Durable Response of Androgen Receptor-Positive Male Breast Cancer to Goserelin

Hamdy Abdel Azim1,2, Loay Kassem1,2, Kyrillus Samaan Shohdy1

  • 1Department of Clinical Oncology, Kasr Alainy School of Medicine, Cairo University, Cairo, Egypt.

Insights

Luteinizing hormone-releasing hormone (LHRH)/androgen receptor (AR) pathway therapy shows promise for male triple-negative breast cancer (TNBC). A male patient with AR-positive TNBC achieved a durable response to LHRH agonist treatment after chemotherapy.

Area of Science:

  • Oncology
  • Endocrinology
  • Cancer Biology

Background:

  • Triple-negative breast cancer (TNBC) is aggressive, with limited treatment options.
  • The luteinizing hormone-releasing hormone (LHRH)/androgen receptor (AR) pathway is a potential therapeutic target in a subset of TNBC.
  • Efficacy of LHRH/AR-targeted therapy in male TNBC is largely unexplored.

Observation:

  • A male patient with androgen receptor-positive (AR+) TNBC was treated.
  • The patient received multiple lines of chemotherapy prior to LHRH agonist therapy.
  • A durable clinical response was observed following LHRH agonist treatment.

Findings:

  • LHRH agonist therapy can be effective in male patients with AR-positive TNBC.
  • This case demonstrates a successful application of LHRH/AR pathway inhibition in a rare TNBC presentation.
  • The treatment resulted in a sustained positive outcome for the patient.

Implications:

  • This case suggests LHRH/AR-targeted therapy is a viable strategy for select male TNBC patients.
  • Further research is warranted to explore the role of LHRH/AR pathway in male TNBC.
  • This finding may expand treatment options for this challenging cancer subtype.

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