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AVANCES EN LA UTILIZACION DE TAXANOS EN LA TERAPIA ADYUVANTE DEL CANCER DE MAMA

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Esta revisión analiza la información disponible acerca del papel de los taxanos en el tratamiento adyuvante del cáncer de mama.
nabholtz9.jpg Autor:
Jean-marc Nabholtz
Columnista Experto de SIIC

Institución:
Breast Cancer Research Institute


Artículos publicados por Jean-marc Nabholtz
Coautor
Joseph Gligorov* 
Medical Oncology Department, CancerEst APHP Tenon 4, Francia*
Recepción del artículo
29 de Septiembre, 2005
Aprobación
6 de Octubre, 2005
Primera edición
21 de Marzo, 2006
Segunda edición, ampliada y corregida
7 de Junio, 2021

Resumen
El cáncer de mama es el tipo de cáncer más frecuente en las mujeres de los países desarrollados. La quimioterapia sistémica contribuyó a mejorar en forma sorprendente la supervivencia global de las pacientes tratadas por cáncer de mama invasor, en estadio temprano. Entre los nuevos agentes quimioterapéuticos recientemente introducidos, los taxanos han surgido como los compuestos más potentes desde los regímenes con antraciclinas. Ambos taxanos disponibles (paclitaxel y docetaxel) demostraron una actividad importante y un impacto en la supervivencia de esta población, pero presentan algunas diferencias significativas en términos del perfil preclínico y principalmente en las características clínicas. En la práctica clínica, los taxanos constituyen uno de los tratamientos adyuvantes convencionales para las pacientes con cáncer de mama y compromiso ganglionar, utilizados como quimioterapia secuencial o en combinación con antraciclinas. Esta revisión se concentra en los datos disponibles acerca del papel de los taxanos en el tratamiento adyuvante del cáncer de mama.

Palabras clave
Cáncer de mama, adyuvante, taxanos, paclitaxel, docetaxel, antraciclinas


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Abstract
Breast cancer is the most frequent cancer for women in developed countries. Systemic chemotherapies have contributed to dramatically improve overall survival of patient treated for early stage invasive breast cancer. Among the novel chemotherapeutic agents recently introduced, the taxanes have emerged as the most powerful compounds since anthracycline regimens. Both of available taxanes (paclitaxel and docetaxel) have demonstrate important activity and impact on the survival of these population but they have some significant differences in terms of preclinical profile and, most importantly, clinical characteristics. In clinical practice, the taxanes are now one of the standard adjuvant therapies for patient with node positive breast cancer, used either as sequential chemotherapy or in combination with anthracyclines. This review will focus on available data on the role of taxanes in the adjuvant treatment of breast cancer.

Key words
Breast cancer, adjuvant, taxanes, paclitaxel, docetaxel, anthracyclines


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Clasificación en siicsalud
Artículos originales > Expertos del Mundo >
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Especialidades
Principal: Farmacología, Oncología
Relacionadas: Medicina Farmacéutica, Obstetricia y Ginecología



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