Auf der Suche nach einer alternativen Therapie bei Patientinnen mit zytostatisch ausbehandeltem Mammakarzinom setzten wir Tamoxifen, Vindesin und Carmustin (BCNU) ein. 27 Patientinnen wurden in eine Studie aufgenommen, die eine Stufe I mit Tamoxifen allein und eine Stufe II mit Vindesin, Carmustin, Tamoxifen umfaßte. In der Stufe I mit Tamoxifen reagierten 7 von 14 (50%) und in der folgenden Stufe II mit Vindesin, Carmustin und Tamoxifen 4 von 20 (20%) Patientinnen mit einer Remission. Die mittlere Remissionsdauer betrug +7,4 bzw. +9,0 Monate. Die Ergebnisse zeigen, daß auch für Patientinnen mit weit fortgeschrittenem Mammakarzinom eine palliative Folgetherapie nach Behandlung mit Vincristin + Adriamycin + Cyclophospha-mid und 5-Fluorouracil + Methotrexat + Cyclophosphamid möglich ist.

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