Management of breast cancer patients failing adjuvant chemotherapy with adriamycin-containing regimens.

Abstract:

:Sixty-two patients with breast cancer treated with Adriamycin-containing adjuvant chemotherapy developed recurrent disease. Four patients refused to take any form of systemic therapy at the time of relapse. Fifty-eight patients were managed with various treatment modalities, and of these 33 (57%) achieved on objective remission, 11 (19%) had stable disease and 14 patients (24%) did not respond to any form of therapy. Twenty-four patients received more than one treatment modality. Thirty-eight patients were treated with chemotherapy and 35 received endocrine therapy. Eight of 20 patients (40%) achieved objective remission upon retreatment with higher dose of 5-fluorouracil, Adriamycin, and cyclophosphamide at time of relapse, and seven of 18 patients (38%) treated with other chemotherapeutic agents showed objective remission. Fourteen of 35 patients (40%) achieved objective remission with hormonal therapies. The median survival from first relapse was 15 months for all patients, and was 25.7 months for responding patients. Survival was significantly longer in asymptomatic patients compared with those who were symptomatic from recurrent disease.

journal_name

Cancer

journal_title

Cancer

authors

Buzdar AU,Legha SS,Hortobagyi GN,Yap HY,Wiseman CL,Distefano A,Schell FC,Barnes BC,Campos LT,Blumenschein GR

doi

10.1002/1097-0142(19810615)47:12<2798::aid-cncr282

subject

Has Abstract

pub_date

1981-06-15 00:00:00

pages

2798-802

issue

12

eissn

0008-543X

issn

1097-0142

journal_volume

47

pub_type

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