Medical Oncology Department, Complejo Asistencial De Segovia, Segovia, Spain.
Medical Oncology Department, MD Anderson Cancer Center, Madrid, Spain.
Future Oncol. 2018 Mar;14(7s):13-20. doi: 10.2217/fon-2017-0356.
Triple-negative breast cancers are defined as tumors negative for estrogen receptors, progesterone receptors and human EGFR2. These tumors exhibit diverse biological behavior and have a poor prognosis; chemotherapy is the mainstay of treatment. The first case involves a young woman with cerebral and cerebellar metastases who achieved a persistent objective response to fourth-line eribulin. In the second case, a woman who became metastatic during adjuvant therapy with anthracyclines and taxanes, and was refractory to capecitabine + bevacizumab, achieved a partial response and local symptom improvement with eribulin + bevacizumab. Last, a poly-treated patient demonstrated reasonable response and longer progression-free interval on third-line eribulin relative to previous lines of chemotherapy which is unusual in this clinical setting.
三阴性乳腺癌是指雌激素受体、孕激素受体和人表皮生长因子受体 2 均阴性的肿瘤。这些肿瘤表现出不同的生物学行为,预后不良;化疗是主要的治疗方法。第一个病例涉及一名患有脑和小脑转移的年轻女性,她对四线埃立布林治疗持续产生客观反应。第二个病例中,一名在蒽环类药物和紫杉类药物辅助治疗期间发生转移的女性,对卡培他滨+贝伐珠单抗耐药,接受埃立布林+贝伐珠单抗治疗后获得部分缓解和局部症状改善。最后,一名经过多线治疗的患者在三线埃立布林治疗中表现出合理的反应和更长的无进展间隔期,与该临床环境下的先前化疗线不同。