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Electrochemotherapy – supplementary treatment for loco-regional metastasized breast carcinoma administered to concomitant systemic therapy Cover

Electrochemotherapy – supplementary treatment for loco-regional metastasized breast carcinoma administered to concomitant systemic therapy

Open Access
|Jul 2017

Figures & Tables

Figure 1

Patient with triple negative breast cancer under chemotherapy before ECT. The patient was previously under treatment with taxanes, carboplatin and eribulin. In contrast to response in liver and lung metastasis, skin metastasis showed progression.
Patient with triple negative breast cancer under chemotherapy before ECT. The patient was previously under treatment with taxanes, carboplatin and eribulin. In contrast to response in liver and lung metastasis, skin metastasis showed progression.

Figure 2

Two month after ECT. Good tumour control in the pretreated area was obtained but progression in the border is visible and partially with tumour-free area. Typical hyperpigmentation following ECT treatment is visible.
Two month after ECT. Good tumour control in the pretreated area was obtained but progression in the border is visible and partially with tumour-free area. Typical hyperpigmentation following ECT treatment is visible.

Findings on patient characterization at initial diagnosis and after systemic therapy

N. of patients (%)N. of patients (%)N. of patients (%)
Tumour stagepT1pT2pT3/4
 Total 18 patients 7 (38.9) 7 (38.9) 4 (22.2)
Post-PSTypT1ypT2ypT3/4
 Total of 15 patients 2 (13.3) 8 (53.3) 5 (33.3)
Nodal stagepNopN1pN2/3
 Total of 22 patients 8 (36.3) 6 (27.2) 8 (36.3)
Post-PSTNodal stage not determined ypN2/3
 Total of 11 patients 4 (36.3)  7 (63.6)

Systemic therapy at the time of electrochemotherapy

MonochemotherapyN. of patients
Eribulin8
Taxane4
Vinorelbine3
Capecitabine3
Mitomycin1
Pegylated liposomal doxorubicin1
Combo-chemotherapy
Carboplatin & gemcitabine3
Vinorelbine & capecitabine1
Antibody therapy
Trastuzumab6
Bevacizumab4
Endocrine monotherapy
AI with everolimus & fulvestrant5

Findings of locoregional recidivism prior to electrochemotherapy

Areas of treated thorax wallN. of patients (%)
On one side23 (69.7)
On two sides7 (21.2)
+ axilla5
+ upper arm3
+ dorsal5
+ supra/infraclavicular1

Data on 33 patients at time of the first electrochemotherapy

Metastasis localizationN. of patients (%)
Loco-regional - exclusively12 (36.3)
Loco-regional + distal21 (63.6)
Distant metastasis
1 organ affected15 (45.4)
2 organs affected3 (9)
> 2 organs affected3 (9)
Distant metastasis and organs affected
Metastases → pulmonary/pleural11 (33)
Metastases → bone10 (30.3)
Metastases → cerebral3 (9)
Metastases → hepatic3 (9)
DOI: https://doi.org/10.1515/raon-2017-0027 | Journal eISSN: 1581-3207 | Journal ISSN: 1318-2099
Language: English
Page range: 317 - 323
Submitted on: Mar 29, 2017
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Accepted on: Jun 18, 2017
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Published on: Jul 18, 2017
In partnership with: Paradigm Publishing Services
Publication frequency: 4 issues per year

© 2017 Eva-Maria Grischke, Carmen Röhm, Eva Stauß, Florin-Andrei Taran, Sara Y. Brucker, Diethelm Wallwiener, published by Association of Radiology and Oncology
This work is licensed under the Creative Commons Attribution 4.0 License.