Efficacy of CDK4/6 Inhibitor in Treatment of Metastatic Breast Cancer and Colon Cancer
International Journal of Clinical Oncology and Cancer Research
Volume 5, Issue 1, March 2020, Pages: 1-4
Received: Oct. 21, 2019; Accepted: Dec. 30, 2019; Published: Jan. 8, 2020
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Janet Raycheva, Department of Medical Oncology, University Hospital “Sofiamed”, Sofia, Bulgaria
Teodora Karanikolova, Department of Medical Oncology, Hospital “Nadezhda”, Sofia, Bulgaria
Rossitza Krusteva, Department of Medical Oncology, Hospital “UniHospital”, Panagyurishte, Bulgaria
Margarita Taushanova-Hadjieva, Department of Medical Oncology, University Hospital “Sofiamed”, Sofia, Bulgaria
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A 52-years old woman was diagnosed with an invasive left-sided ductal breast cancer, G3 – staged as T2N0M0; Estrogen (ER) 3+, Progesterone (PR) +, Human epidermal growth factor receptor 2 (HER 2) negative, Ki67-11%. She underwent a radical mastectomy, followed by adjuvant chemotherapy and hormone treatment with Tamoxifen. A year later she was diagnosed with a colorectal cancer-low grade, G1; histological results of adenocarcinoma - T3N1M1 with liver metastases. After a biopsy, which revealed that the metastases are coming from the breast (ER+/HER 2 (-) Breast cancer - (GATA (3+)), she was restaged as T3N1M0. The patient started treatment with Ribociclib 600mg/d + Letrozole 2,5mg/d with a partial response of the disease after three months of treatment. Due to G3 neutropenia, the dose was adjusted to 400 mg/d. Last restaging: October 2019 – complete response and a good quality of life. This case approves that the CDK (cyclin-dependent kinase) 4/6 inhibitors are able to manage visceral metastases and to provide long-term survival without worsening the quality of life. Her disease is successfully managed with CDK4/6 inhibitor together with hormonal therapy, which proves the effect of the CDK 4/6 inhibitors in treatment not only to breast cancer. Six months after there are no signs of relapse of the colon cancer. Despite the stage of the second cancer – T3N1M0, the patient did not undergo adjuvant treatment for the colon cancer.
Metastatic Breast Cancer, Colon Cancer, Hormone Therapy, Efficacy, Safety Profile
To cite this article
Janet Raycheva, Teodora Karanikolova, Rossitza Krusteva, Margarita Taushanova-Hadjieva, Efficacy of CDK4/6 Inhibitor in Treatment of Metastatic Breast Cancer and Colon Cancer, International Journal of Clinical Oncology and Cancer Research. Vol. 5, No. 1, 2020, pp. 1-4. doi: 10.11648/j.ijcocr.20200501.11
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