Unveiling Neoadjuvant Therapy: Insights and Outlooks for HER2-Positive Early Breast Cancer

Curr Treat Options Oncol. 2024 Sep;25(9):1225-1237. doi: 10.1007/s11864-024-01252-x. Epub 2024 Aug 17.

Abstract

This perspective underscores the evolution and significance of neoadjuvant therapy in breast cancer, tracing its history and efficacy in improving outcomes. It delves into the correlation between achieving complete response and long-term survival, emphasizing the predictive value of treatment response estimation. Neoadjuvant chemotherapy in HER2-positive early breast cancer, particularly with taxanes and anti-HER2 therapies, emerges as a cornerstone, offering enhanced breast conservation rates and prognostic insights. The focus on individualized care, tailored to treatment response, underscores the need for adaptive strategies. Additionally, the article discusses the ongoing debate surrounding anthracyclines' role and the benefits of dual HER2 blockade. Ultimately, advocating for a personalized approach, guided by treatment response assessment, ensures optimal outcomes in HER2-positive breast cancer management.

Keywords: Breast cancer; HER2; Neoadjuvant chemotherapy; Positive.

Publication types

  • Review

MeSH terms

  • Antineoplastic Combined Chemotherapy Protocols* / therapeutic use
  • Biomarkers, Tumor
  • Breast Neoplasms* / drug therapy
  • Breast Neoplasms* / metabolism
  • Breast Neoplasms* / mortality
  • Breast Neoplasms* / pathology
  • Breast Neoplasms* / therapy
  • Combined Modality Therapy / methods
  • Disease Management
  • Female
  • Humans
  • Molecular Targeted Therapy
  • Neoadjuvant Therapy* / methods
  • Neoplasm Staging
  • Prognosis
  • Receptor, ErbB-2* / antagonists & inhibitors
  • Receptor, ErbB-2* / metabolism
  • Treatment Outcome

Substances

  • Receptor, ErbB-2
  • ERBB2 protein, human
  • Biomarkers, Tumor