乳癌常見處方

 

Disease

Regiment

Frequency

Note

Breast Ca

Adjuvant setting

 

 

CMF(IV)

Cyclophosphamide 600 mg/m2 IV D1

Methotrexate 40 mg/m2 IV D1,8

5-Flurouracil 600 mg/m2 IV D1,8

Repeat cycle every 21 days

 

 

CMF(PO)

Cyclophosphamide 100 mg/m2 PO D1-14

Methotrexate 40 mg/m2 IV D1,8

5-Flurouracil 600 mg/m2 IV D1,8

Repeat cycle every 21 days

 

CAF

Cyclophosphamide 600 mg/m2 IV

Doxorubicin 60 mg/m2 IV

5-Flurouracil 600 mg/m2 IV

Repeat every 21 days

 

FEC

5-Flurouracil 500 mg/m2 IV

Epirubicin 100 mg/m2 IV

Cyclophosphamide 500 mg/m2 IV

Repeat every 21 days

 

AC

 

Doxorubicin 60 mg/m2 IV

Cyclophosphamide 600 mg/m2 IV

Repeat cycle every 21 days

 

AC + Taxo

Indication:

(1) Node positive, and (2) ER (-) and PR (-)

Doxorubicin 60 mg/m2 IV

Cyclophosphamide 600 mg/m2 IV

Followed by:

Palitaxel 175 mg/m2 IV on day1

Repeat cycle every 21 days for 4 cycles

 

Repeat cycle every 21 days for 4 cycles

 

TAC

Indication:

Node positive (especially for node 1~3)

Doxotaxel 75 mg/m2 IV

Doxorubicin 50 mg/m2 IV

Cyclophosphamide 500 mg/m2 IV

Repeat cycle every 21 days

Needs G-CSF Support

Breast Ca

Metastatic setting

 

 

FAC

5-Flurouracil 500 mg/m2 IV on D1,8

Doxorubicin 50 mg/m2 IV D1

Cyclophosphamide 500 mg/m2 IV D1

Repeat every 3-4 weeks

 

TAC

Doxotaxel 75 mg/m2 IV

Doxorubicin 50 mg/m2 IV

Cyclophosphamide 500 mg/m2 IV

Repeat every 21 days

 

Gemcitabine + Taxol

Gemcitabine 1,250 mg/m2 IV on D1,8

Paclitaxel 175 mg/m2 IV on D2

Repeat every 21 days

 

Capecitabine

2,000-2,500 mg/m2 PO daily in two divided doses, for 14 days

Repeat cycle after 7-days rest

 

Vinorelbine

15-25 mg/m2 IV infusion weekly, for 4-6 weeks

Repeat cycle after 1-2 weeks rest

 

Trastuzumab

Indication:

Her2-neu amplification: FISH (+), or

Her2-neu overexpression: IHC (+++)