[A case of metastatic breast cancer resistant to anastrozole treatment responding to high-dose toremifene]

Gan To Kagaku Ryoho. 2009 Apr;36(4):671-3.
[Article in Japanese]

Abstract

The patient was a 56-year-old female. At the age of 35 years, she had under gone left mastectomy and axillary lymph node dissection for breast cancer. After surgery, hormonal therapy was continued for 3 years. Then, no treatment was performed. In this study, single therapy with an AI agent was started to treatbilateral supraclavicular fossa/mediastinal lymphnode metastases. After 6 months, a partial response(PR)was achieved. However, progression of the disease(PD)was noted after 1 year. Thereafter,the regimen was switched to single high-dose(120mg/day)TOR therapy. CT revealed the disappearance of the bilateral supraclavicular fossa lymphnodes and a marked reduction of the other lymphnodes. Currently, the patient is being treated, with an interval of 10 months from the start of TOR therapy.

Publication types

  • Case Reports

MeSH terms

  • Anastrozole
  • Breast Neoplasms / diagnostic imaging
  • Breast Neoplasms / drug therapy*
  • Breast Neoplasms / pathology*
  • Breast Neoplasms / surgery
  • Drug Resistance, Neoplasm / drug effects*
  • Female
  • Humans
  • Lymph Node Excision
  • Lymphatic Metastasis / diagnostic imaging
  • Lymphatic Metastasis / pathology
  • Mastectomy
  • Middle Aged
  • Nitriles / therapeutic use*
  • Tomography, X-Ray Computed
  • Toremifene / therapeutic use*
  • Triazoles / therapeutic use*

Substances

  • Nitriles
  • Triazoles
  • Anastrozole
  • Toremifene