title: [A successful case of the super elderly breast cancer patient treated with exemestane].
abstract: A case was a 91-year-old woman. The left breast lump was pointed out in April 2006. The patient was referred to a close medical examination. Mammography and breast echography showed irregular and internal heterogeneic mass tumor about 3 × 4 cm in size at the left breast CA area. We performed a needle biopsy, and it was solid-tubur carcinoma, ER (+), PgR (+), HER2 score 1+. An overall examination did not show a distant metastasis. We opted for exemestane (25 mg/day, po) because we thought that surgery was not effective with the consideration of her age and dementia. After 4 years of giving exemestane, there were no sign of apparent mass on the palpation by echography. We also did not see a side effect. No recurrence was observed under the current medical treatment. There has been a tendency to increase in breast cancer morbidity of elderly patients due to advancement in medical technology. As our experience suggested, active hormonal therapy was effective for prognosis if a patient has a hormonal sensitivity.
authors.affiliation: Division of Breast and Endocrine Surgery, Dept. of Surgery, Nihon University School of Medicine.
authors.forename: Katsuhisa
authors.initials: K
authors.lastname: Enomoto
authors.forename: Kenichi
authors.initials: K
authors.lastname: Sakurai
authors.forename: Sadao
authors.initials: S
authors.lastname: Amano
mesh_terms: D000230:Adenocarcinoma / Q000188:drug therapy*; D000369:Aged, 80 and over; D000730:Androstadienes / Q000627:therapeutic use*; D000970:Antineoplastic Agents / Q000627:therapeutic use*; D001943:Breast Neoplasms / Q000188:drug therapy*; D005260:Female; D006801:Humans
chemical_list: D000730:Androstadienes; D000970:Antineoplastic Agents; C056516:exemestane