Abstrait
La survenue de métastases marque un tournant évolutif dans la maladie. La médiane de survie des patientes à ce stade est de 24 à 36 mois, avec des variations importantes puisque certaines patientes meurent en quelques mois quand d’autres survivront plus de 10 ans (1, 2). Dans l’ensemble, il y a eu une amélioration faible mais indéniable de la prise en charge de ces patientes au cours des 20 dernières années. Ainsi, dans l’étude rétrospective réalisée à l’institut Gustave Roussy, au centre Léon Bérard et au centre Antoine Lacassagne sur 724 patientes traitées pour un cancer du sein métastatique d’emblée entre 1987 et 2000, les patientes traitées après 1993 ont une survie médiane améliorée de 5 mois par rapport à celles traitées entre 1987 et fin 1993 (29 mois contre 23). Cette amélioration est le fait de l’introduction, au cours des années 90, des anti-aromatases de troisième génération et de nouvelles drogues cytotoxiques comme les taxanes.
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Ray-Coquard, I., Bachelot, T., Guastalla, J.P. (2007). Cancer du sein métastatique HER2 négatif nécessitant un traitement par chimiothérapie. In: Cancer du sein. Springer, Paris. https://doi.org/10.1007/978-2-287-71478-8_23
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DOI: https://doi.org/10.1007/978-2-287-71478-8_23
Publisher Name: Springer, Paris
Print ISBN: 978-2-287-71477-1
Online ISBN: 978-2-287-71478-8