Tanaka Y, Ohmori Y, Toki T, Okazaki Y, Ogoshi S, Ogawa Y
Department of Surgery II, Kochi Medical School, Japan.
Nihon Geka Hokan. 1995 Jan 1;64(1):15-22.
A 79-year old male advanced breast cancer patient with metastases in lymph nodes, bones and anterior chest wall was effectively treated by a combination of chemotherapy (5-fluorouracil, epirubicin and cyclophosphamide), tamoxifen and minor surgery. Two months after five cycles of chemotherapy, all lymph node swellings disappeared. The main breast cancer and the chest wall metastatic nodule were resected under local anesthesia. He was maintained on tamoxifen alone and showed no lymph node recurrence during the follow up period of 20 months, suggesting good control of bone metastatic lesions.
一名79岁男性晚期乳腺癌患者,伴有淋巴结、骨骼和前胸壁转移,通过化疗(5-氟尿嘧啶、表柔比星和环磷酰胺)、他莫昔芬及小手术联合治疗,效果良好。五个周期化疗两个月后,所有淋巴结肿大消失。在局部麻醉下切除了主要乳腺癌灶及胸壁转移结节。此后仅给予他莫昔芬维持治疗,在20个月的随访期内未出现淋巴结复发,提示骨转移病灶得到了良好控制。