• 文献检索
  • 文档翻译
  • 深度研究
  • 学术资讯
  • Suppr Zotero 插件Zotero 插件
  • 邀请有礼
  • 套餐&价格
  • 历史记录
应用&插件
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
定价
高级版会员购买积分包购买API积分包
服务
文献检索文档翻译深度研究API 文档MCP 服务
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利:CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2026

文献检索

告别复杂PubMed语法,用中文像聊天一样搜索,搜遍4000万医学文献。AI智能推荐,让科研检索更轻松。

立即免费搜索

文件翻译

保留排版,准确专业,支持PDF/Word/PPT等文件格式,支持 12+语言互译。

免费翻译文档

深度研究

AI帮你快速写综述,25分钟生成高质量综述,智能提取关键信息,辅助科研写作。

立即免费体验

转移性乳腺癌治疗的重大进展:扩展选择意味着延长生存。

Major advancements in metastatic breast cancer treatment: when expanding options means prolonging survival.

机构信息

Department of Surgery, Oncology and Gastroenterology, University of Padova, Padova, Italy.

Department of Surgery, Oncology and Gastroenterology, University of Padova, Padova, Italy; Division of Oncology 2, Istituto Oncologico Veneto IRCCS, Padova, Italy.

出版信息

ESMO Open. 2022 Apr;7(2):100409. doi: 10.1016/j.esmoop.2022.100409. Epub 2022 Feb 26.

DOI:10.1016/j.esmoop.2022.100409
PMID:35227965
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8886005/
Abstract

In the last years we have witnessed tremendous advancements in the treatment landscape of metastatic breast cancer (MBC), leading to a progressive prolongation of progression-free survival and, in some cases, also of overall survival. This led to a substantial increase of advanced disease treatability. In the present review we comprehensively and critically describe the most significant progresses in the therapeutic scenario of MBC according to BC subtype. In particular, we reviewed studies reporting practice-changing data in hormone receptor-positive/human epidermal growth factor receptor 2 (HER2)-negative, HER2-positive and triple-negative BC, with also a hint to BRCA-related tumors and the emerging HER2-low-positive category.

摘要

在过去的几年中,我们见证了转移性乳腺癌(MBC)治疗领域的巨大进展,导致无进展生存期的逐渐延长,在某些情况下,总生存期也得到了延长。这导致晚期疾病的可治疗性大大增加。在本综述中,我们根据乳腺癌亚型全面、批判性地描述了 MBC 治疗领域的最重要进展。特别是,我们回顾了报告改变激素受体阳性/人表皮生长因子受体 2(HER2)阴性、HER2 阳性和三阴性乳腺癌具有临床实践改变数据的研究,并且还提到了与 BRCA 相关的肿瘤和新兴的 HER2 低阳性类别。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4f9c/8886005/294bb8c1da2d/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4f9c/8886005/e5b4a79df2d8/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4f9c/8886005/478a5550295f/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4f9c/8886005/afd042b9561a/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4f9c/8886005/294bb8c1da2d/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4f9c/8886005/e5b4a79df2d8/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4f9c/8886005/478a5550295f/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4f9c/8886005/afd042b9561a/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4f9c/8886005/294bb8c1da2d/gr4.jpg

相似文献

1
Major advancements in metastatic breast cancer treatment: when expanding options means prolonging survival.转移性乳腺癌治疗的重大进展:扩展选择意味着延长生存。
ESMO Open. 2022 Apr;7(2):100409. doi: 10.1016/j.esmoop.2022.100409. Epub 2022 Feb 26.
2
Prognostic Value of Modified IHC4 Score in Patients with Estrogen Receptor-Positive Metastatic Breast Cancer.改良 IHC4 评分在雌激素受体阳性转移性乳腺癌患者中的预后价值。
Oncologist. 2020 Aug;25(8):e1170-e1180. doi: 10.1634/theoncologist.2019-1006. Epub 2020 Jun 16.
3
Progression-free Survival With First-line Endocrine-based Therapies Among Postmenopausal Women With HR+/HER2- Metastatic Breast Cancer:: A Network Meta-analysis.一线基于内分泌的治疗在 HR+/HER2-转移性乳腺癌绝经后妇女中的无进展生存:一项网状荟萃分析。
Clin Ther. 2018 Apr;40(4):628-639.e3. doi: 10.1016/j.clinthera.2018.03.004. Epub 2018 Mar 31.
4
Endocrine therapy or chemotherapy as first-line therapy in hormone receptor-positive HER2-negative metastatic breast cancer patients.激素受体阳性、HER2 阴性转移性乳腺癌患者的一线治疗选择内分泌治疗或化疗。
Eur J Cancer. 2018 May;95:93-101. doi: 10.1016/j.ejca.2018.03.013. Epub 2018 Apr 11.
5
Prognostic Value of Intrinsic Subtypes in Hormone Receptor-Positive Metastatic Breast Cancer Treated With Letrozole With or Without Lapatinib.来曲唑联合或不联合拉帕替尼治疗激素受体阳性转移性乳腺癌的内在亚型的预后价值。
JAMA Oncol. 2016 Oct 1;2(10):1287-1294. doi: 10.1001/jamaoncol.2016.0922.
6
Palbociclib plus exemestane with gonadotropin-releasing hormone agonist versus capecitabine in premenopausal women with hormone receptor-positive, HER2-negative metastatic breast cancer (KCSG-BR15-10): a multicentre, open-label, randomised, phase 2 trial.帕博西尼联合戈舍瑞林与卡培他滨用于激素受体阳性、HER2 阴性转移性乳腺癌绝经前妇女(KCSG-BR15-10):一项多中心、开放标签、随机、2 期临床试验。
Lancet Oncol. 2019 Dec;20(12):1750-1759. doi: 10.1016/S1470-2045(19)30565-0. Epub 2019 Oct 24.
7
Clinicopathological characteristics, evolution, treatment pattern and outcomes of hormone-receptor-positive/HER2-low metastatic breast cancer.激素受体阳性/HER2 低转移性乳腺癌的临床病理特征、演变、治疗模式和结局。
Front Endocrinol (Lausanne). 2023 Oct 10;14:1270453. doi: 10.3389/fendo.2023.1270453. eCollection 2023.
8
Maintenance Therapy in HER2-Negative Metastatic Breast Cancer: A New Approach for an Old Concept.HER2 阴性转移性乳腺癌的维持治疗:旧概念的新方法。
Clin Drug Investig. 2019 Jul;39(7):595-606. doi: 10.1007/s40261-019-00790-9.
9
A Phase II Open Label Study of Everolimus in Combination With Endocrine Therapy in Resistant Hormone Receptor-Positive HER2-Negative Advanced Breast Cancer.一项评估依维莫司联合内分泌治疗用于治疗激素受体阳性 HER2 阴性晚期乳腺癌的耐药患者的 II 期开放标签研究。
Clin Breast Cancer. 2020 Apr;20(2):89-97. doi: 10.1016/j.clbc.2019.06.005. Epub 2019 Jun 26.
10
Therapeutic intervention based on circulating tumor cell phenotype in metastatic breast cancer: concept of the DETECT study program.基于转移性乳腺癌循环肿瘤细胞表型的治疗干预:DETECT研究项目的概念
Arch Gynecol Obstet. 2016 Feb;293(2):271-81. doi: 10.1007/s00404-015-3879-7. Epub 2015 Sep 9.

引用本文的文献

1
Underserved Patient Populations With Metastatic Breast Cancer: A Review of Progress and Remaining Challenges.转移性乳腺癌患者的医疗服务不足群体:进展与尚存挑战综述
Breast J. 2025 Jun 30;2025:2461234. doi: 10.1155/tbj/2461234. eCollection 2025.
2
TreC_Metha: A Digital Application to Enhance Patient Agency, Therapy Compliance and Quality of Life in Metastatic Breast Cancer Patients.TreC_Metha:一款用于提高转移性乳腺癌患者自主能力、治疗依从性和生活质量的数字应用程序。
Curr Oncol. 2025 May 23;32(6):299. doi: 10.3390/curroncol32060299.
3
A phase Ib/II trial of atezolizumab with cobimetinib or idasanutlin in metastatic estrogen receptor positive breast cancer.

本文引用的文献

1
Trastuzumab Plus Endocrine Therapy or Chemotherapy as First-line Treatment for Patients with Hormone Receptor-Positive and HER2-Positive Metastatic Breast Cancer (SYSUCC-002).曲妥珠单抗联合内分泌治疗或化疗作为激素受体阳性和 HER2 阳性转移性乳腺癌患者的一线治疗(SYSUCC-002)。
Clin Cancer Res. 2022 Feb 15;28(4):637-645. doi: 10.1158/1078-0432.CCR-21-3435.
2
ESMO Clinical Practice Guideline for the diagnosis, staging and treatment of patients with metastatic breast cancer.欧洲肿瘤内科学会转移性乳腺癌患者诊断、分期及治疗临床实践指南
Ann Oncol. 2021 Dec;32(12):1475-1495. doi: 10.1016/j.annonc.2021.09.019. Epub 2021 Oct 19.
3
阿特珠单抗联合考比替尼或艾达司他丁治疗转移性雌激素受体阳性乳腺癌的Ib/II期试验。
NPJ Breast Cancer. 2025 Jun 21;11(1):61. doi: 10.1038/s41523-025-00773-4.
4
Local Ablative Treatment of the Primary Tumour in Patients With Metastatic Breast Cancer: A Retrospective Observational Study.转移性乳腺癌患者原发性肿瘤的局部消融治疗:一项回顾性观察研究。
Cureus. 2025 May 13;17(5):e84020. doi: 10.7759/cureus.84020. eCollection 2025 May.
5
Prospective multicentre study of patients with cutaneous metastases from breast cancer treated with electrochemotherapy.乳腺癌皮肤转移患者接受电化学疗法治疗的前瞻性多中心研究。
Clin Exp Metastasis. 2025 May 29;42(4):32. doi: 10.1007/s10585-025-10350-5.
6
Temporal evolution of breast cancer brain metastases treatments and outcomes.乳腺癌脑转移治疗及预后的时间演变
NPJ Breast Cancer. 2025 Feb 20;11(1):20. doi: 10.1038/s41523-025-00735-w.
7
Returning to work after breast cancer: a longitudinal analysis of employment and financial hardship.乳腺癌康复后重返工作岗位:就业与经济困难的纵向分析
Breast Cancer Res Treat. 2025 May;211(1):91-97. doi: 10.1007/s10549-025-07624-7. Epub 2025 Feb 2.
8
Liposomal Formulation of Hydroxychloroquine Can Inhibit Autophagy In Vivo.羟氯喹的脂质体制剂可在体内抑制自噬。
Pharmaceutics. 2024 Dec 30;17(1):42. doi: 10.3390/pharmaceutics17010042.
9
Atherosclerosis and the Bidirectional Relationship Between Cancer and Cardiovascular Disease: From Bench to Bedside, Part 2 Management.动脉粥样硬化与癌症和心血管疾病的双向关系:从实验台到病床边,第2部分 管理
Int J Mol Sci. 2025 Jan 2;26(1):334. doi: 10.3390/ijms26010334.
10
Analysis of the Effects of Different Chemotherapy Methods on Blood Lipid Levels in Breast Cancer Patients.不同化疗方法对乳腺癌患者血脂水平的影响分析
Breast Cancer (Dove Med Press). 2024 Nov 11;16:745-760. doi: 10.2147/BCTT.S456422. eCollection 2024.
Endocrine Treatment and Targeted Therapy for Hormone Receptor-Positive, Human Epidermal Growth Factor Receptor 2-Negative Metastatic Breast Cancer: ASCO Guideline Update.
激素受体阳性、人表皮生长因子受体 2 阴性转移性乳腺癌的内分泌治疗和靶向治疗:ASCO 指南更新。
J Clin Oncol. 2021 Dec 10;39(35):3959-3977. doi: 10.1200/JCO.21.01392. Epub 2021 Jul 29.
4
First-line atezolizumab plus nab-paclitaxel for unresectable, locally advanced, or metastatic triple-negative breast cancer: IMpassion130 final overall survival analysis.一线阿替利珠单抗联合白蛋白紫杉醇治疗不可切除、局部晚期或转移性三阴性乳腺癌:IMpassion130 最终总生存分析。
Ann Oncol. 2021 Aug;32(8):983-993. doi: 10.1016/j.annonc.2021.05.355. Epub 2021 Jul 1.
5
HER2: a never ending story.人表皮生长因子受体2:一个永无止境的故事。
Lancet Oncol. 2021 Aug;22(8):1051-1052. doi: 10.1016/S1470-2045(21)00349-1. Epub 2021 Jul 9.
6
Everolimus plus aromatase inhibitors as maintenance therapy after first-line chemotherapy: Final results of the phase III randomised MAIN-A (MAINtenance Afinitor) trial.依维莫司联合芳香化酶抑制剂作为一线化疗后的维持治疗:III 期随机 MAIN-A(依维莫司维持)试验的最终结果。
Eur J Cancer. 2021 Sep;154:21-29. doi: 10.1016/j.ejca.2021.05.008. Epub 2021 Jul 2.
7
Primary results from IMpassion131, a double-blind, placebo-controlled, randomised phase III trial of first-line paclitaxel with or without atezolizumab for unresectable locally advanced/metastatic triple-negative breast cancer.IMpassion131 研究是一项双盲、安慰剂对照、随机 III 期临床试验,旨在评估一线紫杉醇联合或不联合阿替利珠单抗治疗不可切除局部晚期/转移性三阴性乳腺癌的主要结果。
Ann Oncol. 2021 Aug;32(8):994-1004. doi: 10.1016/j.annonc.2021.05.801. Epub 2021 Jul 1.
8
Biomarker analyses in the phase III ASCENT study of sacituzumab govitecan versus chemotherapy in patients with metastatic triple-negative breast cancer.在转移性三阴性乳腺癌患者中 sacituzumab govitecan 与化疗对比的 III 期 ASCENT 研究中的生物标志物分析。
Ann Oncol. 2021 Sep;32(9):1148-1156. doi: 10.1016/j.annonc.2021.06.002. Epub 2021 Jun 8.
9
Sacituzumab Govitecan in Metastatic Triple-Negative Breast Cancer.Sacituzumab Govitecan 治疗转移性三阴性乳腺癌。
N Engl J Med. 2021 Apr 22;384(16):1529-1541. doi: 10.1056/NEJMoa2028485.
10
Alpelisib plus fulvestrant in PIK3CA-mutated, hormone receptor-positive advanced breast cancer after a CDK4/6 inhibitor (BYLieve): one cohort of a phase 2, multicentre, open-label, non-comparative study.阿培利司联合氟维司群治疗 CDK4/6 抑制剂治疗后 PI3KCA 突变、激素受体阳性的晚期乳腺癌(BYLieve):一项多中心、开放标签、非对照、2 期研究的一个队列。
Lancet Oncol. 2021 Apr;22(4):489-498. doi: 10.1016/S1470-2045(21)00034-6.