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Prolonged clinical benefit from the maintenance hormone therapy in patients with metastatic breast cancer
Authors:Seungtaek Lim  Soohyeon Lee  Jungwoo Han  Byeong-Woo Park  SeungIl Kim  Seho Park  Joo-Hang Kim  Hye Jin Choi  Joohyuk Sohn
Affiliation:1. Division of Medical Oncology, Department of Internal Medicine, Yonsei University College of Medicine, Seoul, Republic of Korea;2. Department of Pediatrics, Yonsei University College of Medicine, Seoul, Republic of Korea;3. Department of Surgery, Yonsei University College of Medicine, Seoul, Republic of Korea
Abstract:ObjectiveWe investigated the efficacy of maintenance hormone therapy (MHT), which was given to hormone positive metastatic breast cancer (MBC) patients in non-progression status to the previous chemotherapy.MethodsThis study retrospectively analyzed 76 MBC patients who had been treated with MHT from 2006 to 2010 at a single institute.ResultsFor the 76 patients reviewed, the median progression free survival (PFS) to MHT was 14.4 months (95% CI, 11.6–17.3). Prolonged PFS was associated with less previous palliative chemotherapy, fewer metastatic sites, and the absence of visceral metastasis in univariate analysis. Multivariate analysis showed that only the number of previous palliative chemotherapy (HR 1.73, 95% CI, 1.00–2.98; P = 0.04) remained as a significant variable. MHT was generally well tolerated.ConclusionsMHT showed considerable efficacy and tolerability in this study. Further randomized prospective study is warranted.
Keywords:Breast cancer  Hormone therapy  Maintenance  MBC"  },{"  #name"  :"  keyword"  ,"  $"  :{"  id"  :"  kwrd0030"  },"  $$"  :[{"  #name"  :"  text"  ,"  _"  :"  metastatic breast cancer  ER"  },{"  #name"  :"  keyword"  ,"  $"  :{"  id"  :"  kwrd0040"  },"  $$"  :[{"  #name"  :"  text"  ,"  _"  :"  estrogen receptor  PR"  },{"  #name"  :"  keyword"  ,"  $"  :{"  id"  :"  kwrd0050"  },"  $$"  :[{"  #name"  :"  text"  ,"  _"  :"  progesterone receptor  PFS"  },{"  #name"  :"  keyword"  ,"  $"  :{"  id"  :"  kwrd0060"  },"  $$"  :[{"  #name"  :"  text"  ,"  _"  :"  progression free survival  MHT"  },{"  #name"  :"  keyword"  ,"  $"  :{"  id"  :"  kwrd0070"  },"  $$"  :[{"  #name"  :"  text"  ,"  _"  :"  maintenance hormone therapy  OS"  },{"  #name"  :"  keyword"  ,"  $"  :{"  id"  :"  kwrd0080"  },"  $$"  :[{"  #name"  :"  text"  ,"  _"  :"  overall survival  RECIST"  },{"  #name"  :"  keyword"  ,"  $"  :{"  id"  :"  kwrd0110"  },"  $$"  :[{"  #name"  :"  text"  ,"  _"  :"  response evaluation criteria in solid tumors  MPA"  },{"  #name"  :"  keyword"  ,"  $"  :{"  id"  :"  kwrd0135x"  },"  $$"  :[{"  #name"  :"  text"  ,"  _"  :"  medroxyprogesteron acetate
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