Oral high-dose medroxyprogesterone acetate (MPA) treatment (600, 800,
1200 mg/day or changed dosage) was given to 49 patients with recurrent
breast cancer from January 1979 to December 1992. The overall respons
e rate to MPA was 38.8% (19/49). The response rate in the soft tissue
was significantly higher compared with that in bone metastases or in v
isceral metastases. MPA was effective on patients both with or without
previous treatment. Several side effects were recognized, but they we
re mild and tolerable. These results demonstrate that MPA is effective
when used as first line or second line treatment.