Ricciardi Giuseppina Rosaria Rita, Proto Claudia, Ferraro Giuseppa, Adamo Vincenzo
Medical Oncology Unit, AO Papardo-Department of Human Pathology, University of Messina, Messina, Italy.
Future Oncol. 2014 Dec;10(15):2417-22. doi: 10.2217/fon.14.160.
During the last decades, the introduction of new cytotoxics and targeted therapies resulted in a prolongation of survival and a minimization of toxicity in the treatment of metastatic breast cancer. However, to date, there was no standard of care following second-line therapy in this setting. In Phase III EMBRACE study, eribulin obtained a statistically significant improvement in the overall survival of pretreated metastatic breast cancer patients. This case report describes a heavily chemo-pretreated woman with important bone, nodal, hepatic and choroidal involvement from breast cancer who had a remarkable, unexpected and lasting disease response after treatment with eribulin. This case underlines how this well-tolerated monochemotherapy may be able to obtain a prolonged disease control and a good clinical outcome.
在过去几十年中,新型细胞毒性药物和靶向治疗药物的引入,使转移性乳腺癌的治疗实现了生存期延长和毒性最小化。然而,迄今为止,这种情况下二线治疗后尚无标准治疗方案。在III期EMBRACE研究中,艾日布林使经治转移性乳腺癌患者的总生存期有了统计学上的显著改善。本病例报告描述了一名乳腺癌出现严重骨、淋巴结、肝脏和脉络膜转移且接受过大量化疗的女性患者,其在接受艾日布林治疗后出现了显著、意外且持久的疾病缓解。该病例强调了这种耐受性良好的单一化疗药物如何能够实现延长疾病控制时间并取得良好的临床疗效。