Morales Serafin, Gasol Ariadna, Sanchez Douglas Rene
Medical Oncology Department, Hospital Universitari Arnau de Vilanova de Lleida, 25198 Lleida, Spain.
Pathology Department, Hospital Universitari Arnau de Vilanova de Lleida, 25198 Lleida, Spain.
Cancers (Basel). 2021 Nov 18;13(22):5771. doi: 10.3390/cancers13225771.
HER2 positive breast cancer represent about 20% of all breast cancer subtypes and it was considered the subtype with the worst prognosis until the discovery of therapies directed against the HER2 protein. The determination of the status of the HER2 must be very precise and well managed to identify this subtype, and there are very specific and updated guides that allow its characterization to be adjusted. Treatment in local disease has been considerably improved with less aggressive and highly effective approaches and very high cure rates. In metastatic disease, average median survival rates of 5 years have been achieved. New highly active molecules have also been discovered that allow disease control in very complicated situations. This article reviews all these options that can be used for the management of this disease.
人表皮生长因子受体2(HER2)阳性乳腺癌约占所有乳腺癌亚型的20%,在针对HER2蛋白的治疗方法发现之前,它被认为是预后最差的亚型。HER2状态的确定必须非常精确且管理得当,以识别该亚型,并且有非常具体且最新的指南可用于调整其特征描述。局部疾病的治疗已通过较温和且高效的方法得到显著改善,治愈率很高。在转移性疾病中,已实现平均5年的中位生存率。还发现了新的高活性分子,可在非常复杂的情况下控制疾病。本文综述了可用于该疾病管理的所有这些选择。