Kinoshita Haruhito, Teraoka Hitoshi, Mori Takuya, Hasegawa Tsuyoshi, Noda Eiji, Takashima Tsutomu, Hirakawa Kosei, Ohira Masaichi
Dept. of Surgery, Baba Memorial Hospital.
Gan To Kagaku Ryoho. 2019 Dec;46(13):2461-2463.
A 50-year-old woman was referred to our hospital due to breast cancer with multiple liver metastasis diagnosed by CT scan. Laboratory findings showed liver dysfunction(T-Bil 7.6mg/dL)with marked elevation of tumor markers(CEA 727.9 ng/mL). Breast tumor biopsy showed an invasive ductal carcinoma(scirrhous type), ER(+), PgR(-), and HER2(3+). Combination therapy with docetaxel, carboplatin and, trastuzumab was administered after the end of 1 course of weekly paclitaxel plus bevacizumab regimen. The patient maintained a good condition without liver dysfunction 8 months after the first visit. Follow-up CT scan showed partial response of breast and hepatic tumors. Our case suggests that careful chemotherapy can improve the prognosis of breast cancer with liver metastasis even if a patient is in an icteric condition.
