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. 2018 Oct 29;10(11):407. doi: 10.3390/cancers10110407

Figure 4.

Figure 4

(a) Course of CETCs in a patient with invasive ductal carcinoma (pT1bpN2aM0). Initially, an increase in cell numbers under radiotherapy was observed (hatched in yellow). Cell numbers remained primarily constant under further Tamoxifen therapy (blue). Follow-up samples of the patient revealed macroscopic complete remission (CR). (b) Course of CETCs in a patient with invasive lobular carcinoma who was treated with neoadjuvant therapy (ypT1a(m)pN1aM0). Under combined therapy comprising of Goserelin (hatched in dark blue) and Tamoxifen (blue), an initial decrease in CETCs was observed, followed by a renewed increase during further combination therapy. Under monotherapy with Tamoxifen a continuous decrease in CETCs was observed followed by a renewed increase of CETCs after completion of endocrine therapy. At that time the patient was macroscopically still in complete remission. After additional 10 months recurrence was confirmed and after mastectomy was treated with Paclitaxel (purple).