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Breast cancer in men. Clinical features, hormone receptor status, and response to therapy

✍ Scribed by Werner R. Bezwoda; Charles Hesdorffer; Roger Dansey; Norah De Moor; Dennis P. Derman; Selma Browde; Myron Lange


Publisher
John Wiley and Sons
Year
1987
Tongue
English
Weight
386 KB
Volume
60
Category
Article
ISSN
0008-543X

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✦ Synopsis


Stage, estrogen receptor status, treatment and survival of 29 men with breast cancer attending the Breast Clinic of the Johannesburg Hospital between 1976 and 1985 are reviewed. Most patients had locoregionally advanced disease at presentation. Estrogen receptors (ER) were detected in significant concentration in 15/23 (65%). Local control was achieved in the majority, 19/26 (73%), by either surgery or radiation therapy alone or by combined modality treatment. Fifteen of 23 patients tested (65%) were ER-positive ( > l o fmoljmg protein). For patients with metastatic disease hormone receptor status was predictive of response to hormonal manipulation. Tamoxifen was the most acceptable and frequently used form of hormone therapy with 7/12 patients responding. Combination chemotherapy gave a response rate comparable to that seen in women with breast cancer.


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This review presents our experience with the use of estrogen receptors (ER) and progesterone receptors (PgR) in the prediction of response to endocrine therapy in stage IV breast cancer. Presence of ER (>3 fmoUmg cytosol protein) significantly predicted response to the antiestrogen tamoxifen and to