content=学习了长知识, beContent=null, objectType=article, channel=null, level=null, likeNumber=33, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20201006/4db877c2887649beb09cb5effd0b38c7/916f66edd48a4e77b20ebc3e14b6e45c.jpg, createdBy=141e1980133, createdName=Y—xianghai, createdTime=Thu Dec 20 09:38:51 CST 2018, time=2018-12-20, status=1, ipAttribution=)]
    2018-12-20 Y—xianghai

    学习了长知识

    0

  9. [GetPortalCommentsPageByObjectIdResponse(id=1632563, encodeId=ee35163256336, content=<a href='/topic/show?id=aa0488034a0' target=_blank style='color:#2F92EE;'>#获批上市#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=36, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=88034, encryptionId=aa0488034a0, topicName=获批上市)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=820f21933891, createdName=weiz, createdTime=Fri Mar 15 07:20:00 CST 2019, time=2019-03-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=2028905, encodeId=6dbf2028905b2, content=<a href='/topic/show?id=76463619101' target=_blank style='color:#2F92EE;'>#单抗注射液#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=44, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=36191, encryptionId=76463619101, topicName=单抗注射液)], attachment=null, authenticateStatus=null, 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replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20201006/4db877c2887649beb09cb5effd0b38c7/916f66edd48a4e77b20ebc3e14b6e45c.jpg, createdBy=141e1980133, createdName=Y—xianghai, createdTime=Thu Dec 20 09:39:11 CST 2018, time=2018-12-20, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=355919, encodeId=7f1c35591982, content=学习了新知识, beContent=null, objectType=article, channel=null, level=null, likeNumber=65, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20201006/4db877c2887649beb09cb5effd0b38c7/916f66edd48a4e77b20ebc3e14b6e45c.jpg, createdBy=141e1980133, createdName=Y—xianghai, createdTime=Thu Dec 20 09:39:04 CST 2018, time=2018-12-20, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=355918, encodeId=5abf3559187e, content=学习了长知识, beContent=null, objectType=article, 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beContent=null, objectType=article, channel=null, level=null, likeNumber=33, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20201006/4db877c2887649beb09cb5effd0b38c7/916f66edd48a4e77b20ebc3e14b6e45c.jpg, createdBy=141e1980133, createdName=Y—xianghai, createdTime=Thu Dec 20 09:38:51 CST 2018, time=2018-12-20, status=1, ipAttribution=)]
    2018-12-20 Y—xianghai

    学习了新知识

    0

  10. 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beContent=null, objectType=article, channel=null, level=null, likeNumber=33, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20201006/4db877c2887649beb09cb5effd0b38c7/916f66edd48a4e77b20ebc3e14b6e45c.jpg, createdBy=141e1980133, createdName=Y—xianghai, createdTime=Thu Dec 20 09:38:51 CST 2018, time=2018-12-20, status=1, ipAttribution=)]
    2018-12-20 Y—xianghai

    学习了长知识

    0

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Lancet oncol:来曲唑维持治疗不能延长乳腺癌患者化疗后的无病存活期

绝经后乳腺癌患者芳香化酶抑制剂延长治疗的最佳持续时间尚不明确。在NSABP B-42研究中,我们意欲明确延长来曲唑治疗是否可提高绝经后乳腺癌患者基于芳香化酶抑制治疗5年后的无病存活率。本研究是一个在USA、加拿大和爱尔兰的158个中心开展的随机双盲安慰剂对照的3期试验,招募I-IIIA期的雌激素受体阳性的绝经后乳腺癌患者,且要求受试者是采用芳香化酶抑制剂或它莫西芬联合芳香化酶抑制剂治疗后5年内未复

NEJM:帕博西利布+氟维司群治疗晚期乳腺癌怎么样?

2018年11月,英国、美国、韩国等国学者发表在《N Engl J Med》的一项研究,考察了帕博西利布和氟维司群治疗的晚期乳腺癌患者的总生存期。

美例秀秀|HER2阳性乳腺癌全程管理实践

通过对本例乳腺癌患者治疗方案的分析,旨在体现对HER2阳性和激素受体阴性乳腺癌患者的全程管理。该例患者术前检查提示存在HER2阳性、腋窝淋巴结转移等高危因素,推荐患者行术前新辅助化疗,在新辅助化疗结束后行“左乳腺癌改良根治术”。术后行TAC方案化疗、放疗及1年曲妥珠单抗治疗,在治疗结束后3年左右患者出现疾病进展,给予患者赫赛汀联合卡培他滨治疗后,患者治疗疗效评价为PR。不幸的是,患者在2017.5

Lancet Diabetes Endocrinol:内分泌辅助治疗乳腺癌和前列腺癌 别忽略骨健康

当前,保持骨骼健康仍是乳腺癌和前列腺癌患者的长期临床挑战。2018年11月,发表在《Lancet Diabetes Endocrinol》的一篇综述,描述了乳腺癌和前列腺癌的辅助内分泌治疗如何损害骨健康,并概述了降低骨折风险策略的随机对照试验的证据。

乳腺癌手术的适应证与禁忌证有哪些?

手术治疗是乳腺癌比较主要的治疗手段。术式有多种,对它的选择尚乏统一意见,总的发展趋势是,尽量减少手术的破坏,在设备条件允许下对早期乳腺癌患者要求尽力保留乳房外形。无论选择采取何种术式,都应该严格掌握以根治为主,保留功能及其外形为辅的原则。

美例秀秀|首诊IV期HER2+晚期乳腺癌一线解救治疗

陈XX,女,67岁,既往病史:2012年4月因“双侧卵巢癌”在我院行“卵巢癌根治术”,术后行“紫杉醇+顺铂”方案化疗6次。“脑梗”病史5年余,服用“阿司匹林”2年后自行停药。

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