中国癌症杂志2024,Vol.34Issue(2) :135-142.DOI:10.19401/j.cnki.1007-3639.2024.02.001

2023年中国乳腺癌重要临床研究成果及最新进展

Progress of important clinical research of breast cancer in China in 2023

张琪 修秉虬 吴炅
中国癌症杂志2024,Vol.34Issue(2) :135-142.DOI:10.19401/j.cnki.1007-3639.2024.02.001

2023年中国乳腺癌重要临床研究成果及最新进展

Progress of important clinical research of breast cancer in China in 2023

张琪 1修秉虬 1吴炅2
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作者信息

  • 1. 复旦大学附属肿瘤医院乳腺外科,复旦大学上海医学院肿瘤学系,上海 200032
  • 2. 复旦大学附属肿瘤医院乳腺外科,复旦大学上海医学院肿瘤学系,上海 200032;中国上海肿瘤医学协同创新中心,上海 200032
  • 折叠

摘要

乳腺癌是全球女性发病率最高的恶性肿瘤,严重威胁女性健康.随着乳腺癌分期分型诊治原则的确立和新型抗肿瘤药物的研发与应用,乳腺癌患者的生存情况和生活质量不断得到改善.中国乳腺癌患者基数大,具有独特的发病特征,需要不断探索更合适的治疗策略;临床研究的体量和水平也在不断提升.2023年,针对不同亚型乳腺癌均有重要的临床研究成果.在外科治疗方面,关于靶向腋窝淋巴结清扫的临床试验和对侧乳腺癌风险预测BRCA-CRisk模型的建立为外科降阶梯治疗提供了更多的证据;在人表皮生长因子受体2(human epidermal growth factor receptor 2,HER2)阳性乳腺癌方面,吡咯替尼在晚期乳腺癌治疗中显示出明显疗效;在三阴性乳腺癌方面,精准分型治疗和免疫治疗持续改善患者的生存情况;在激素受体阳性乳腺癌方面,对低风险患者豁免化疗以及探索内分泌治疗耐药后的可选方案均有重要研究成果;在BRCA突变方面,BGB-290-201临床研究进一步确认了多腺苷二磷酸核糖聚合酶[poly(ADP-ribose)polymerase,PARP]抑制剂用于中国人群的治疗效果和安全性,对晚期HER2阴性携带BRCA胚系(germline BRCA,g BRCA)1/2突变的乳腺癌患者,帕米帕利将会是一个理想的治疗选择.本文对2023年中国乳腺癌领域的重要临床研究进行回顾,总结关键结果,以期为未来的临床研究提供参考.

Abstract

Breast cancer is the most prevalent malignant tumor among women globally,posing a serious threat to women's health.With the establishment of staging and typing principles for breast cancer diagnosis and treatment,and the development and application of novel antitumor drugs,the survival and quality of life of breast cancer patients have been continuously improving.In China,the large base of breast cancer patients possesses unique incidence characteristics,necessitating ongoing exploration of more appropriate treatment strategies;the volume and level of clinical research are also continuously advancing.In 2023,significant clinical research results were reported for different subtypes of breast cancer.In surgical treatment,clinical trials on targeted axillary lymph node dissection and the establishment of a predictive model BRCA-CRisk for contralateral breast cancer risk provide more evidence for de-escalation in surgical treatment.In the area of human epidermal growth factor receptor 2(HER2)-positive breast cancer,pyrotinib has shown significant efficacy in advanced breast cancer treatment.In triple-negative breast cancer,precision subtype treatment and immunotherapy continue to improve patient survival.For hormone receptor-positive breast cancer,significant research results were obtained in exempting low-risk patients from chemotherapy and exploring alternative options after resistance to endocrine therapy.In the aspect of BRCA mutations,BGB-290-201 further confirmed the therapeutic efficacy and safety of poly(ADP-ribose)polymerase(PARP)inhibitors for the Chinese population.For advanced HER2-negative patients carrying germline BRCA(gBRCA)1/2 mutations,pamiparib will be an ideal treatment choice.This article reviews the important clinical research in the field of breast cancer in China in 2023,summarizes key results,and aims to provide reference ideas for future clinical research.

关键词

乳腺癌/临床研究/临床试验/研究进展

Key words

Breast cancer/Clinical research/Clinical trials/Research progress

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出版年

2024
中国癌症杂志
复旦大学附属肿瘤医院

中国癌症杂志

CSTPCD北大核心
影响因子:2.015
ISSN:1007-3639
被引量1
参考文献量39
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