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曲妥珠单抗恩美曲妥珠单抗(T-DM1)治疗人表皮生长因子受体2(HER2)阳性转移性乳腺癌并脑转移患者的病例报告:长期治疗与生存情况

A Case Report on Trastuzumab Emtansine (T-DM1) in a Patient With Human Epidermal Growth Factor Receptor 2 (HER2)-Positive Metastatic Breast Cancer and Brain Metastases: Long-Term Treatment and Survival.

作者信息

Doshi Vipul, Thummar Vipulkumar, Mehta Priya

机构信息

Medical Oncology, Solapur Cancer Centre, Solapur, IND.

Medical Affairs, Zydus Lifesciences Ltd, Ahmedabad, IND.

出版信息

Cureus. 2024 Jul 1;16(7):e63589. doi: 10.7759/cureus.63589. eCollection 2024 Jul.

Abstract

Breast cancer remains the most common cancer in women worldwide. Among women with breast cancer, brain metastases are very prevalent among HER2-positive and affect those in the advanced stages of the disease. Various factors, including molecular subtypes, performance status, extracranial disease status, leptomeningeal metastasis, and the number of lesions, significantly influence the prognosis of patients with brain metastases from breast cancer (BCBrM). Understanding and addressing the specific risks associated with different breast cancer subtypes is crucial for developing tailored and effective medical treatments. This report presents a case of a breast cancer patient with recurrent disease and brain metastases who achieved long-term survival following a treatment regimen that included radiotherapy and a T-DM1 biosimilar.

摘要

乳腺癌仍然是全球女性中最常见的癌症。在乳腺癌女性患者中,脑转移在人表皮生长因子受体2(HER2)阳性患者中非常普遍,并且影响疾病晚期的患者。多种因素,包括分子亚型、身体状况、颅外疾病状况、软脑膜转移以及病灶数量,显著影响乳腺癌脑转移(BCBrM)患者的预后。了解并应对与不同乳腺癌亚型相关的特定风险对于制定量身定制且有效的医学治疗方案至关重要。本报告介绍了一例患有复发性疾病和脑转移的乳腺癌患者,该患者在接受包括放疗和曲妥珠单抗-美坦新偶联物生物类似药的治疗方案后实现了长期生存。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c50c/11290475/d33778ddff11/cureus-0016-00000063589-i01.jpg

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