中国抗癌协会乳腺癌诊治指南与规范 2013版.pptVIP

Diagnosis of metastatic breast cancer Determination of sites and extent of disease Assessment of HER2, HR status, disease-free interval, age, and menopausal status No life-threatening disease, hormone responsive Hormone unresponsive or life-threatening disease First-line hormonal therapy First-line chemotherapy Response No response Second-line hormonal therapy Second-line chemotherapy Progression Progression Progression Progression Third-line hormonal therapy Response No response No response Third-line chemotherapy Supportive care 晚期乳腺癌治疗原则 晚期乳腺癌内分泌治疗药物 绝经前 LH-RH 类似物 Tamoxifen LH-RH + Tamoxif