A case with HER2-overexpressing breast cancer completely responded to humanized anti-HER2 monoclonal antibody

This is a case report of a 57-year-old woman with a history of primary carcinoma of the right breast with metastases to the contralateral axillary lymph node. After a partial response (PR) was induced by high-dose chemotherapy with peripheral blood stem cell transplantation, she underwent mastectomy...

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Veröffentlicht in:Japanese journal of clinical oncology 2001-11, Vol.31 (11), p.553-556
Hauptverfasser: Ohta, M, Tokuda, Y, Suzuki, Y, Kubota, M, Watanabe, T, Fujii, H, Sasaki, Y, Niwa, T, Makuuchi, H, Tajima, T
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container_end_page 556
container_issue 11
container_start_page 553
container_title Japanese journal of clinical oncology
container_volume 31
creator Ohta, M
Tokuda, Y
Suzuki, Y
Kubota, M
Watanabe, T
Fujii, H
Sasaki, Y
Niwa, T
Makuuchi, H
Tajima, T
description This is a case report of a 57-year-old woman with a history of primary carcinoma of the right breast with metastases to the contralateral axillary lymph node. After a partial response (PR) was induced by high-dose chemotherapy with peripheral blood stem cell transplantation, she underwent mastectomy with biopsy of the bilateral axillary lymph nodes. Six months after surgery, the patient had multiple lung metastases. She was then treated with five cycles of fluorouracil, mitoxantrone and vindesine. Although a PR was achieved, further chemotherapy could not be given because of cardiac dysfunction. Since immunohistochemical staining for the HER2 gene product was strongly positive on the surface of primary tumor cells, humanized anti-HER2 monoclonal antibody (trastuzumab) was given intravenously. The metastatic lesion decreased in size and finally appeared to be only cicatricial. Twenty-one months after the initial administration of trastuzumab, the pulmonary lesion was excised. The pathological examination revealed no tumor cells in the resected specimen so further treatment was stopped. The relapse-free state has continued for 24 months after the pulmonary resection.
doi_str_mv 10.1093/jjco/hye119
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source Oxford University Press Journals All Titles (1996-Current); MEDLINE; Open Access Titles of Japan; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals
subjects Antibodies, Monoclonal - therapeutic use
Antibodies, Monoclonal, Humanized
Antineoplastic Agents - therapeutic use
Breast Neoplasms - metabolism
Breast Neoplasms - pathology
Breast Neoplasms - therapy
Female
Humans
Lung Neoplasms - secondary
Lung Neoplasms - therapy
Lymphatic Metastasis
Middle Aged
Receptor, ErbB-2 - biosynthesis
Receptor, ErbB-2 - immunology
Trastuzumab
title A case with HER2-overexpressing breast cancer completely responded to humanized anti-HER2 monoclonal antibody
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