Chemotherapy of disseminated breast cancer. Current status and prospects.

Abstract:

:Chemotherapy once relegated to end stage patients has markedly improved with the use of combinations. Response rates with single agents have improved from 15 to 35%, to 50 to 70%, using combinations with an increase in complete response rates to about 25%. A series of four studies completed by the Eastern Cooperative Oncology Group over the past eight years typifies the improvement in response rates achieved by combinations as compared to single agents. Survival gain can be demonstrated for responders vs non-responders; however with current combinations, there is an apparent plateau in response rates (55 to 60%), durations of response (eight months) and survival for responders (18-22 months) as compared to survival of non-responders (six to eight months). Further improvement in response rates may occur by searching for new agents, combining hormonal and immunostimulation with chemotherapy or by sequencing non-crossresistant combinations. However, since most patients with breast cancer present with local or regional disease but go on to die of disseminated cancer, major improvements in survival are most likely to occur by treating this neoplasm as a systemic disease through cobmining effective local therapy with systemic treatments.

journal_name

Cancer

journal_title

Cancer

authors

Carbone PP,Bauer M,Band P,Tormey D

doi

10.1002/1097-0142(197706)39:6<2916::aid-cncr282039

subject

Has Abstract

pub_date

1977-06-01 00:00:00

pages

2916-22

issue

6 Suppl

eissn

0008-543X

issn

1097-0142

journal_volume

39

pub_type

临床试验,杂志文章

相关文献

CANCER文献大全
  • Background mucosal changes in colorectal carcinomas.

    abstract::The entire colonic mucosa of 51 cases of colorectal carcinoma was examined histologically. Mucosal lesions including goblet cell hyperplasia, crypt dilatation, ulceration with regeneration, basal cell hyperplasia, metaplastic lesions, and adenomas were encountered. Goblet cell hyperplasia (80.4%) was most prominent ad...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:

    authors: Lee YS

    更新日期:1988-04-15 00:00:00

  • Integrated data from 2 randomized, double-blind, placebo-controlled, phase 3 trials of active cellular immunotherapy with sipuleucel-T in advanced prostate cancer.

    abstract:BACKGROUND:Sipuleucel-T is an investigational active cellular immunotherapy product designed to stimulate an immune response against prostate cancer. The safety and efficacy of sipuleucel-T was evaluated in 2 identically designed, randomized, double-blind, placebo-controlled trials (D9901 and D9902A) conducted in men w...

    journal_title:Cancer

    pub_type: 杂志文章,随机对照试验

    doi:10.1002/cncr.24429

    authors: Higano CS,Schellhammer PF,Small EJ,Burch PA,Nemunaitis J,Yuh L,Provost N,Frohlich MW

    更新日期:2009-08-15 00:00:00

  • Malignant schwannoma of the clitoris in a 1-year-old child.

    abstract::A 1-year-old infant with von Recklinghausen's neurofibromatosis was seen because of increasing clitoral enlargement over a 7-month period. The mother, who also had neurofibromatosis, was treated 2 years beforehand for an acoustic neuroma. The child was treated by radical clitorectomy. Pathologic examination revealed m...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/1097-0142(19890601)63:11<2216::aid-cncr282

    authors: Thomas WJ,Bevan HE,Hooper DG,Downey EJ

    更新日期:1989-06-01 00:00:00

  • Predictors of survival in patients with carcinoma of the gallbladder.

    abstract:BACKGROUND:The role of resectional surgery in patients with advanced stages of gallbladder carcinoma has not been fully defined. It is generally believed that the survival depends on the stage of the disease, rather than on the treatment option. METHODS:Seventeen selected risk factors were analyzed using univariate an...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/1097-0142(19951001)76:7<1145::aid-cncr2820

    authors: Pradeep R,Kaushik SP,Sikora SS,Bhattacharya BN,Pandey CM,Kapoor VK

    更新日期:1995-10-01 00:00:00

  • Acute myelogenous leukemia as a second malignant neoplasm following the successful treatment of advanced Hodgkin's disease.

    abstract::Of 209 Hodgkin's disease patients treated at least 6 months with a five-drug combination of induction chemotherapy and having a complete remission, four patients developed acute myelogenous leukemia (AML) as a second malignant neoplasm. The overall relative risk for development of AML is 185.0 (P less than 0.05) and t...

    journal_title:Cancer

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1002/1097-0142(19831215)52:12<2209::aid-cncr282

    authors: Bartolucci AA,Liu C,Durant JR,Gams RA

    更新日期:1983-12-15 00:00:00

  • Cancer and bioethics: caring and consensus.

    abstract::The most important area in which cancer care and bioethics intersect is in the care of the dying. It is in the shift toward according more control to patients, more choice in the setting in which death will come, and in the willingness to take palliative care and comfort care seriously that bioethics has most usefully...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/cncr.23647

    authors: Caplan AL

    更新日期:2008-10-01 00:00:00

  • The two types of correction of absorbed dose estimates for internal emitters.

    abstract:BACKGROUND:Two types of correction for absorbed dose (D) estimates are described for clinical applications of internal emitters. The first is appropriate for legal and scientific reasons involving phantom-based estimates; the second is patient-specific and primarily intended for radioimmunotherapy (RIT). METHODS:The M...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/cncr.10290

    authors: Williams LE,Liu A,Yamauchi DM,Lopatin G,Raubitschek AA,Wong JY

    更新日期:2002-02-15 00:00:00

  • Imaging-based biomarkers: Changes in the tumor interface of pancreatic ductal adenocarcinoma on computed tomography scans indicate response to cytotoxic therapy.

    abstract:BACKGROUND:The assessment of pancreatic ductal adenocarcinoma (PDAC) response to therapy remains challenging. The objective of this study was to investigate whether changes in the tumor/parenchyma interface are associated with response. METHODS:Computed tomography (CT) scans before and after therapy were reviewed in 4...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/cncr.31251

    authors: Amer AM,Zaid M,Chaudhury B,Elganainy D,Lee Y,Wilke CT,Cloyd J,Wang H,Maitra A,Wolff RA,Varadhachary G,Overman MJ,Lee JE,Fleming JB,Tzeng CW,Katz MH,Holliday EB,Krishnan S,Minsky BD,Herman JM,Taniguchi CM,Das P,

    更新日期:2018-04-15 00:00:00

  • Castleman's disease in POEMS syndrome with elevated interleukin-6.

    abstract::POEMS syndrome is a rare multisystem affliction known for its signs, from which it also takes its acronym name "peripheral neuropathy, organomegaly, endocrinopathy, monoclonal (M) protein, and skin lesions." Our study chronicles the course of this syndrome in a young woman with Castleman's disease (angiofollicular lym...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/1097-0142(19920601)69:11<2697::aid-cncr282

    authors: Mandler RN,Kerrigan DP,Smart J,Kuis W,Villiger P,Lotz M

    更新日期:1992-06-01 00:00:00

  • Restoring platinum sensitivity in recurrent ovarian cancer by extending the platinum-free interval: Myth or reality?

    abstract::The platinum-free interval is the most important predictive factor of a response to subsequent lines of chemotherapy and the most important prognostic factor for progression-free and overall survival in patients with recurrent epithelial ovarian cancer. A nonplatinum regimen is generally considered the most appropriat...

    journal_title:Cancer

    pub_type: 杂志文章,评审

    doi:10.1002/cncr.30830

    authors: Tomao F,D'Incalci M,Biagioli E,Peccatori FA,Colombo N

    更新日期:2017-09-15 00:00:00

  • Transgenic mice as models of hemopoiesis.

    abstract::A useful approach to establishing the biologic actions, in vivo, of granulocyte-macrophage colony-stimulating factor (GM-CSF) is to assess the consequences of long-term elevation of the factor in transgenic mice. Two lines of transgenic GM-CSF mice were analyzed. The major abnormality exhibited was an elevation in the...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/1097-0142(19910515)67:10+<2695::aid-cncr28

    authors: Metcalf D

    更新日期:1991-05-15 00:00:00

  • Omental-mesenteric inflammatory pseudotumor. Cytogenetic demonstration of genetic changes and monoclonality in one tumor.

    abstract:BACKGROUND:Extrapulmonary inflammatory pseudotumor (plasma cell granuloma) is an uncommon lesion in adults and children, and little is known either of its etiology or clinical characteristics. However, it remains a significant source of morbidity to patients and confusion to clinicians. METHODS:Case reports are presen...

    journal_title:Cancer

    pub_type: 杂志文章,评审

    doi:10.1002/1097-0142(19940301)73:5<1433::aid-cncr2820

    authors: Treissman SP,Gillis DA,Lee CL,Giacomantonio M,Resch L

    更新日期:1994-03-01 00:00:00

  • Is craniospinal irradiation required to cure children with malignant (anaplastic) intracranial ependymomas?

    abstract::Between 1970 and 1989, 17 children with histologically malignant intracranial ependymomas received treatment at the University of Pennsylvania (Philadelphia, PA). Eleven were treated with prophylactic cranial or craniospinal irradiation plus a local boost (CS-XRT), five with local (L-XRT) irradiation only, and one was...

    journal_title:Cancer

    pub_type: 临床试验,杂志文章

    doi:10.1002/1097-0142(19910601)67:11<2766::aid-cncr282

    authors: Goldwein JW,Corn BW,Finlay JL,Packer RJ,Rorke LB,Schut L

    更新日期:1991-06-01 00:00:00

  • HER-2/neu and p53 overexpression as biomarkers of breast carcinoma in women age 30 years and younger.

    abstract:BACKGROUND:Although p53 and HER-2/neu overexpression are found in 30% of breast carcinomas in women of all ages and are associated with high rates of lymph node metastases, their role in women age < 30 years has not been studied extensively. METHODS:The institutional breast cancer data base was searched to identify yo...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/cncr.20850

    authors: Maru D,Middleton LP,Wang S,Valero V,Sahin A

    更新日期:2005-03-01 00:00:00

  • High-risk extracranial chondrosarcoma: long-term results of surgery and radiation therapy.

    abstract:BACKGROUND:A study was undertaken to evaluate results of surgery and radiotherapy (RT) for high-risk extracranial chondrosarcomas. METHODS:Between 1986 and 2006, 60 patients underwent surgery and RT for extracranial high-risk chondrosarcoma. Preoperative RT (median, 50 gray [Gy]) and postoperative RT (median, 60 Gy) w...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/cncr.25806

    authors: Goda JS,Ferguson PC,O'Sullivan B,Catton CN,Griffin AM,Wunder JS,Bell RS,Kandel RA,Chung PW

    更新日期:2011-06-01 00:00:00

  • Effects of high-intensity aerobic interval training on cardiovascular disease risk in testicular cancer survivors: A phase 2 randomized controlled trial.

    abstract:BACKGROUND:Testicular cancer survivors (TCS) have an increased risk of treatment-related cardiovascular disease (CVD), which may limit their overall survival. We evaluated the effects of high-intensity aerobic interval training (HIIT) on traditional and novel CVD risk factors and surrogate markers of mortality in a pop...

    journal_title:Cancer

    pub_type: 杂志文章,随机对照试验

    doi:10.1002/cncr.30859

    authors: Adams SC,DeLorey DS,Davenport MH,Stickland MK,Fairey AS,North S,Szczotka A,Courneya KS

    更新日期:2017-10-15 00:00:00

  • Renal disease after mitomycin C therapy.

    abstract::Fourteen patients with adenocarcinoma of the gastrointestinal tract and pancreas treated with mitomycin C(MMC) and 5-fluorouracil (5-FU) had renal impairment 6-11 months from the beginning of MMC therapy. Two clinical entities were recognized: an acute fulminating renal failure that was rapidly fatal and a chronic slo...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/1097-0142(19811215)48:12<2583::aid-cncr282

    authors: Hanna WT,Krauss S,Regester RF,Murphy WM

    更新日期:1981-12-15 00:00:00

  • Deceptive bizarre stromal cells in polyps and ulcers of the gastrointestinal tract.

    abstract::The clinical and pathologic features of 33 pseudomalignant lesions of the gastrointestinal tract with bizarre stromal cells are reported. Deceptive histologic changes were identified in ulcers of seven patients and in inflammatory polyps of 26. A misdiagnosis of malignant neoplasm was made in six of the 33 patients (t...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/1097-0142(19910415)67:8<2111::aid-cncr2820

    authors: Shekitka KM,Helwig EB

    更新日期:1991-04-15 00:00:00

  • Primary central nervous system T-cell lymphoma with a predominant CD8 immunophenotype.

    abstract:BACKGROUND:Primary T-cell lymphomas of the central nervous system are uncommon neoplasms. METHODS:A case of a primary central nervous system T-cell lymphoma in a 66-year-old female who died 8 months after surgery is described. The biopsy specimen was evaluated by routine histology, immunohistochemistry, flow cytometry...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/1097-0142(19950415)75:8<2180::aid-cncr2820

    authors: Novak JA,Katzin WE

    更新日期:1995-04-15 00:00:00

  • Cystic adrenal neoplasms.

    abstract:BACKGROUND:Cystic lesions of the adrenal gland are uncommon and demonstrate a spectrum of histologic changes and may vary from pseudocysts to malignant cystic neoplasms. METHODS:The authors analyzed a series of primary cystic lesions of the adrenal gland to evaluate the clinicopathologic features and histologic spectr...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/cncr.20555

    authors: Erickson LA,Lloyd RV,Hartman R,Thompson G

    更新日期:2004-10-01 00:00:00

  • Eosinophilic granular ceels in oligodendrogliomas. An ultrastructural study.

    abstract::In three cases of oligodendrogliomas, atypical cells rich in eosinophilic cytoplasm, resembling plump astroyctic or astroblastic cells, were studied under the electron microscopy. These cells showed finely granular cytoplasm with routine hematoxylin-eosin preparation; ultrastructurally, they exhibited abundant, round ...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/1097-0142(197611)38:5<1968::aid-cncr282038

    authors: Takei Y,Mirra SS,Miles ML

    更新日期:1976-11-01 00:00:00

  • The single palpable thyroid nodule: evaluation by 99mTc-pertechnetate imaging.

    abstract::The role of 99mTc-pertechnetate thyroid imaging in the preoperative assessment of patients with single palpable thyroid nodules was evaluated. The frequency of cancer in hypofunctional nodules was similar to that found in previous studies with 131I. The 99mTc-pertechnetate image allowed a reliable separation of pathol...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/1097-0142(197601)37:1<258::aid-cncr2820370

    authors: Alderson PO,Sumner HW,Siegel BA

    更新日期:1976-01-01 00:00:00

  • Treatment of patients with lymphomas of the uterus or cervix with combination chemotherapy and radiation therapy.

    abstract:BACKGROUND:Primary lymphomas of the uterus or cervix are so rare that treatment series of single institutions consist of very small numbers of patients, making standard treatment difficult to define. The outcome of patients treated with a combination of chemotherapy and radiation therapy was analyzed for all but patien...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/1097-0142(19950501)75:9<2392::aid-cncr2820

    authors: Stroh EL,Besa PC,Cox JD,Fuller LM,Cabanillas FF

    更新日期:1995-05-01 00:00:00

  • Should extrapulmonary small cell cancer be managed like small cell lung cancer?

    abstract:BACKGROUND:The aim of this study was to determine if extrapulmonary small cell carcinomas (EPSCC) should be managed using protocols similar to those for small cell lung cancer (SCLC). METHODS:Treatment strategies, survival, patterns of failure, and prognostic factors for patients with EPSCC were analyzed retrospective...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/cncr.24858

    authors: Brennan SM,Gregory DL,Stillie A,Herschtal A,Mac Manus M,Ball DL

    更新日期:2010-02-15 00:00:00

  • Combinations of monoclonal antibodies can distinguish primary lung tumors from metastatic lung tumors sampled by fine needle aspiration biopsy.

    abstract::Transthoracic fine needle aspiration (FNA) biopsies performed under computed tomography (CT) scan (CT-FNA) have greatly improved the cytodiagnosis of lung tumors. However, the distinction between a primary lesion and a metastatic lesion still may be difficult on the basis of morphologic criteria. To evaluate whether a...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/1097-0142(19891215)64:12<2493::aid-cncr282

    authors: Mottolese M,Venturo I,Rinaldi M,Campioni N,Aluffi A,Curcio CG,Donnorso RP,Natali PG

    更新日期:1989-12-15 00:00:00

  • Predictive clinical outcome of the intratumoral CD66b-positive neutrophil-to-CD8-positive T-cell ratio in patients with resectable nonsmall cell lung cancer.

    abstract:BACKGROUND:The role of the interaction between tumor cells and inflammatory cells in nonsmall cell lung carcinoma (NSCLC) is unclear. In this study, the authors assessed the prognostic impact of intratumoral cluster of differentiation 66b (carcinoembryonic antigen-related cell adhesion molecule 8 [CD66b])-positive neut...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/cncr.26456

    authors: Ilie M,Hofman V,Ortholan C,Bonnetaud C,Coëlle C,Mouroux J,Hofman P

    更新日期:2012-03-15 00:00:00

  • Prospective comparison of [18F]fluorodeoxyglucose positron emission tomography with conventional assessment by computed tomography scans and serum tumor markers for the evaluation of residual masses in patients with nonseminomatous germ cell carcinoma.

    abstract:BACKGROUND:To assess the ability of [(18)F]fluorodeoxyglucose (F-18 FDG) positron emission tomography (PET) to predict the viability of residual masses after chemotherapy in patients with metastatic nonseminomatous germ cell tumors (GCT), PET results were compared in a blinded analysis with computed tomography (CT) sca...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/cncr.10494

    authors: Kollmannsberger C,Oechsle K,Dohmen BM,Pfannenberg A,Bares R,Claussen CD,Kanz L,Bokemeyer C

    更新日期:2002-05-01 00:00:00

  • Steroid receptors in breast angiosarcoma.

    abstract::The presence of receptors for estrogen, glucocorticoid and progesterone was determined in the cytosol of two breast angiosarcomas. Estrogen and glucocorticoid receptors were present in both of them. Progesterone receptors were present in one of the two tumors assayed. Occupied nuclear estrogen receptors have been foun...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/1097-0142(19830601)51:11<2105::aid-cncr282

    authors: Brentani MM,Pacheco MM,Oshima CT,Nagai MA,Lemos LB,Góes JC

    更新日期:1983-06-01 00:00:00

  • Malignant fibrous histiocytoma in childhood.

    abstract:BACKGROUND:Malignant fibrous histiocytoma (MFH) is a neoplasm of late adult life and often is reported in the pediatric population. It is thought to behave more benignly in children than in adults. METHOD:Clinical and pathologic features, treatment, and outcome of nine pediatric patients seen at British Columbia's Chi...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/1097-0142(19930615)71:12<4077::aid-cncr282

    authors: Cole CH,Magee JF,Gianoulis M,Rogers PC

    更新日期:1993-06-15 00:00:00

  • Calcium metabolism in cancer. Studies using calcium isotopes and immunoassays for parathyroid hormone and calcitonin.

    abstract::Studies of calcium metabolism in 38 patients with cancer indicated that: 1) intestinal absorption of calcium was reduced in patients with skeletal metastases and in those with hypercalcemia; 2) calcium-47 space (a measurement of bone turnover rate) was high in the patients with skeletal metastases; 3) hypercalcemic pa...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/1097-0142(197611)38:5<2111::aid-cncr282038

    authors: Coombes RS,Ward MK,Greenberg PB,Hillyard CJ,Tulloch BR,Morrison R,Joplin GF

    更新日期:1976-11-01 00:00:00