Medical adrenalectomy in patients with advanced breast cancer.

Abstract:

:Medical adrenalectomy, consisting of aminoglutethimide plus either dexamethasone or hydrocortisone, was administered to 53 women with advanced breast cancer. Sixteen (30%) patients had an objective response, five patients had stabilization of disease, 26 patients demonstrated progression of disease, two patients did not adhere to protocol, and four patients had severe toxicity necessitating discontinuation of the drugs. Medical adrenalectomy accurately predicted response to subsequent surgical adrenalectomy in 23 patients. Estrogen receptor (ER) data accurately predicted response (eight of nine (89%) ER-positive patients responded) or failure (only two of 14 (14%) ER-negative patients responded) to medical adrenalectomy. Thirty (of 51 women adhering to protocol) had no toxicity. Therefore, it appears that medical adrenalectomy is safe, usually well tolerated, and can accurately predict response to surgical adrenalectomy. Its use should be limited to ER-positive patients, and it may totally supplant surgical adrenalectomy in the management of advanced breast cancer.

journal_name

Cancer

journal_title

Cancer

authors

Horsley JS 3rd,Newsome HH,Brown PW,Neifeld JP,Terz JJ,Lawrence W Jr

doi

10.1002/1097-0142(19820315)49:6<1145::aid-cncr2820

subject

Has Abstract

pub_date

1982-03-15 00:00:00

pages

1145-9

issue

6

eissn

0008-543X

issn

1097-0142

journal_volume

49

pub_type

杂志文章

相关文献

CANCER文献大全
  • Non-Hodgkin's lymphoma in children. A comparative study of two modalities of therapy.

    abstract::Eighty-six children with non-Hodgkin's lymphoma were studied from 1964 to January 31, 1975. Seventy-six percent of the 43 patients in the nonprotocol group had far advanced disease, and 76% had Rappaport's diffuse histology. Only 11% of these patients survived free of disease. The second group of 43 patients received ...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/1097-0142(197601)37:1<123::aid-cncr2820370

    authors: Wollner N,Burchenal JH,Lieberman PH,Exelby P,D'Angio G,Murphy ML

    更新日期:1976-01-01 00:00:00

  • Response to second-line chemotherapy in patients with metastatic breast carcinoma previously responsive to first-line treatment: prognostic factors.

    abstract:BACKGROUND:The aim of this retrospective study was to determine those prognostic factors associated with response to a second-line chemotherapy in patients with metastatic breast carcinoma (MBC) that was previously responsive to a first-line chemotherapy. METHODS:The 70 MBC patients studied had previously responded to...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:

    authors: Brun B,Benchalal M,Lebas C,Piedbois P,Lin M,Lebourgeois JP

    更新日期:1997-06-01 00:00:00

  • Patterns of second malignant neoplasms in children.

    abstract::A search of the records of 10 pediatric oncology centers revealed 102 children with more than one malignant neoplasm. In this group of 102 patients, all pediatric cancers were seen as initial lesions, but Wilms' tumor and retinoblastoma were over-represented and leukemia and brain tumors underrepresented. Survival var...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/1097-0142(197710)40:4+<1903::aid-cncr28204

    authors: Meadows AT,D'Angio GJ,Miké V,Banfi A,Harris C,Jenkin RD,Schwartz A

    更新日期:1977-10-01 00:00:00

  • Genetic and pathologic findings in a kindred with hereditary sarcoma, breast cancer, brain tumors, leukemia, lung, laryngeal, and adrenal cortical carcinoma.

    abstract::A familial cancer aggregation comprising sarcomas, brain tumors, leukemias, and carcinomas of breast, larynx, lung, adrenal, cortex, and other sites has been studied from a pathologic--genetic standpoint. Based upon sibships segregating for cancer, the genetic segregation parameter is estimated to be 45.6 +/- 11% whi...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/1097-0142(197805)41:5<2055::aid-cncr282041

    authors: Lynch HT,Mulcahy GM,Harris RE,Guirgis HA,Lynch JF

    更新日期:1978-05-01 00:00:00

  • Quantitative analysis of vascular endothelial growth factor in primary breast cancer.

    abstract:BACKGROUND:Recent clinical studies have demonstrated that tumor angiogenesis is a potent prognostic indicator for breast cancer patients. The quantitation of endothelial growth factors is thought to be useful to assess angiogenic phenotype in the tumor. Among the many new endothelial growth factors, vascular endothelia...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/(sici)1097-0142(19960315)77:6<1101::aid-cn

    authors: Toi M,Kondo S,Suzuki H,Yamamoto Y,Inada K,Imazawa T,Taniguchi T,Tominaga T

    更新日期:1996-03-15 00:00:00

  • Influence of compartmental involvement on the patterns of morbidity in soft tissue sarcoma of the thigh.

    abstract:BACKGROUND:The authors sought to determine whether differences existed in patterns of outcome and morbidity between the 3 thigh compartments after limb-sparing surgery and postoperative radiation therapy (RT). METHODS:A total of 255 patients with primary soft tissue sarcoma (STS) of the thigh were identified in our sa...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/cncr.23975

    authors: Rimner A,Brennan MF,Zhang Z,Singer S,Alektiar KM

    更新日期:2009-01-01 00:00:00

  • Measuring cardiopulmonary complications of carfilzomib treatment and associated risk factors using the SEER-Medicare database.

    abstract:BACKGROUND:Carfilzomib improves survival in patients with recurrent myeloma. Given the strict eligibility criteria in clinical trials, the actual frequency of cardiac adverse events (CAEs) and pulmonary adverse events (PAEs) and the risk factors associated with these AEs in the general population need to be established...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/cncr.32601

    authors: Fakhri B,Fiala MA,Shah N,Vij R,Wildes TM

    更新日期:2020-02-15 00:00:00

  • Comparability of prostate trials.

    abstract::The present overview of advanced prostate cancer required the identification of randomized clinical trials studying the question of maximal androgen blockade versus the classic castration therapy. The heterogeneity of the trials concerned the type of castration (surgical or chemical) and the type of antiandrogen (flut...

    journal_title:Cancer

    pub_type: 杂志文章,评审

    doi:10.1002/1097-0142(19931215)72:12+<3841::aid-cncr28

    authors: Suciu S,Sylvester R,Iversen P,Christensen I,Denis L

    更新日期:1993-12-15 00:00:00

  • Squamous cell carcinoma of the head and neck heterotransplanted to nude mice. Take rate in relation to patient survival.

    abstract::Biopsy specimens from 62 human single primary squamous cell carcinomas (SCC) of the head and neck were xenografted into nude mice. To evaluate the prognostic significance of successful heterotransplantation, the 62 cases were retrospectively examined for survival, adjusting for possible confounders by multivariate ana...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/1097-0142(19900701)66:1<145::aid-cncr28206

    authors: Zätterström UK,Wennerberg J,Attewell R,Ask A

    更新日期:1990-07-01 00:00:00

  • Prognostic impact of discordant results from cytogenetics and flow cytometry in patients with acute myeloid leukemia undergoing hematopoietic cell transplantation.

    abstract:BACKGROUND:Cytogenetics and multicolor flow cytometry (MFC) are useful tools for monitoring outcome of treatment in acute myeloid leukemia (AML). However, no data are available regarding the meaning of results when the 2 tests do not agree. METHODS:The authors of this report analyzed 1464 pairs of concurrent cytogenet...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/cncr.26539

    authors: Fang M,Storer B,Wood B,Gyurkocza B,Sandmaier BM,Appelbaum FR

    更新日期:2012-05-01 00:00:00

  • Human papillomavirus as a prognostic factor in carcinoma of the penis: analysis of 82 patients treated with amputation and bilateral lymphadenectomy.

    abstract:BACKGROUND:Many studies have tried to identify prognostic factors to guide the selection of patients at high risk for metastases in penile carcinoma. The authors evaluated human papillomavirus (HPV) status with respect to clinical features, incidence of metastases, and prognosis of penile carcinoma. METHODS:Human papi...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:

    authors: Bezerra AL,Lopes A,Santiago GH,Ribeiro KC,Latorre MR,Villa LL

    更新日期:2001-06-15 00:00:00

  • Binding of soybean agglutinin lectin to prostatic hyperplasia and adenocarcinoma.

    abstract::The binding of soybean agglutinin (SBA) lectin to routinely processed surgical pathology material from cases of prostatic hyperplasia, atypical hyperplasia, and adenocarcinoma was studied using an immunoperoxidase technique. Positive staining was obtained in eight of eight cases of nodular hyperplasia, eight of eight ...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/1097-0142(19890415)63:8<1583::aid-cncr2820

    authors: Loy TS,Kyle J,Bickel JT

    更新日期:1989-04-15 00:00:00

  • Carcinoid tumor of the gallbladder associated with adenocarcinoma.

    abstract::A case of carcinoid tumor of the gallbladder associated with adenocarcinoma in a 56-year-old man is reported and a review of the literature is made. The tumor was a polypoid mass with a size of 5.5 X 4.0 X 2.8 cm. Histologically, the tumor showed carcinoid and adenocarcinoma with areas of mucous change. Tumor cells co...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/1097-0142(19830515)51:10<1911::aid-cncr282

    authors: Wada A,Ishiguro S,Tateishi R,Ishikawa O,Matsui Y

    更新日期:1983-05-15 00:00:00

  • Vincristine, dactinomycin, and cyclophosphamide in the treatment of malignant germ cell tumors of the ovary. A Gynecologic Oncology Group Study (a final report).

    abstract::Seventy-six patients with malignant germ cell tumors of the ovary received vincristine, dactinomycin, and cyclophosphamide (VAC) postoperatively. Fifty-four were treated after removal of all gross disease. The majority of these remain disease-free. Indeed, only 15 (28%) have failed, including 11 of 24 with pure endode...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/1097-0142(19850715)56:2<243::aid-cncr28205

    authors: Slayton RE,Park RC,Silverberg SG,Shingleton H,Creasman WT,Blessing JA

    更新日期:1985-07-15 00:00:00

  • Growth patterns of human neuroblastoma xenografts and their relationship to treatment outcome.

    abstract:BACKGROUND:Several investigators have reported the ability to establish xenografts in nude mice from children with neuroblastomas, but a correlation of prognosis with this establishment and the growth patterns of the neuroblastomas has not been reported. METHODS:Tumor specimens from 58 children with neuroblastomas wer...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/1097-0142(19931201)72:11<3331::aid-cncr282

    authors: George BA,Yanik G,Wells RJ,Martin LW,Soukup S,Ballard ET,Gartside PS,Lampkin BC

    更新日期:1993-12-01 00:00:00

  • The use of CEA as an early indicator for gastrointestinal tumor recurrence and second-look procedures.

    abstract::Since 1972 plasma CEA levels of 25 cancer patients have been assayed to evaluate the reliability of CEA as an early indicator of recurrent gastrointestinal cancer. Identification of significant elevations in CEA levels required definition of exactly what a given value meant. Intraassay and interassay accuracy was dete...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/1097-0142(197702)39:2<440::aid-cncr2820390

    authors: Martin EW Jr,James KK,Hurtubise PE,Catalano P,Minton JP

    更新日期:1977-02-01 00:00:00

  • Delays in diagnosis and bladder cancer mortality.

    abstract:BACKGROUND:Mortality from invasive bladder cancer is common, even with high-quality care. Thus, the best opportunities to improve outcomes may precede the diagnosis. Although screening currently is not recommended, better medical care of patients who are at risk (ie, those with hematuria) has the potential to improve o...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/cncr.25310

    authors: Hollenbeck BK,Dunn RL,Ye Z,Hollingsworth JM,Skolarus TA,Kim SP,Montie JE,Lee CT,Wood DP Jr,Miller DC

    更新日期:2010-11-15 00:00:00

  • Phase 2 study of dasatinib in patients with alveolar soft part sarcoma, chondrosarcoma, chordoma, epithelioid sarcoma, or solitary fibrous tumor.

    abstract:BACKGROUND:Alveolar soft part sarcoma (ASPS), chondrosarcoma (CS), chordoma, epithelioid sarcoma, and solitary fibrous tumor (SFT) are malignant tumors that are relatively resistant to chemotherapy and for which more effective drug therapy is needed. METHODS:The 5 listed subtypes were enrolled into a single indolent s...

    journal_title:Cancer

    pub_type: 杂志文章,多中心研究

    doi:10.1002/cncr.30379

    authors: Schuetze SM,Bolejack V,Choy E,Ganjoo KN,Staddon AP,Chow WA,Tawbi HA,Samuels BL,Patel SR,von Mehren M,D'Amato G,Leu KM,Loeb DM,Forscher CA,Milhem MM,Rushing DA,Lucas DR,Chugh R,Reinke DK,Baker LH

    更新日期:2017-01-01 00:00:00

  • Molecular cytogenetic analysis of cytokeratin 20-labeled cells in primary tumors and bone marrow aspirates from colorectal carcinoma patients.

    abstract:BACKGROUND:Low frequency epithelial cells in bone marrow from colorectal carcinoma patients are associated with an increased risk of recurrence and decreased survival. Current immunohistochemical approaches to detect epithelial cells in bone marrow aspirates rely on antibodies against cytokeratin 18 (CK18). The predict...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:

    authors: Litle VR,Warren RS,Moore D 2nd,Pallavicini MG

    更新日期:1997-05-01 00:00:00

  • Reticulum cell sarcomas (large cell lymphomas) presenting in the skin. High frequency of true histiocytic lymphoma.

    abstract::The clinical and histologic data from 12 patients with "reticulum cell sarcoma" (large cell lymphoma) presenting in the skin were reviewed. Moreover, when appropriate material was available additional immunological, cytochemical and ultrastructural techniques were used to define the nature of the neoplastic cells. Eig...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/1097-0142(19821001)50:7<1367::aid-cncr2820

    authors: Willemze R,Ruiter DJ,Van Vloten WA,Meijer CJ

    更新日期:1982-10-01 00:00:00

  • Histopathologic grading and DNA ploidy in relation to survival among 206 adult astrocytic tumor patients.

    abstract:BACKGROUND:The authors studied the benefit of performing histopathologic grading and DNA ploidy characterization with respect to patient survival in a series of 206 astrocytomas (AST) for which they obtained 134 complete clinical follow-ups. METHODS:The material analyzed came from archival material, i.e., formalin-fix...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/1097-0142(19920715)70:2<538::aid-cncr28207

    authors: Salmon I,Kiss R,Dewitte O,Gras T,Pasteels JL,Brotchi J,Flament-Durand J

    更新日期:1992-07-15 00:00:00

  • Molecular biology in cytopathology: current applications and future directions.

    abstract::The use of molecular techniques in cytopathology has become an accepted and billable practice for certain applications. Other applications still are in the developmental or experimental stages but may soon be clinically useful. The current study provides a review of these techniques including molecular detection of cl...

    journal_title:Cancer

    pub_type: 杂志文章,评审

    doi:10.1002/(sici)1097-0142(20000225)90:1<1::aid-cncr1

    authors: Rimm DL

    更新日期:2000-02-25 00:00:00

  • Value of integrated positron emission tomography revised using a phantom study to evaluate malignancy grade of lung adenocarcinoma: a multicenter study.

    abstract:BACKGROUND:The malignant biological behavior of small-sized lung adenocarcinomas remains obscure, although understanding this feature is important for selecting appropriate treatment. In the current study, the authors evaluated malignancy grades of small adenocarcinomas using fluorodeoxyglucose-positron emission tomogr...

    journal_title:Cancer

    pub_type: 临床试验,杂志文章,多中心研究

    doi:10.1002/cncr.25244

    authors: Nakayama H,Okumura S,Daisaki H,Kato Y,Uehara H,Adachi S,Yoshimura M,Okada M

    更新日期:2010-07-01 00:00:00

  • Diffuse interstitial pneumonitis after pulmonary irradiation for metastatic Wilms' tumor. A report from the National Wilms' Tumor Study.

    abstract::To evaluate the frequency, etiology, and outcome of diffuse interstitial pneumonitis after treatment of children with Stage IV (favorable histologic type) Wilms' tumor using whole-lung and abdominal radiation therapy, and combination chemotherapy, all cases reported in such patients entered on National Wilms' Tumor St...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/1097-0142(19890201)63:3<450::aid-cncr28206

    authors: Green DM,Finklestein JZ,Tefft ME,Norkool P

    更新日期:1989-02-01 00:00:00

  • Long-term visual outcome after chemotherapy for optic pathway glioma in children: Site and age are strongly predictive.

    abstract:BACKGROUND:Optic pathway gliomas (OPGs) are commonly noted in pediatric oncology services. Radiotherapy is effective at controlling tumors, but has many undesirable late effects, especially in patients with neurofibromatosis. Chemotherapy is commonly used to preserve vision and delay or eliminate the need for radiother...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/cncr.29649

    authors: Dodgshun AJ,Elder JE,Hansford JR,Sullivan MJ

    更新日期:2015-12-01 00:00:00

  • Phase 1b study of the mammalian target of rapamycin inhibitor sirolimus in combination with nanoparticle albumin-bound paclitaxel in patients with advanced solid tumors.

    abstract:BACKGROUND:The optimal weekly oral dose of sirolimus and intravenous nanoparticle albumin-bound paclitaxel (nab-paclitaxel) were evaluated. METHODS:A phase 1b study was performed to evaluate escalating doses of oral sirolimus (5-60 mg) on days 2, 9, and 16 with intravenous nab-paclitaxel (100 mg/m(2) ) on days 1, 8, a...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/cncr.29254

    authors: Abu-Khalaf MM,Baumgart MA,Gettinger SN,Doddamane I,Tuck DP,Hou S,Chen N,Sullivan C,Lezon-Geyda K,Zelterman D,Hatzis C,Deshpande H,Digiovanna MP,Azodi M,Schwartz PE,Harris LN

    更新日期:2015-06-01 00:00:00

  • Mucin 1 antigens in the serum and bronchial lavage fluid of patients with lung cancer.

    abstract:BACKGROUND:Lung cancer (LC) is the most common fatal malignancy, but there are no useful tumor markers for diagnosis or monitoring. Mucin 1 has an established role as a marker in other malignancies, but has undergone limited assessment in LC. METHODS:Serum from 86 patients with LC and 24 with benign pulmonary disease ...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/1097-0142(19931115)72:10<2936::aid-cncr282

    authors: Willsher PC,Xing PX,Clarke CP,Ho DW,McKenzie IF

    更新日期:1993-11-15 00:00:00

  • Clonal culture and cytogenetics. Indicators of a variant of chronic myelogenous leukemia.

    abstract::The clonal growth pattern of bone marrow and peripheral blood cells from 16 patients with clinically suspected chronic myelogenous leukemia (CML) was evaluated in the double-layer agar system. Cytogenetic studies were performed on parallel marrow and peripheral blood samples. In four cases a unique growth pattern emer...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/1097-0142(19841215)54:12<2956::aid-cncr282

    authors: Selvaggi S,Wolman SR,Bornstein S,Edinger F

    更新日期:1984-12-15 00:00:00

  • Proliferative activity of early gastric cancer measured by in vitro and in vivo bromodeoxyuridine labeling.

    abstract::Forty seven patients with early gastric cancer received a 30-minute intravenous injection of bromodeoxyuridine (BrdU), 1000 mg each 1 hour before laparotomy, to label tumor cells in the S phase. In 13 of 47 patients, specimens obtained by endoscopic biopsy were cultured in vitro at 37 degrees C for 1 hour under three ...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/1097-0142(19891015)64:8<1665::aid-cncr2820

    authors: Kamata T,Yonemura Y,Sugiyama K,Ooyama S,Kosaka T,Yamaguchi A,Miwa K,Miyazaki I

    更新日期:1989-10-15 00:00:00

  • Outreach by the Hanford Tribal Service Program to Indian communities around the Hanford Nuclear Reservation.

    abstract:BACKGROUND:The Hanford Tribal Service Program offers technical assistance and health education to American Indian tribes in an area reported to be affected by radiation from the Hanford Nuclear Reservation, which was developed and operated by the United States federal government. This article describes strategies used ...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:

    authors: Jensen RA

    更新日期:1996-10-01 00:00:00