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HER2阳性乳腺癌新辅助治疗策略和现状

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乳腺癌新辅助治疗是指在手术前进行的全身药物治疗.人表皮生长因子受体2(HER2)阳性乳腺癌预后不良,新辅助治疗为HER2阳性乳腺癌的治疗提供了新型模式,已经彻底改变了其治疗方式和预后.目前曲妥珠单抗和帕妥珠单抗双重抗HER2靶向联合非蒽环类化疗是首选的较高病理完全缓解率(pCR)以及更好预后的新辅助方案之一.未来曲妥珠单抗联合小分子TKI药物,以及新的ADC类药物,免疫治疗联合靶向治疗等,结合可靠生物标志物后,将实现HER2阳性乳腺癌更为精准的治疗.本文就双靶时代的HER2阳性乳腺癌新辅助治疗进行简要综述,并对其未来发展方向进行展望.
Strategy and Status of Neoadjuvant Therapy for HER2-positive Breast Cancer
Neoadjuvant therapy is a preoperative systemic treatment for patients with breast cancer.This therapy has greatly improved the clinical outcomes of human epidermal growth factor receptor 2(HER2)-positive breast cancer,which is associated with poor prognosis.Currently,dual anti-HER2 antibodies,including trastuzumab and pertuzumab,combined with non-anthracycline chemotherapy is one of the standard regimens to achieve high pathologic complete response rate and satisfactory efficacy.The combination of trastuzumab with tyrosine kinase inhibitors,antibody-drug conjugate drugs,or immunotherapy combined with target therapy,under the indications of reasonable biomarkers,is effective for HER2-positive breast cancer.In this article,we briefly reviewed neoadjuvant therapy in the dual-targeting therapy era and discussed its future perspectives.

HER2-positive breast cancerNeoadjuvant therapypCRTrastuzumabPertuzumab

刘运江、杨超

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050011 石家庄,河北医科大学第四医院乳腺中心

HER2阳性乳腺癌 新辅助治疗 pCR 曲妥珠单抗 帕妥珠单抗

2024

肿瘤防治研究
湖北省卫生厅,中国抗癌协会,湖北省肿瘤医院

肿瘤防治研究

CSTPCD
影响因子:0.737
ISSN:1000-8578
年,卷(期):2024.51(1)
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