中国癌症杂志 ›› 2013, Vol. 23 ›› Issue (8): 584-589.doi: 10.3969/j.issn.1007-3969.2013.08.004

• 专家述评 • 上一篇    下一篇

新辅助疗法:乳腺癌抗HER-2靶向治疗的试金石

柳光宇,王玉洁   

  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,200032
  • 出版日期:2013-08-25 发布日期:2014-02-26
  • 通信作者: 柳光宇 E-mail:liugy123@yahoo.com

Neoadjuvant chemotherapy: The touchstone of targeted therapy of HER-2 positive breast cancer

LIU Guang-yu,WANG Yu-jie   

  1. Department of Breast Surgery, Fudan University Shanghai Cancer Center, Department of Oncology, Shanghai Medical College, Fudan University, Shanghai 200032, China
  • Published:2013-08-25 Online:2014-02-26
  • Contact: LIU Guang-yu E-mail: liugy123@yahoo.com

摘要:

人表皮生长因子受体(human epidermal growth factor receptor 2, HER-2)高表达被视为预后不良的重要预测因素,但随着抗HER-2靶向治疗药物曲妥珠单抗的问世以及化疗联合靶向治疗的应用,其预后逐步得到了改善。新辅助疗法因可作为“体内药敏”试验的特殊优势,成为早期可手术乳腺癌综合治疗的一种新的选择模式。近年来,新一代的抗HER-2靶向药物和治疗方法层出不穷,而在验证其疗效方面,新辅助疗法提供了一个重要的研究平台。现对HER-2过表达乳腺癌新辅助化疗的相关临床试验结果进行分析和解读,并对新近开展的多项针对HER-2过表达乳腺癌的新辅助靶向治疗研究作一综述。

关键词: 人表皮生长因子受体过表达, 新辅助化疗, 靶向治疗, 病理完全缓解

Abstract:

The overexpression of human epidermal growth factor receptor 2 (HER-2) is generally considered as an significant predictor of poor prognosis, but the outcome has been rewritten with the appearance and application of the HER-2 targeted monoclonal antibody trastuzumab and chemotherapy plus targeted therapy. For the superiority of acting as "in vivo susceptibility test, neoadjuvant chemotherapy has become a new comprehensive treatment mode for operable breast cancer. And it has also provided an important approach to investigate the effectiveness of newly appeared targeted therapy. We focused more on reviewing and analyzing the results of clinical trials related to preoperation chemotherapy and the latest studies in HER-2 positive breast cancer in this article.

Key words: HER-2 overexpression, Neoadjuvant chemotherapy, Targeted therapy, pCR