We present a case of a 57-year-old woman with metastatic breast cancer unre
sponsive to several chemotherapeutic and hormonal regimens. Because of prog
ressive pulmonary metastases and a painful osteolytic metastasis in the ste
rnum, treatment with docetaxel was initiated. She developed mesenteric veno
us thrombosis within 1 week after the first dose of docetaxel.
Although docetaxel may be regarded as an important advancement in the chemo
therapeutic treatment of several cancers, ongoing and future trials must as
sess its position in the standard chemotherapeutic treatment of cancer. Wel
l-documented adverse reactions, either common or rare, may contribute to a
balanced risk-benefit profile of docetaxel.