Marutaka Masahito, Suguri Takayasu, Miyake Mikio, Yoshimura Kouichi
Dept. of Surgery, Tamano Mitsui Hospital.
Gan To Kagaku Ryoho. 2005 Dec;32(13):2137-9.
The patient was a 72-year-old female. Under the supervision of her former doctor, this patient had an operation and adjuvant chemotherapy for progressive breast cancer. During the following period, local recurrence of breast cancer and pulmonary lymphopathia developed. Although medication with paclitaxel was attempted, the focus was resistant to this treatment, and metastasis to the brain was also observed. Due to the dyscrasia above, the patient had difficulty breathing and became bedridden. Subsequently, combination treatment of capecitabine and trastuzumab was attempted. As a result,metastasis in the brain and pulmonary lymphopathia were improved. The patient recovered enough to be discharged at one time. However, his condition took a turn for the worse after the interruption of the combination treatment by a side effect. In conclusion, the combination treatment of capecitabine and trastuzumab is thought to be effective for non-responders to paclitaxel.
该患者为一名72岁女性。在其前一位医生的监督下,该患者因进展期乳腺癌接受了手术及辅助化疗。在接下来的时期,出现了乳腺癌局部复发及肺淋巴结病。尽管尝试使用紫杉醇进行治疗,但病灶对此治疗耐药,并且还观察到脑转移。由于上述血液系统异常,患者呼吸困难并卧床不起。随后,尝试了卡培他滨和曲妥珠单抗的联合治疗。结果,脑转移和肺淋巴结病得到改善。患者恢复良好,曾一度出院。然而,因副作用导致联合治疗中断后,其病情恶化。总之,卡培他滨和曲妥珠单抗的联合治疗被认为对紫杉醇无反应者有效。