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전이성 유방암 환자의 통합 암 치료에 대한 증례보고

A Case Report of Metastatic Breast Cancer Patient Treated with Integrative Cancer Treatment

  • 하수정 (대전대학교 둔산한방병원 동서암센터) ;
  • 이성철 (대전대학교 둔산한방병원 동서암센터) ;
  • 박소정 (대전대학교 둔산한방병원 동서암센터) ;
  • 전형준 (대전대학교 둔산한방병원 동서암센터) ;
  • 이연월 (대전대학교 둔산한방병원 동서암센터) ;
  • 조종관 (대전대학교 둔산한방병원 동서암센터) ;
  • 유화승 (대전대학교 둔산한방병원 동서암센터)
  • Ha, Su-jeong (East West Cancer Center, Dunsan Korean Medicine Hospital of Daejeon University) ;
  • Lee, Sung-cheol (East West Cancer Center, Dunsan Korean Medicine Hospital of Daejeon University) ;
  • Park, So-jung (East West Cancer Center, Dunsan Korean Medicine Hospital of Daejeon University) ;
  • Jeon, Hyung-joon (East West Cancer Center, Dunsan Korean Medicine Hospital of Daejeon University) ;
  • Lee, Yeon-Weol (East West Cancer Center, Dunsan Korean Medicine Hospital of Daejeon University) ;
  • Cho, Chong-kwan (East West Cancer Center, Dunsan Korean Medicine Hospital of Daejeon University) ;
  • Yoo, Hwa-seung (East West Cancer Center, Dunsan Korean Medicine Hospital of Daejeon University)
  • 투고 : 2019.06.05
  • 심사 : 2019.06.23
  • 발행 : 2019.06.30

초록

Objective : The purpose of this study is to report and observe effects of Integrative Cancer Treatment (ICT) on metastatic breast cancer patient. Method : A left breast cancer patient diagnosed with recurrence on liver and bones April 2018. The patient had received paclitaxel chemotherapy for two months and discontinued it because of tumor progression and side effects. The patient has been treated with ICT since March 2018 and has been taking capecitabine since October 2018. The clinical outcomes were measured by computed tomography, laboratory findings including tumor markers (CEA, CA15-3). The clinical outcomes were measured by computed tomography, laboratory findings including tumor markers (CEA, CA15-3), liver function test (AST, ALT), Eastern Cooperative Oncology Group performance status (ECOG PS), and numeric rating scales (NRS). Results : After the ICT, tumor size was partially decreased accompanying by reducing the levels of tumor markers. Major clinical symptoms induced by paclitaxel chemotherapy were improved. There were no severe adverse events induced by ICT based on National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE) version 5.0. Conclusion : This case suggests that ICT may have synergistic effect for the treatment of metastatic breast cancer patient in conjunction with capecitabine.

키워드

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Figure 1. Comparison of abdomen computed tomography

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Figure 2. Bone scan

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Figure 3. Changes of numeric rating scale on clinical symptom

Table 1. Prescription of Herbal medication

HJJJCF_2019_v24n1_19_t0001.png 이미지

Table 2. Tumor marker Follow-up

HJJJCF_2019_v24n1_19_t0002.png 이미지

Table 3. Liver Function Test Follow-up

HJJJCF_2019_v24n1_19_t0003.png 이미지

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