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Osseous Metastasis in Mammary CancerResponse to Therapy
Mark J. Johnston, MD;
James A. Lipsett, MD;
Arthur J. Donovan, MD
AMA Arch Surg. 1970;101(5):578-581.
Abstract
Eighty patients received 179 courses of therapy for osseous metastasis from mammary cancer. Relief of pain which persisted for at least three months occurred in 37% of courses of therapy and a favorable objective therapeutic response (regression or nonprogression) in 23% of courses. Duration of objective response ranged from 3 to 17 months, with a median duration of five months. Both subjectively and objectively, radiation therapy was the most effective form of therapy for localized osseous metastases. Chemotherapy and adrenocortical steroids were more effective for diffuse osseous disease than other additive or ablative hormonal therapies.
Author Affiliations
Los Angeles
From the departments of surgery (Drs. Johnston and Donovan) and radiology (Dr. Lipsett), Los Angeles County-University of Southern California Medical Center, and the Department of Surgery, University of Southern California School of Medicine (Dr. Donovan), Los Angeles.
Footnotes
Accepted for publication March 10, 1970.
Read before the sectional meeting of the Southern California Chapter of the American College of Surgeons, Coronado, Calif, Jan 16, 1970.
Reprint requests to Department of Surgery, Los Angeles County-University of Southern California Medical Center, Los Angeles 90033 (Dr. Donovan).
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ABSTRACT
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