乳腺癌患者接受新辅助化疗的受体转换的临床影响
Sudheer Vemuru1, Jin Huang2, Kathryn Colborn3,4
1Department of Surgery, University of Colorado Anschutz Medical Campus, 12631 E. 17th Avenue, Aurora, CO, 80045, USA. sudheer.vemuru@cuanschutz.edu.
乳腺癌的新辅助化疗后,受体转化很常见,经常改变治疗计划. 建议重复激素受体 (HR) 和HER2测试,特别是在早期,HR阳性瘤.
科学领域:
- 在瘤学瘤学.
- 乳腺癌研究研究 乳腺癌研究
- 临床病理学 临床病理学
背景情况:
- 新辅助化疗 (NAC) 是乳腺癌的标准治疗方法.
- 激素受体 (HR) 和HER2状态对于指导辅助治疗至关重要.
- 在NAC后受体状态的变化会影响治疗决策.
研究的目的:
- 为了确定乳腺癌的NAC后受体转化 (HR或HER2状态的变化) 的发生率.
- 评估这些受体转化对辅助治疗方案的影响.
- 为了确定与受体转化相关的因素.
主要方法:
- 对接受NAC治疗的女性乳腺癌患者的回顾性评估.
- 纳入标准:NAC后的残留疾病和NAC受体前和后的完整状态.
- 分析受体转化发生率,辅助疗法的变化以及相关因素.
主要成果:
- 在重复测试的126名患者中,37名 (29%) 患者在NAC后显示受体转化.
- 受体转化导致8名患者 (6%) 的辅助疗法发生变化.
- 与转化相关的因素包括先前的癌症史,外部初始活检,HR阳性瘤和早期病理阶段.
结论:
- 激素受体和HER2表达特征在NAC后经常发生变化.
- 这些变化需要对一组患者的辅助疗法进行调整.
- 建议在NAC后重复HR和HER2测试,特别是对于特定的患者群体.
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