Research Article

Patterns of Progression in Metastatic Estrogen Receptor Positive Breast Cancer: An Argument for Local Therapy

Table 1

Treatment characteristics by course of endocrine therapy.

Entire cohortDiffuse progression Limited progression (<3 sites)
Entire cohortOligoprogressionOligometastatic  + progression

Courses, 195150452818

Type of therapy by course, (%)
 Aromatase inhibitor77 (39%)58 (39%)19 (42%)13 (48%)6 (33%)
 AI + GNRH agonist29 (15%)23 (15%)6 (13%)2 (7%)4 (22%)
 AI + everolimus13 (7%)11 (7%)2 (4%)2 (7%)0 (0%)
 AI + fulvestrant14 (7%)9 (6%)5 (11%)4 (15%)1 (6%)
 Fulvestrant38 (19%)30 (20%8 (18%)3 (11%)5 (28%)
 Tamoxifen22 (11%)17 (11%)5 (11%)3 (11%)2 (1%)
 Other2 (1%)2 (1%)0 (0%)0 (0%)0 (0%)

Additional treatments, (%)
 Bisphosphonate use102 (52%)77 (51%)25 (56%)19 (70%)6 (33%)
 Her2 target therapy37 (19%)19 (13%)16 (36%)7 (26%)9 (50%)

Mean time to progression 
(per course)
8 (1–61) months8 (1–38) months9 (2–61) months12 (2–30) months6 (2–61) months

AI: aromatase inhibitor; GNRH: gonadotropin-releasing hormone.