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Improving therapy for HER2-positive cancers through neoadjuvant studies.

机译:通过新辅助研究改善HER2阳性癌症的治疗。

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Treatment of HER2-positive cancers has improved rapidly over the past decade, and the pace of progress continues to accelerate. The advances have been fueled in part by the conduct of neoadjuvant studies, which have aided in the development of novel therapies and more effective combination regimens. Neoadjuvant systemic therapy serves several functions in research as well as in clinical care. Neoadjuvant therapy offers the potential to render inoperable cancers operable, and can facilitate breast conservation in situations that would otherwise require mastectomy. Neoadjuvant therapy also can provide unique prognostic information, as it is clear from multiple studies that in all subtypes of breast cancer, patients who achieve a pathologic complete response (pCR) have a very favorable long-term outcome. From a research perspective, the neoadjuvant setting provides investigators with the opportunity to quickly compare the efficacy of different regimens, explore predictive and pharmacodynamic biomarkers, and identify mechanisms of resistance.
机译:在过去的十年中,HER2阳性癌症的治疗得到了迅速的改善,并且进展的步伐不断加快。新辅助研究的开展在一定程度上推动了这一进步,这些辅助研究有助于开发新疗法和更有效的联合治疗方案。新辅助全身疗法在研究以及临床护理中均具有多种功能。新辅助疗法提供了使无法手术的癌症得以手术的潜力,并且在需要进行乳房切除术的情况下可以促进乳房的保护。新辅助疗法还可以提供独特的预后信息,因为从多项研究中可以明显看出,在所有乳腺癌亚型中,达到病理完全缓解(pCR)的患者都有非常有利的长期预后。从研究的角度来看,新辅助设置为研究人员提供了机会,可以快速比较不同方案的疗效,探索预测和药效生物标志物以及确定耐药机制。

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    《Oncology》 |2012年第1期|共2页
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  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类 肿瘤学;
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