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Oral medroxyprogesterone in the treatment of metastatic breast cancer

✍ Scribed by Takuma Nemoto; Jashbha1 Patel; Dutzu Rosner; Thomas L. Dao


Publisher
John Wiley and Sons
Year
1986
Tongue
English
Weight
286 KB
Volume
32
Category
Article
ISSN
0022-4790

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✦ Synopsis


In 47 postmenopausal women with evaluable breast cancer, oral medroxyprogesterone acetate (MPA) was given at a daily dose level of 400 mg.

Patients with negative estrogen receptors, poor performance status , or nonresponse to previous endocrine therapy were excluded from this study. There were 25 (53%) responders to this agent. Periods of remission ranged from 5-26 months with a median of 10 and a mean of 12 + months.

Higher rates of response were noted in women over 50 years of age, in patients with osseous metastasis, and in patients with a longer disease-free interval. Adverse effects included weight gain, Cushingoid appearance, skin rash, and vaginal discharge. In this selected group of patients, oral medroxyprogesterone at a dose level of 400 mglday appeared to provide a significant frequency of tumor response.


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