Endometrial stromal sarcoma: Objective response to letrozole Journal Article


Authors: Maluf, F. C.; Sabbatini, P.; Schwartz, L.; Shia, J.; Aghajanian, C.
Article Title: Endometrial stromal sarcoma: Objective response to letrozole
Abstract: Background. Low-grade endometrial stromal sarcoma is generally an indolent tumor rich in estrogen and progesterone receptors. Objective responses to hormonal therapy, most commonly with megestrol acetate, have been reported. Case. The patient is a 51-year-old woman who presented with low-grade endometrial stromal sarcoma confined to the uterus in 1991 and was treated with total abdominal hysterectomy and bilateral salpingo-oophorectomy. Approximately 5 years later, the patient had recurrent pelvic disease treated with radiation therapy, followed by an attempt at resection. She was treated with megestrol acetate during the period she received radiation therapy with poor tolerance. Tamoxifen was then given with no tumor response. Megestrol acetate was restarted with progression of disease in the pelvis and abdomen. Letrozole was then given at a daily dose of 2.5 mg with partial response for a duration of 9 months. Conclusion. Letrozole at a daily dose of 2.5 mg may be effective in low-grade endometrial. stromal. sarcoma with positive estrogen receptors. (C) 2001 Academic Press.
Keywords: estrogen; letrozole; estrogen receptor; receptors; endometrial stromal sarcoma; uterine sarcoma; low-grade sarcoma; myosis
Journal Title: Gynecologic Oncology
Volume: 82
Issue: 2
ISSN: 0090-8258
Publisher: Elsevier Inc.  
Date Published: 2001-08-01
Start Page: 384
End Page: 388
Language: English
ACCESSION: WOS:000170508600031
DOI: 10.1006/gyno.2001.6238
PROVIDER: wos
PUBMED: 11531300
Notes: Article -- Source: Wos
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  1. Fernando Maluf
    10 Maluf
  2. Lawrence H Schwartz
    306 Schwartz
  3. Paul J Sabbatini
    262 Sabbatini
  4. Jinru Shia
    717 Shia