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Title:

Disease presentation and outcome in very young patients with brain metastases from breast cancer.

Document type:
Journal Article; Article
Author(s):
Nieder, C; Astner, ST; Andratschke, NH; Adam, M
Abstract:
AIMS AND BACKGROUND: Little information is available on disease presentation and treatment outcome in very young patients with brain metastases from breast cancer. Therefore, we evaluated our results in this group. METHODS: In our database, 7/74 breast cancer patients treated for brain metastases were < 40 years old. All received whole-brain radiation therapy plus individual local or systemic measures. RESULTS: In patients with information available, tumors were poorly differentiated and metastatic to the axillary lymph nodes at primary diagnosis. All patients had extracranial metastases. Two died from their brain disease within 5 months. Five patients died from extracranial progression after 3-84 months (2 long-term survivors beyond 2 years, characterized by single brain lesions and high performance status). CONCLUSIONS: Very young patients did not achieve a better outcome than intermediate age groups. Whole-brain radiation therapy plus surgery or radiosurgery provided durable CNS control in most of the patients. Improved systemic therapy appears to represent the key to a better outcome.
Journal title abbreviation:
Tumori
Year:
2008
Journal volume:
94
Journal issue:
5
Pages contribution:
691-3
Language:
eng
Pubmed ID:
http://view.ncbi.nlm.nih.gov/pubmed/19112942
Print-ISSN:
0300-8916
TUM Institution:
Klinik und Poliklinik für RadioOnkologie und Strahlentherapie
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