内容紹介
A Case of Locally Advanced Breast Cancer Successfully Treated with Local Control That Achieved a Pathological Complete Response after Bevacizumab and Paclitaxel Combination Chemotherapy
Summary
A 68-year-old woman with a 5-year history of an untreated left breast tumor presented to our hospital. She was admitted for untreated diabetes and severe anemia. The cause of the anemia was bleeding from the tumor, and she was referred to our department. She was diagnosed with T4bN0M0, stageⅢb breast cancer. First, we initiated hormonal therapy. However, the tumor did not decrease in size. We then administered chemotherapy. The tumor markedly decreased in size, and mastectomy and axillary lymph node dissection were performed. The response was a pathological complete response. She is currently undergoing hormonal therapy at the time of this writing.
要旨
症例は68歳,女性。5年前より左乳房のしこりを自覚していたが,放置していた。未治療の糖尿病と高度の貧血を指摘され,貧血の原因は左乳房腫瘤からの出血のため,当科紹介となった。精査の結果,左乳癌,T4bN0M0,stageⅢbの診断となった。未治療の糖尿病のため,まずはホルモン療法を開始したが縮小効果が得られず,化学療法(bevacizumab+paclitaxel併用療法)に変更となった。著明な腫瘍縮小が得られたため手術施行となり,病理学的完全奏効が得られた。現在,ホルモン療法を施行中である。
目次
Summary
A 68-year-old woman with a 5-year history of an untreated left breast tumor presented to our hospital. She was admitted for untreated diabetes and severe anemia. The cause of the anemia was bleeding from the tumor, and she was referred to our department. She was diagnosed with T4bN0M0, stageⅢb breast cancer. First, we initiated hormonal therapy. However, the tumor did not decrease in size. We then administered chemotherapy. The tumor markedly decreased in size, and mastectomy and axillary lymph node dissection were performed. The response was a pathological complete response. She is currently undergoing hormonal therapy at the time of this writing.
要旨
症例は68歳,女性。5年前より左乳房のしこりを自覚していたが,放置していた。未治療の糖尿病と高度の貧血を指摘され,貧血の原因は左乳房腫瘤からの出血のため,当科紹介となった。精査の結果,左乳癌,T4bN0M0,stageⅢbの診断となった。未治療の糖尿病のため,まずはホルモン療法を開始したが縮小効果が得られず,化学療法(bevacizumab+paclitaxel併用療法)に変更となった。著明な腫瘍縮小が得られたため手術施行となり,病理学的完全奏効が得られた。現在,ホルモン療法を施行中である。