Treatment of locally advanced (T2-3N0-1M0) and early (T1-2N0M0) HER2-positive breast cancer (clinical experience)

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20–25% of cases of breast cancer (BC) are characterized by an overexpression of HER2, which is associated with a poor prognosis. Treatment with trastuzumab, a humanized monoclonal nti-HER2 antibody, in combination with chemotherapy (CT), significantly improves response rate, time to progression, and overall survival in HER2-positive women with metastatic BC. In women with resectable BC, trastuzumab improves disease-free and overall survival when used for 1 year in combination with or sequentially after chemotherapy. The positive results of trastuzumab therapy have prompted the search for other HER2-targeting drugs that can improve the therapeutic effects of trastuzumab in combination or when used sequentially. Pertuzumab is an experimental humanized monoclonal antibody directed to the dimerization domain of HER2. Because of their different binding pathways, trastuzumab and pertuzumab have complementary mechanisms of action. Pertuzumab is used in neoadjuvant and adjuvant systemic therapy for women with resectable or locally advanced BC, as well as in unresectable cases as palliative care.

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作者简介

V. Semiglazov

N.N. Petrov National Medical Research Center of Oncology

Email: alinatergoeva@gmail.com
ORCID iD: 0000-0003-0077-9619
俄罗斯联邦, St. Petersburg

A. Komyakhov

N.N. Petrov National Medical Research Center of Oncology

Email: alinatergoeva@gmail.com
ORCID iD: 0000-0002-6598-1669
俄罗斯联邦, St. Petersburg

S. Yerechshenko

N.N. Petrov National Medical Research Center of Oncology

Email: alinatergoeva@gmail.com
ORCID iD: 0000-0002-5090-7001
俄罗斯联邦, St. Petersburg

T. Tabagua

N.N. Petrov National Medical Research Center of Oncology

Email: alinatergoeva@gmail.com
ORCID iD: 0000-0003-1471-9473
俄罗斯联邦, St. Petersburg

L. Gigolaeva

N.N. Petrov National Medical Research Center of Oncology

Email: alinatergoeva@gmail.com
ORCID iD: 0000-0001-7654-4336
俄罗斯联邦, St. Petersburg

A. Tseluyko

N.N. Petrov National Medical Research Center of Oncology

Email: alinatergoeva@gmail.com
ORCID iD: 0000-0001-8384-5786
俄罗斯联邦, St. Petersburg

Alina Tergoeva

N.N. Petrov National Medical Research Center of Oncology

编辑信件的主要联系方式.
Email: alinatergoeva@gmail.com
ORCID iD: 0000-0002-2204-4675

Resident at the Department of Breast Tumors

俄罗斯联邦, St. Petersburg

M. Kazantseva

N.N. Petrov National Medical Research Center of Oncology

Email: alinatergoeva@gmail.com
ORCID iD: 0000-0002-4909-6600
俄罗斯联邦, St. Petersburg

N. Amirov

N.N. Petrov National Medical Research Center of Oncology

Email: alinatergoeva@gmail.com
ORCID iD: 0000-0002-2421-3284
俄罗斯联邦, St. Petersburg

V. Mortada

N.N. Petrov National Medical Research Center of Oncology

Email: alinatergoeva@gmail.com
ORCID iD: 0000-0002-1982-5710
俄罗斯联邦, St. Petersburg

R. Pesotsky

N.N. Petrov National Medical Research Center of Oncology

Email: alinatergoeva@gmail.com
ORCID iD: 0000-0002-2573-2211
俄罗斯联邦, St. Petersburg

D. Enaldieva

N.N. Petrov National Medical Research Center of Oncology

Email: alinatergoeva@gmail.com
ORCID iD: 0000-0002-2773-3111
俄罗斯联邦, St. Petersburg

L. Shaihelislamova

N.N. Petrov National Medical Research Center of Oncology

Email: alinatergoeva@gmail.com
ORCID iD: 0000-0001-9623-3877
俄罗斯联邦, St. Petersburg

K. Nikolaev

N.N. Petrov National Medical Research Center of Oncology

Email: alinatergoeva@gmail.com
ORCID iD: 0000-0003-3377-6369
俄罗斯联邦, St. Petersburg

E. Zhiltsova

N.N. Petrov National Medical Research Center of Oncology

Email: alinatergoeva@gmail.com
ORCID iD: 0000-0002-2029-4582
俄罗斯联邦, St. Petersburg

P. Krivorotko

N.N. Petrov National Medical Research Center of Oncology

Email: alinatergoeva@gmail.com
ORCID iD: 0000-0002-4898-9159
俄罗斯联邦, St. Petersburg

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