학술논문

A COMPLETE RESPONSE TO CHEMOENDOCRINE THERAPY FOR RECURRENT BREAST CANCER WITH MULTIPLE PLEURAL METASTASES: REPORT OF A CASE / 化学内分泌療法で完全寛解(CR)が得られた肝硬変合併乳癌術後肺胸膜転移の1例
Document Type
Journal Article
Source
医療 / Japanese Journal of National Medical Services. 1994, 48(2):119
Subject
chemoendocrine therapy
complete response
liver cirrhosis
pancytopenia
recurrent breast cancer with multiple pleural metastases
乳癌術後肺胸膜転移
化学内分泌療法
完全寛解
白血球血小板減少
肝硬変
Language
Japanese
ISSN
0021-1699
1884-8729
Abstract
A 61-year-old female having undergone radical mastectomy 4 years previously was readmitted because of dyspnea. Chest X-ray and CT scan revealed multiple metastatic pleural nodules and effusion. The patient had thrombocytopenia and leukopenia due to liver cirrhosis and was treated with a combined chemoendocrine therapy consisted of epirubicin, mitomycin C, UFT, tamoxifen and medroxyprogesterone acetate. The patient lost her consciousness temporarily with respiratory acidosis but emerged 5 days later. Six months after the introduction of the therapy the metastatic nodues completely disappeared on chest X-ray and CT scan. Her performance status improved markedly and the duration of a complete response has lasted 21 months to this day.