Primary Granulocyte Colony-Stimulating Factor Prophylaxis During the First Two Cycles Only or Throughout All Chemotherapy Cycles in Patients With Breast Cancer at Risk for Febrile Neutropenia
Author(s) -
Maureen J.B. Aarts,
Frank Peters,
Caroline Mandigers,
M. Wouter Dercksen,
Jacqueline M. Stouthard,
Hans J. W. R. Nortier,
Hanneke W.M. van Laarhoven,
Laurence J. van Warmerdam,
Agnès J. van de Wouw,
Esther Jacobs,
Vera Mattijssen,
Carin C.D. van der Rijt,
Tineke J. Smilde,
Annette W. van der Velden,
Mehmet Temizkan,
Erdogan Batman,
E.W. Muller,
Saskia M. van Gastel,
George F. Borm,
Vivianne C. G. TjanHeijnen
Publication year - 2013
Publication title -
journal of clinical oncology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 10.482
H-Index - 548
eISSN - 1527-7755
pISSN - 0732-183X
DOI - 10.1200/jco.2012.44.6229
Subject(s) - medicine , febrile neutropenia , chemotherapy , granulocyte colony stimulating factor , breast cancer , neutropenia , incidence (geometry) , risk factor , oncology , chemotherapy regimen , surgery , cancer , physics , optics
Early breast cancer is commonly treated with anthracyclines and taxanes. However, combining these drugs increases the risk of myelotoxicity and may require granulocyte colony-stimulating factor (G-CSF) support. The highest incidence of febrile neutropenia (FN) and largest benefit of G-CSF during the first cycles of chemotherapy lead to questions about the effectiveness of continued use of G-CSF throughout later cycles of chemotherapy.
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