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在一名肝转移三阴性乳腺癌患者中,使用艾日布林治疗后获得持久的完全缓解影像学反应。

Long-Lasting Exceptional Radiological Complete Response after Treatment with Eribulin in a Patient with Triple-Negative Breast Cancer with Liver Involvement.

出版信息

Oncology. 2018;94 Suppl 1(Suppl 1):6-9. doi: 10.1159/000489062. Epub 2018 Jul 23.

Abstract

We report the case of a 50-year-old woman with a triple-negative Ki67 80% breast cancer with liver metastases, who obtained a radiological long-lasting complete response after treatment with eribulin. The patient initially experienced progressive disease after a standard anthracycline/taxane-based adjuvant chemotherapy, a first-line treatment for metastatic disease with paclitaxel-bevacizumab, and a second-line maintenance treatment with bevacizumab and capecitabine. Eribulin was administered according to a 1.23 mg/m2 scheme on days 1 and 8 every 3 weeks, and the treatment was always well tolerated. After 45 cycles of therapy, we still detected radiological evidence of complete response on liver sites of disease. This case report underlines the great efficacy of eribulin as third-line treatment for metastatic disease in a very aggressive form of breast cancer.

摘要

我们报告了一例 50 岁的三阴性 Ki67 80%乳腺癌伴肝转移患者,在接受艾立布林治疗后获得了影像学持久完全缓解。该患者最初在接受标准蒽环类/紫杉烷类辅助化疗后出现疾病进展,这是转移性疾病的一线治疗方案,随后接受紫杉醇-贝伐珠单抗一线治疗,二线维持治疗采用贝伐珠单抗和卡培他滨。艾立布林的给药方案为 1.23mg/m2,第 1 天和第 8 天给药,每 3 周 1 次,治疗始终耐受良好。在 45 个周期的治疗后,我们仍然在肝脏疾病部位检测到影像学完全缓解的证据。本病例报告强调了艾立布林作为转移性疾病三线治疗的巨大疗效,特别是对于非常侵袭性的乳腺癌形式。

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