“…However, until now a single treatment with these agents showed only minor activity in post-menopausal patients with metastatic breast cancer (European Breast Group, 1972;Minton et al, 1974;Engelsman et al, 1975;Grisoli et al, 1981;Morten et al, 1988;Manni et al, 1989;Vennin et al, 1989;Holtkamp et al, 1990;Klijn et al, 1992). Because unopposed oestrogen action can overrule the growth inhibitory effects of somatostatin analogues (Setyono-Han et al, 1987) and/or anti-prolactions, combination treatment With an anti-oestrogen, a somatostatin analogue and an anti-prolactin might be of value and may increase the efficacy of single treatment with tamoxifen alone. As tamoxifen affects growth factor secretion (Coletti et al, 1989;Pollak et al, 1990;Clarke et al, 1992;Kiang et al, 1992;Lonning et al, 1992;Reed et al, 1992;Winston et al, 1994) Currently, the mean follow-up of all 20 evaluable patients is 3 years (range 3 months-6 years).…”