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新辅助治疗后乳腺癌残留疾病的治疗。

Treatment of residual disease following neoadjuvant therapy in breast cancer.

机构信息

Department of Medicine, McGaw Medical Center of Northwestern University, Chicago, Illinois, USA.

Robert H. Lurie Comprehensive Cancer Center of Northwestern University, Chicago, Illinois, USA.

出版信息

J Surg Oncol. 2024 Jan;129(1):18-25. doi: 10.1002/jso.27523. Epub 2023 Nov 22.

DOI:10.1002/jso.27523
PMID:37990834
Abstract

Substantial advances have been made in the systemic treatment of breast cancer with residual disease following neoadjuvant therapy. We reviewed recent and ongoing studies informing the standard clinical management of residual disease by subtype: HER2+, TNBC, and HR+/HER2-, as well as strategies for BRCA+ disease. We conclude with a discussion of ongoing clinical trials and current controversies regarding the treatment of residual disease in breast cancer.

摘要

在新辅助治疗后有残留疾病的乳腺癌的系统治疗方面已经取得了重大进展。我们回顾了最近和正在进行的研究,这些研究为残留疾病的亚组(HER2+、TNBC 和 HR+/HER2-)的标准临床管理提供了信息,以及 BRCA+疾病的治疗策略。最后,我们讨论了正在进行的临床试验和当前关于乳腺癌残留疾病治疗的争议。

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1
Treatment of residual disease following neoadjuvant therapy in breast cancer.新辅助治疗后乳腺癌残留疾病的治疗。
J Surg Oncol. 2024 Jan;129(1):18-25. doi: 10.1002/jso.27523. Epub 2023 Nov 22.
2
Validation of Residual Proliferative Cancer Burden as a Predictor of Long-Term Outcome Following Neoadjuvant Chemotherapy in Patients with Hormone Receptor-Positive/Human Epidermal Growth Receptor 2-Negative Breast Cancer.激素受体阳性/人表皮生长因子受体 2 阴性乳腺癌患者新辅助化疗后残余增殖性癌症负担预测长期结局的验证。
Oncologist. 2020 Sep;25(9):e1355-e1362. doi: 10.1634/theoncologist.2020-0201. Epub 2020 Jul 21.
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Postoperative CMF Does Not Ameliorate Poor Outcomes in Women With Residual Invasive Breast Cancer After Neoadjuvant Epirubicin/Docetaxel Chemotherapy.术后CMF方案不能改善新辅助表柔比星/多西他赛化疗后仍有残留浸润性乳腺癌的女性患者的不良预后。
Clin Breast Cancer. 2015 Dec;15(6):505-11. doi: 10.1016/j.clbc.2015.06.007. Epub 2015 Jun 18.
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Residual Cancer Burden Class Associated with Survival Outcomes in Women with Different Phenotypic Subtypes of Breast Cancer After Neoadjuvant Chemotherapy.新辅助化疗后不同表型乳腺癌女性的残余肿瘤负担分级与生存结局相关。
Ann Surg Oncol. 2022 Dec;29(13):8060-8069. doi: 10.1245/s10434-022-12300-x. Epub 2022 Aug 18.
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Long-Term Prognostic Risk After Neoadjuvant Chemotherapy Associated With Residual Cancer Burden and Breast Cancer Subtype.新辅助化疗后与残留癌负荷及乳腺癌亚型相关的长期预后风险
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Alliance A011801 (compassHER2 RD): postneoadjuvant T-DM1 + tucatinib/placebo in patients with residual HER2-positive invasive breast cancer.Alliance A011801(compassHER2 RD):新辅助治疗后 T-DM1 联合或不联合 tucatinib/安慰剂治疗残留 HER2 阳性浸润性乳腺癌患者。
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Deciphering trastuzumab resistance in residual tumor according to HER2 status after neoadjuvant trastuzumab containing regimen in HER2 positive breast cancer patients might help to choose further adjuvant anti-HER2 treatment.在HER2阳性乳腺癌患者中,根据含曲妥珠单抗新辅助治疗方案后的HER2状态来解读残留肿瘤中的曲妥珠单抗耐药情况,可能有助于选择进一步的辅助抗HER2治疗。
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Clin Cancer Res. 2019 Aug 15;25(16):4985-4992. doi: 10.1158/1078-0432.CCR-19-0560. Epub 2019 May 10.

引用本文的文献

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Clinical value of SUVpeak-to-tumor centroid distance on FDG PET/CT for predicting neoadjuvant chemotherapy response in patients with breast cancer.基于 FDG PET/CT 的 SUVpeak-肿瘤中心距离对乳腺癌新辅助化疗疗效预测的临床价值。
Cancer Imaging. 2024 Oct 11;24(1):136. doi: 10.1186/s40644-024-00787-4.
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Navigating axillary staging post-neoadjuvant systemic therapy: innovations, efficacy, and oncologic safety.新辅助全身治疗后腋窝分期的探索:创新、疗效及肿瘤学安全性
Gland Surg. 2024 Jun 30;13(6):1146-1149. doi: 10.21037/gs-24-125. Epub 2024 Jun 26.