Predictive Factors for Response to Neoadjuvant Therapy in Breast Cancer

被引:23
作者
Loibl, Sibylle [1 ,2 ]
von Minckwitz, Gunter [1 ,3 ]
Untch, Michael [4 ]
Denkert, Carsten [5 ]
机构
[1] German Breast Grp, Neu Isenburg, Germany
[2] Sana Klinikum, Offenbach, Germany
[3] Univ Womens Hosp, Frankfurt, Germany
[4] HELIOS Kliniken Berlin Buch, Frauenklin, Interdisziplinares Brustzentrum, Berlin, Germany
[5] Charite, Inst Pathol, Berlin, Germany
基金
欧盟第七框架计划;
关键词
Breast cancer; Neoadjuvant therapy; Biomarker; Predictor; INTERNATIONAL EXPERT CONSENSUS; TUMOR-INFILTRATING LYMPHOCYTES; PATHOLOGICAL COMPLETE RESPONSE; CHEMOTHERAPY PLUS TRASTUZUMAB; RANDOMIZED PHASE-II; OPEN-LABEL; PREOPERATIVE CHEMOTHERAPY; SYSTEMIC TREATMENT; LAPATINIB; SURVIVAL;
D O I
10.1159/000367643
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Within 2 decades, neoadjuvant therapy (NAT) has become a standard treatment option in breast cancer. The advantage of NAT is the ability to monitor the treatment effect. Pathological complete response (pCR) after NAT is a very good predictor for long-term outcome. Clinical factors, such as age and body mass index, as well as recently identified biomarkers can predict the chance of achieving a pCR. Hormone-receptor status, proliferation markers, immune infiltrates and genetic alterations, such as germline BRCA and PIK3CA, can now be measured almost on a routine basis due to the decreased analysis costs.
引用
收藏
页码:563 / 568
页数:6
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