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Long-Term Survivor with Intrathecal and Intravenous Trastuzumab Treatment in Metastatic Breast Cancer
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  • 作者:H. Pluchart ; E. Jacquet ; D. Charlety ; B. Allenet ; P. Bedouch…
  • 刊名:Targeted Oncology
  • 出版年:2016
  • 出版时间:October 2016
  • 年:2016
  • 卷:11
  • 期:5
  • 页码:687-691
  • 全文大小:1,182 KB
  • 刊物主题:Oncology; Biomedicine general;
  • 出版者:Springer Paris
  • ISSN:1776-260X
  • 卷排序:11
文摘
We report the case of a woman with metastatic breast cancer receiving intrathecal trastuzumab (and intravenous trastuzumab for more than 7 years). She was diagnosed in 2001 with a duct invasive breast cancer T3N1M0 HER2 (human epidermal growth factor receptor 2)-positive +++ HR (hormone receptor) -negative. She received chemotherapy and then she had a mastectomy. Several metastases were discovered and treated from 2003 to 2008 with chemotherapy. In March 2010, brain metastases and a leptomeningeal carcinomatosis from her HER2-positive breast cancer appeared. From that moment on she received intravenous trastuzumab (6 mg/kg) every 3 weeks, intrathecal trastuzumab (21 mg) weekly for 16 injections and lapatinib. Intrathecal trastuzumab was stopped because of cerebrospinal fluid (CSF) clearing. Intrathecal trastuzumab was injected again from December 2013 for 14 injections. The relevance of treating leptomeningeal carcinomatosis with intrathecal trastuzumab administration is shown through this case report.References1.Dawood S, Broglio K, Buzdar AU, Hortobagyi GN, Giordano SH. Prognosis of women with metastatic breast cancer by HER2 status and trastuzumab treatment: an institutional-based review. J Clin Oncol Off J Am Soc Clin Oncol. 2010;28(1):92–8.CrossRefGoogle Scholar2.Slamon DJ, Leyland-Jones B, Shak S, Fuchs H, Paton V, Bajamonde A, et al. Use of chemotherapy plus a monoclonal antibody against HER2 for metastatic breast cancer that overexpresses HER2. N Engl J Med. 2001;344(11):783–92.CrossRefPubMedGoogle Scholar3.Dumitrescu C, Lossignol D. Intrathecal Trastuzumab Treatment of the Neoplastic Meningitis due to Breast Cancer: A Case Report and Review of the Literature. Case Rep Oncol Med. 2013;2013:154674.PubMedPubMedCentralGoogle Scholar4.Gutierrez M, Lyazidi S, Brasseur L, Cvitkovic F, Le Scodan R. 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Breast Cancer Res Treat. 2013;139(1):13–22.CrossRefPubMedGoogle ScholarCopyright information© Springer International Publishing Switzerland 2016Authors and AffiliationsH. Pluchart1Email authorView author's OrcID profileE. Jacquet2D. Charlety1B. Allenet341P. Bedouch341M. Mousseau21.CHU Grenoble, Pôle PharmacieGrenobleFrance2.Pôle cancérologie médecine aigüe communautaire, Unité d’oncologie médicale, CHU GrenobleGrenoble cedex 9France3.Université Grenoble Alpes, TIMC-IMAGGrenobleFrance4.CNRS, TIMC-IMAGGrenobleFrance About this article CrossMark Print ISSN 1776-2596 Online ISSN 1776-260X Publisher Name Springer International Publishing About this journal Reprints and Permissions Co-published with

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