Current challenges in HER2-positive breast cancer

被引:28
作者
Puglisi, Fabio [1 ,2 ]
Fontanella, Caterina [1 ,2 ]
Amoroso, Vito [3 ]
Bianchi, Giulia Valeria [4 ]
Bisagni, Giancarlo [5 ]
Falci, Cristina [6 ]
Fontana, Andrea [7 ]
Generali, Daniele [8 ]
Gianni, Lorenzo [9 ]
Grassadonia, Antonio [10 ]
Moscetti, Luca [11 ]
Portarena, Ilaria [12 ]
Rossi, Emanuela [13 ]
Marchetti, Paolo [14 ,15 ]
机构
[1] Univ Udine, Dept Med & Biol Sci, I-33100 Udine, Italy
[2] Univ Hosp Udine, Dept Oncol, Piazzale SM Misericordia, I-33100 Udine, Italy
[3] Spedali Civili Hosp, Dept Oncol, Brescia, Italy
[4] Fdn IRCCS Ist Nazl Tumori, Milan, Italy
[5] Arcispedale Santa Maria Nuova Hosp, Dept Oncol, Reggio Emilia, Italy
[6] IOV IRCCS, Div Med Oncol 2, Veneto Istitute Oncol, Padua, Italy
[7] Hosp & Univ Pisa, Dept Oncol, Pisa, Italy
[8] Univ Trieste, Dipartimento Univ Clin Sci Med Chirurg & Salute, Tieste, Italy
[9] Infermi Hosp, Dept Oncol, Rimini, Italy
[10] Univ G DAnnunzio, Dept Oncol, SS Annunziata Hosp, Chieti, Italy
[11] Belcolle Hosp, Dept Oncol, Viterbo, Italy
[12] Univ Roma Tor Vergata, Dept Oncol, Rome, Italy
[13] SG Moscati Hosp, Dept Oncol, Avellino, Italy
[14] Univ Roma La Sapienza, Fac Med & Psicol, Osped St Andrea, Piazzale Aldo Moro 5, I-00185 Rome, Italy
[15] IRCCS, IDI, Rome, Italy
关键词
Breast cancer; Dual targeting; HER2; Lapatinib; Neoadjuvant; Pertuzumab; Trastuzumab; Trastuzumab-emtansine; INTERNATIONAL EXPERT CONSENSUS; CHEMOTHERAPY PLUS TRASTUZUMAB; CONTROLLED SUPERIORITY TRIAL; SURGICAL ADJUVANT BREAST; PRIMARY SYSTEMIC THERAPY; OPEN-LABEL; NEOADJUVANT THERAPY; FOLLOW-UP; PREOPERATIVE CHEMOTHERAPY; PATHOLOGICAL RESPONSE;
D O I
10.1016/j.critrevonc.2015.10.016
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
The introduction of trastuzumab into routine clinical practice has had a dramatic effect on the outlook for patients with HER2-positive breast cancer. Nevertheless, answers to some long unresolved questions about the optimal use of trastuzumab (such as its role in small tumors or low-risk disease, cardiac safety in the elderly, and treatment duration) have emerged only relatively recently. Moreover, with the availability of new highly effective HER2-directed therapies, including pertuzumab and trastuzumab-emtansine (T-DM1), the treatment algorithm for HER2-positive breast cancer continues to evolve. This review provides a summary of the latest evidence providing insight into the management of early and advanced HER2-positive breast cancer and delineates future perspectives of study and treatment for these patients. (C) 2015 Elsevier Ireland Ltd. All rights reserved.
引用
收藏
页码:211 / 221
页数:11
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