Skip to main content

High-Dose Adjuvant Chemotherapy for High-Risk Breast Cancer

  • Conference paper
Adjuvant Therapy of Breast Cancer IV

Part of the book series: Recent Results in Cancer Research ((RECENTCANCER,volume 127))

  • 72 Accesses

Abstract

As has been noted in the previous papers on individual clinical trials and the latest overview update [1] (reprinted in part in this volume), systemic adjuvant therapy has resulted in a significant and long-lasting reduction in mortality due to early breast cancer. However, it is also apparent from these analyses that many patients develop metastatic disease and die of breast cancer despite having received standard adjuvant therapeutic regimens. In order to achieve further improvement in survival with systemic adjuvant therapy, several hurdles must be surmounted, including (a) enhanced ability to identify patients who are unlikely to respond to current treatments and (b) development of more effective therapies. This paper focuses on the latter issue and specifically the use of high-dose cytotoxic chemotherapy as an approach to improving systemic adjuvant therapy.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 84.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 109.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Early Breast Cancer Trialists’ Collaborative Group (1992) Systemic treatment of early breast cancer by hormonal, cytotoxic or immune therapy. Lancet 339: 1–15, 71–84

    Google Scholar 

  2. Levine MN, Browman GP, Gent M et al. (1991) When is a prognostic factor useful? A guide for the perplexed. J Clin Oncol 9:348–356

    PubMed  CAS  Google Scholar 

  3. Callahan R, Campbell G (1989) Mutations in human breast cancer: an overview. J Natl Cancer Inst 81:1780–1786

    Article  PubMed  CAS  Google Scholar 

  4. Bonadonna G, Valagussa P, Zambetti N et al. (1987) Milan adjuvant trials for stage I-II breast cancer. In: Salmon S (ed) Adjuvant therapy of cancer V. Grune and Stratton, New York, pp 211–221

    Google Scholar 

  5. Buzzoni R, Bonnadonna G, Valagussa P, Zambetti M (1991) Adjuvant chemotherapy with doxorubicin plus cyclophosphamide, methotrexate and fluorouracil in the treatment of resectable breast cancer with more than three positive axillary nodes, J Clin Oncol 9:2134–2140

    PubMed  CAS  Google Scholar 

  6. Teicher BA, Cucchi CA, Lee JB et al. (1986) Alkylating agents: in vitro studies of cross-resistance patterns in human cell lines. Cancer Res 46:4379–4383

    PubMed  CAS  Google Scholar 

  7. Hryniuk W, Levine MN (1986) Analysis of dose intensity for adjuvant chemotherapy trials in stage II breast cancer. J Clin Oncol 4:1162–1170

    PubMed  CAS  Google Scholar 

  8. Tannock IF, Boyd NF, DeBoer G et al. (1988) A randomized trial of two dose levels of cyclophosphamide, methotrexate, and fluorouracil chemotherapy for patients with metastatic breast cancer. J Clin Oncol 6:1377–1387

    PubMed  CAS  Google Scholar 

  9. Hortobagyi GN, Buzdar AU, Bodey GP et al. (1987) High-dose induction chemotherapy of metastatic breast cancer in protected environment: a prospective randomized study. J Clin Oncol 5:178–184

    PubMed  CAS  Google Scholar 

  10. Hortobagyi GN, Hryniuk WH, Frye D et al. (1989) Dose-intensity (DI) analysis of high-dose (HD) chemotherapy for metastatic breast cancer (MBC). Proc Am Assoc Cancer Res 30:252

    Google Scholar 

  11. Abeloff MD, Beveridge RE, Donehower RC et al. (1990) Sixteen-week dose- intense chemotherapy in the adjuvant treatment of breast cancer. J Natl Cancer Inst 82:1220–1221

    Google Scholar 

  12. Armitage JO (1990) Bone marrow transplantation in the treatment of lymphoma. Curr Opin Oncol 2:843–848

    Article  PubMed  CAS  Google Scholar 

  13. Henderson IC (1991) Window of opportunity. J Natl Cancer Inst 83:894–896

    Article  PubMed  CAS  Google Scholar 

  14. Kennedy MK, Beveridge RA, Rowley SD et al. (1991) High dose chemotherapy with reinfusion of purged autologous bone marrow following dose-intense induction as initial therapy for metastatic breast cancer. J Natl Cancer Inst 83:920–925

    Article  PubMed  CAS  Google Scholar 

  15. Peters WP (1991) High-dose chemotherapy and autologous bone marrow support for breast cancer. In: Devita VT Jr, Heilman S, Rosenberg SA (eds) Important advances in oncology 1991. Lippincott, Philadelphia, pp 135–150

    Google Scholar 

  16. Tajima T, Tokuda Y, Kubota M et al. (1990) Adjuvant chemotherapy with reinfusion of purged autologous bone marrow following dose-intense induction as initial therapy for metastatic breast cancer. Proc Am Soc Clin Oncol 9:31

    Google Scholar 

  17. Fowble B, Gray R, Gilchrist K et al. (1988) Identification of a subgroup of patients with breast cancer and histologically positive axillary nodes receiving adjuvant chemotherapy who may benefit from postoperative radiotherapy. J Clin Oncol 6:1107–1117

    PubMed  CAS  Google Scholar 

  18. Geller RB, Esa AH, Beschorner WE et al. (1989) Successful in vitro graft versus tumor effect against an Ia bearing tumor using cyclosporin-induced syngeneic graft versus host disease in the rat. Blood 74:1165–1171

    PubMed  CAS  Google Scholar 

  19. Eder JP (1989) Effect of novobiocin on the antitumor activity and tumor cell and bone marrow survivors of three alkylating agents. Cancer Res 49:595–598

    PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 1993 Springer-Verlag Berlin · Heidelberg

About this paper

Cite this paper

Abeloff, M.D. (1993). High-Dose Adjuvant Chemotherapy for High-Risk Breast Cancer. In: Senn, HJ., Gelber, R.D., Goldhirsch, A., Thürlimann, B. (eds) Adjuvant Therapy of Breast Cancer IV. Recent Results in Cancer Research, vol 127. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-84745-5_25

Download citation

  • DOI: https://doi.org/10.1007/978-3-642-84745-5_25

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-84747-9

  • Online ISBN: 978-3-642-84745-5

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics