Refining Therapy in Patients with HER2-Positive Breast Cancer with Central Nervous System Metastasis.

IF 2 4区 医学 Q2 OBSTETRICS & GYNECOLOGY Breast Care Pub Date : 2022-12-01 Epub Date: 2022-08-10 DOI:10.1159/000526431
Marta Filipa Freire Vaz Batista, Inês Eiriz, Amanda Fitzpatrick, Fanny Le Du, Sofia Braga, Diogo Alpuim Costa
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Abstract

Background: Brain metastasis (BM) is a major clinical problem in metastatic breast cancer (MBC), occurring in 50% of patients with human epidermal growth factor receptor 2-positive (HER2+) breast cancer. Historically omitted from clinical trials, recent studies of novel HER2-targeted agents have focused on HER2+ BM patients, addressing stable but also progressing BM and leptomeningeal carcinomatosis (LMC).

Summary: This review aimed to summarize the most relevant data on treating patients with HER2+ BM and LMC.

Key messages: The treatment paradigm for patients with HER2+ MBC has changed. Local therapies play an important role, but accumulating evidence on the intracranial activity and clinical benefit of anti-HER2 targeting therapies might lead to a shift in the paradigm on treating BM in the next few years towards more widespread use of systemic therapy.

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her2阳性乳腺癌伴中枢神经系统转移患者的精炼治疗
背景:脑转移(BM)是转移性乳腺癌(MBC)的主要临床问题,50%的人表皮生长因子受体2阳性(HER2+)乳腺癌患者发生脑转移。在以往的临床试验中被忽略,最近对新型HER2靶向药物的研究主要集中在HER2+ BM患者身上,针对稳定但也进展中的BM和脑膜轻脑膜癌(LMC)。摘要:本综述旨在总结治疗HER2+ BM和LMC患者的最相关数据。HER2+ MBC患者的治疗模式已经改变。局部治疗发挥着重要的作用,但越来越多的证据表明,抗her2靶向治疗的颅内活性和临床益处可能会导致在未来几年内治疗脑转移的范式转向更广泛地使用全身治疗。
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来源期刊
Breast Care
Breast Care 医学-妇产科学
CiteScore
4.40
自引率
4.80%
发文量
45
审稿时长
6-12 weeks
期刊介绍: ''Breast Care'' is a peer-reviewed scientific journal that covers all aspects of breast biology. Due to its interdisciplinary perspective, it encompasses articles on basic research, prevention, diagnosis, and treatment of malignant diseases of the breast. In addition to presenting current developments in clinical research, the scope of clinical practice is broadened by including articles on relevant legal, financial and economic issues.
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