From the standpoint of view that breast cancer has a strong relation with hormones in its causation and development, our clinic has made a series of endocrine therapy for 68 cases of advanced breast cancer which were treated from 1954 to 1967. Those patients were treated by oophorectomy in 19 cases, adrenalectomy (including combined cases with oophorectomy) in 21 cases and hormone therapy alone in 28 cases. The author studied on relationships of clinicopathological factors and various endocrine status to the effectiveness of these endocrine therapies, and the following conclusions were obtained.
1) The effectiveness-ratio in adrenalectomy is 11/21., 52. 3%. Compared with this, that of oophorectomy is 5/19, 26.3%, hormone therapy alone, 10/28, 35. 7% and the latter two groups are inferior to adrenalectomy group.
2) As to survival period in three groups, oophorectomy, adrenalectomy and hormone therapy alone, in adrenalectomy group it is longest, 15.9 months, oophorectomy group 11.7 months, hormone therapy alone 10.3 months; a little shorter than others. Furthermore, between effective and non-effective cases among the groups, effective cases were observed to be longer in their survival period than non-effective cases.
3) In “free interval”, as it appears in various literature, the author testified that the longer it was, the better its effectiveness was acknowledged.
4) As for the relation with the site of recurrence, in cases of metastasis of soft tissue including skin, lymphnodes of supraclavicular and cervical areas our treatments were effective in larger number, however in cases of bone metastasis which were reported relatively effective by other authors, our results showed less effective.
5) In histological aspects, the author observed that effective or significantly effective cases were greater in adenocarcinoma and found effective in scirrhous and lobular carcinomas too.
6) In hormone estimation, estrogens, 17-KS, 17-OHCS, prolactin and gonadtropin were assayed and the results were as follows : estrogen was most excellent in its index, however the author could not so easily conclude only through the preoperative values the difference between effectiveness and non-effectiveness; the bigger the differences between pre- and postoperative values were, the more greater they were in effective cases or particularly in adrenalectomised cases this trend was significant.
7) As to the changes of hormone-valency of prolactin and gonadotropin among hypophyseal hormones, in the above-mentioned three treatmnts any definitive trend was not observed.
抄録全体を表示