Brief description of the treatment for the patients receiving bevacizumab monotherapy
Patient | Age | IHC detection | Date of breast cancer diagnosis | Neoadjuvant therapy | Surgery | Duration of relapse-free interval, months | Date of the detection of metastatic disease | Conventional treatment of metastatic disease | Date of bevacizumab monotherapy administration | Main benefit from bevacizumab, its duration | Survival after the start of bevacizumab, months |
---|---|---|---|---|---|---|---|---|---|---|---|
Patient 1 | 54 years | ER–/PR–/HER2+++ | August 2019 | Doxo + Cyclo, Tax + Trast + Pert | March 2020 | 19 | September 2021 | Carbo + Tax + Trast + Pert, Trast + Pert, Lapa + Cape | September 2022 | Immediate resolution of coma, 3.5 months | 6 |
Patient 2 | 68 years | ER+/PR–/HER2+++ | April 2017 | * | * | * | April 2017 | Doxo + Cyclo, Tax, Carbo + Tax + Trast + Zole, Cape, anastrozole, Tax + Trast + Pert, Trast + Pert, Lapa + Trast, T-DM1 | September 2022 | Immediate resolution of neurological symptoms, 3.5 months | 12+ |
Patient 3 | 52 years | ER+/PR–/HER2+++ | December 2015 | Cyclo + mitoxantrone + 5-FU | March 2016 | 27 | June 2018 | T-DM1, WBRT, Carbo + Tax + Trast + Pert, Trast + Pert, RS, Trast + Pert | December 2022 | Partial response, 9+ months | 9+ |
Patient 4 | 62 years | ER–/PR–/HER2+++ | May 2011 | None | May 2011 | 68 | January 2017 | Tax + Trast, Trast, Carbo + Cape + Trast, Lapa + Cape, T-DM1, Carbo + Tax + Trast + Pert, Trast + Pert, eribulin + Trast, Lapa + Cape, Lapa + Trast | September 2021 | Immediate restoration of normal breathing, regression of superficial neck metastases; the duration of the effect could not be estimated because paclitaxel was added starting from the 2nd cycle | 5 (death from sepsis) |
* Not applicable: initially metastatic disease. IHC: immunohistochemistry; RS: radiosurgery; Doxo: doxorubicin; Cyclo: cyclophosphamide; Tax: taxanes; Trast: trastuzumab; Pert: pertzumab; Carbo: carboplatin; Lapa: labatinib; Cape: capecitabine; Zole: zoledronic acid; 5-FU: 5-fluorouracil; WBRT: whole-brain radiotherapy