Patients with TAM-resistance have favorable remission rates in response to cisplatin-based chemotherapy. (A) Summary of endocrine therapies administered to 178 patients with ER+ recurrent and metastatic breast cancer. A total of 122 patients were determined to exhibit TAM resistance. (B) Chemotherapy regimens and responses in 125 patients with ER+ recurrent and metastatic breast cancer. Clinical responses were evaluated in comparison with alteration of target lesions during chemotherapy. (C) Clinical remission rates of TAM-resistant patients administered different chemotherapy regimens. (D) Clinical remission rates of patients administered cisplatin-based chemotherapy following treatment with different endocrine-therapy regimens. C, cyclophosphamide; E, epirubicin; F, fluorouracil; T, paclitaxel; N, vinorelbine; G, gemcitabine; P, cisplatin; PR, partial response; SD, stable disease; PD, progressive disease; UN, unknown; ER+, estrogen receptor-positive; TAM, tamoxifen.