Metastatic human epidermal growth factor receptor 2-positive breast cancer: Management, challenges, and future directions

被引:3
作者
Soleja, Mohsin [1 ]
Rimawi, Mothaffar F.
机构
[1] Baylor Coll Med, Dept Med, Lester & Sue Smith Breast Ctr, Houston, TX 77030 USA
关键词
Metastatic breast cancer; HER2; Trastuzumab; Pertuzumab; T-DM1; Lapatinib; Resistance; Management; Novel therapy; TUMOR-INFILTRATING LYMPHOCYTES; LAPATINIB PLUS CAPECITABINE; NERVOUS-SYSTEM METASTASES; BRAIN METASTASES; DOUBLE-BLIND; TRASTUZUMAB EMTANSINE; PROTEIN EXPRESSION; ESTROGEN-RECEPTOR; PHASE-III; TAMOXIFEN RESISTANCE;
D O I
10.1016/j.currproblcancer.2016.09.005
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
HER2 is over-expressed or amplified in 15-20% of breast cancer. Significant progress has been made in the treatment of metastatic HER2+ breast cancer. This is largely due to successful targeting of the HER2 pathway. There are several approved agents in the metastatic setting. However, treatment resistance frequently develops and tumors eventually progress. In recent years, our understanding of mechanisms of resistance has evolved. It is generally accepted now that HER2-positive breast cancer is not one disease. New therapeutic strategies and a tailored approach to management are necessary to maximize patient outcomes and minimize toxicity. (C) 2016 Elsevier Inc. All rights reserved.
引用
收藏
页码:117 / 129
页数:13
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