Response to neoadjuvant therapy with cisplatin in BRCA1-positive breast cancer patients

被引:279
作者
Byrski, T. [2 ]
Huzarski, T. [2 ]
Dent, R. [3 ]
Gronwald, J. [2 ]
Zuziak, D. [4 ]
Cybulski, C. [2 ]
Kladny, J. [2 ]
Gorski, B. [2 ]
Lubinski, J. [2 ]
Narod, S. A. [1 ]
机构
[1] Womens Coll, Res Inst, Toronto, ON M5G 1N8, Canada
[2] Pomeranian Med Univ, Szczecin, Poland
[3] Sunnybrook Odette Canc Ctr, Toronto, ON, Canada
[4] Reg Oncol Ctr, Bielsko Biala, Poland
关键词
Cisplatin; BRCA1; BRCA2; MUTATIONS; CHEMOTHERAPY; PACLITAXEL; RESISTANCE; SURVIVAL; GROWTH; TUMORS; AGE;
D O I
10.1007/s10549-008-0128-9
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Background Ten patients with breast cancer and a breast cancer susceptibility gene 1 (BRCA1) mutation, who presented with stages I to III breast cancer between December 2006 and 2007, were treated with four cycles of neoadjuvant cisplatin, followed by mastectomy and conventional chemotherapy. Methods The excised breast tissue and lymph nodes were examined for the presence of residual disease. Results Pathologic complete response was observed in nine patients (90%). Conclusions Platinum-based chemotherapy appears to be effective in a high proportion of patients with BRCA1-associated breast cancers. Clinical trials are now warranted to determine the optimum treatment for this subgroup of breast cancer patients.
引用
收藏
页码:359 / 363
页数:5
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