Radium-223 as an Additional Therapeutic Strategy in Highly Selected Patients With Metastatic Breast Cancer: A Case Report

Radium-223 is commonly used in metastatic prostate cancer, targeting specifically bone metastases. The use of radium-223 remains, however, poorly evaluated in metastatic breast cancer. We report a case of radium-223 treatment in a 59-year-old patient with bone-only metastatic disease that progressed...

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Main Authors: Hélène Houssiau, Francois P. Duhoux, Didier François, Emmanuel Seront
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-05-01
Series:Frontiers in Oncology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fonc.2022.896301/full
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author Hélène Houssiau
Francois P. Duhoux
Didier François
Emmanuel Seront
author_facet Hélène Houssiau
Francois P. Duhoux
Didier François
Emmanuel Seront
author_sort Hélène Houssiau
collection DOAJ
description Radium-223 is commonly used in metastatic prostate cancer, targeting specifically bone metastases. The use of radium-223 remains, however, poorly evaluated in metastatic breast cancer. We report a case of radium-223 treatment in a 59-year-old patient with bone-only metastatic disease that progressed on multiple lines of systemic treatments. Radium-223 was very well tolerated and resulted in a regression of activity of bone metastases and in a 6-month progression-free survival. However, progression occurred in the liver, reflecting the fact that radium-223 should be combined with other systemic agents. This suggests that this therapeutic option is feasible and could be proposed in highly selected patients with bone metastatic disease outside of the prostate cancer field. Positron Emission Tomography appears also as a valuable tool for the evaluation of radium-223 efficacy.
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spelling doaj.art-8147e274fad445d6ba3c951cddcbbb9f2022-12-22T03:35:30ZengFrontiers Media S.A.Frontiers in Oncology2234-943X2022-05-011210.3389/fonc.2022.896301896301Radium-223 as an Additional Therapeutic Strategy in Highly Selected Patients With Metastatic Breast Cancer: A Case ReportHélène Houssiau0Francois P. Duhoux1Didier François2Emmanuel Seront3Department of Medical Oncology, Centre Hospitalier de Jolimont, Haine Saint Paul, BelgiumDepartment of Medical Oncology, Cliniques Universitaires Saint Luc, Brussels, BelgiumDepartment of Nuclear Medicine, Centre Hospitalier de Jolimont, Haine Saint Paul, BelgiumDepartment of Medical Oncology, Centre Hospitalier de Jolimont, Haine Saint Paul, BelgiumRadium-223 is commonly used in metastatic prostate cancer, targeting specifically bone metastases. The use of radium-223 remains, however, poorly evaluated in metastatic breast cancer. We report a case of radium-223 treatment in a 59-year-old patient with bone-only metastatic disease that progressed on multiple lines of systemic treatments. Radium-223 was very well tolerated and resulted in a regression of activity of bone metastases and in a 6-month progression-free survival. However, progression occurred in the liver, reflecting the fact that radium-223 should be combined with other systemic agents. This suggests that this therapeutic option is feasible and could be proposed in highly selected patients with bone metastatic disease outside of the prostate cancer field. Positron Emission Tomography appears also as a valuable tool for the evaluation of radium-223 efficacy.https://www.frontiersin.org/articles/10.3389/fonc.2022.896301/fullbreast cancerradium-223bone metastaseschemotherapypositron emitted tomography
spellingShingle Hélène Houssiau
Francois P. Duhoux
Didier François
Emmanuel Seront
Radium-223 as an Additional Therapeutic Strategy in Highly Selected Patients With Metastatic Breast Cancer: A Case Report
Frontiers in Oncology
breast cancer
radium-223
bone metastases
chemotherapy
positron emitted tomography
title Radium-223 as an Additional Therapeutic Strategy in Highly Selected Patients With Metastatic Breast Cancer: A Case Report
title_full Radium-223 as an Additional Therapeutic Strategy in Highly Selected Patients With Metastatic Breast Cancer: A Case Report
title_fullStr Radium-223 as an Additional Therapeutic Strategy in Highly Selected Patients With Metastatic Breast Cancer: A Case Report
title_full_unstemmed Radium-223 as an Additional Therapeutic Strategy in Highly Selected Patients With Metastatic Breast Cancer: A Case Report
title_short Radium-223 as an Additional Therapeutic Strategy in Highly Selected Patients With Metastatic Breast Cancer: A Case Report
title_sort radium 223 as an additional therapeutic strategy in highly selected patients with metastatic breast cancer a case report
topic breast cancer
radium-223
bone metastases
chemotherapy
positron emitted tomography
url https://www.frontiersin.org/articles/10.3389/fonc.2022.896301/full
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AT didierfrancois radium223asanadditionaltherapeuticstrategyinhighlyselectedpatientswithmetastaticbreastcanceracasereport
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