[A case of stage IV breast cancer with bone metastases that responded well for long-term to hormonal therapy]

Gan To Kagaku Ryoho. 2010 Nov;37(12):2753-5.
[Article in Japanese]

Abstract

A case was a 48 years old woman. She was aware of a lump in her left breast and visited our hospital. We diagnosed it as an invasive ductal carcinoma. Immunostaining for both ER and PgR was strongly positive. CT of the initial consultation showed multiple bone metastases (thoracic vertebrae, lumbar vertebrae, and iliac bone). After AC followed by docetaxel and tamoxifen, LH-RH analogue was started. We used anastrozole after menopause. The bisphosphonate has been used from the beginning of the treatment. After the chemotherapy, the clinical response of primary tumor was judged as partial response. For six years, the size of primary tumor has not been changed, and PET-CT has not showed another metastasis. Anastrozole was superior to tamoxifen with respect to TTP (median values of 10.7 and 6.4 months for anastrozole and tamoxifen, respectively) in postmenopausal women with ER and/or PgR receptor positive tumors. Our study indicated that many patients responding to hormonal therapy appear to have been increasing from now on.

Publication types

  • Case Reports

MeSH terms

  • Anastrozole
  • Antineoplastic Agents, Hormonal / therapeutic use*
  • Bone Neoplasms / drug therapy
  • Bone Neoplasms / secondary*
  • Breast Neoplasms / drug therapy*
  • Breast Neoplasms / pathology*
  • Carcinoma, Ductal, Breast / drug therapy*
  • Carcinoma, Ductal, Breast / pathology*
  • Diphosphonates / therapeutic use
  • Female
  • Gonadotropin-Releasing Hormone / therapeutic use*
  • Humans
  • Middle Aged
  • Nitriles / therapeutic use*
  • Receptors, Estrogen / analysis
  • Receptors, Progesterone / analysis
  • Tamoxifen / therapeutic use*
  • Triazoles / therapeutic use*

Substances

  • Antineoplastic Agents, Hormonal
  • Diphosphonates
  • Nitriles
  • Receptors, Estrogen
  • Receptors, Progesterone
  • Triazoles
  • Tamoxifen
  • Anastrozole
  • Gonadotropin-Releasing Hormone