Treatment of metastatic breast cancer with trastuzumab and vinorelbine during pregnancy

Michelle A. Fanale, Anne R. Uyei, Richard L. Theriault, Karolina Adam, Rachel A. Thompson

Research output: Contribution to journalArticlepeer-review

78 Scopus citations

Abstract

The management of breast cancer during pregnancy is a crucial clinical issue. It is important to evaluate the impact of chemotherapy on a woman and her fetus. Studies from our institution have demonstrated the safety and efficacy of treating women with adjuvant 5-fluorouracil/doxorubicin/cyclophosphamide during the second or third trimester of pregnancy. However, the literature regarding the treatment of metastatic breast cancer in a pregnant patient is scarce. In this article, we describe the successful treatment of a woman at 27 weeks of pregnancy with recurrent HER2/neu-overexpressing breast cancer who was symptomatic from multiple liver metastases. Per our review of the literature and to our knowledge, she is the first patient to be treated with weekly vinorelbine plus trastuzumab. Our patient had near complete resolution of her disease and delivered a healthy male infant at 34 weeks of gestation.

Original languageEnglish (US)
Pages (from-to)354-356
Number of pages3
JournalClinical Breast Cancer
Volume6
Issue number4
DOIs
StatePublished - Oct 2005

Keywords

  • 5-fluorouracil
  • Chemotherapy
  • Cyclophosphamide
  • Magnetic resonance imaging
  • Trastuzumab

ASJC Scopus subject areas

  • Cancer Research

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