Title |
Emerging treatment options for the management of brain metastases in patients with HER2-positive metastatic breast cancer
|
---|---|
Published in |
Breast Cancer Research and Treatment, November 2012
|
DOI | 10.1007/s10549-012-2328-6 |
Pubmed ID | |
Authors |
A. Jo Chien, Hope S. Rugo |
Abstract |
The widespread use of trastuzumab in the past decade has led to a significant and measureable improvement in the survival of patients with human epidermal growth factor receptor-2 (HER2) overexpressing breast cancer, and in many ways has redefined the natural history of this aggressive breast cancer subtype. Historically, survival in patients with HER2-positive disease was dictated by the systemic disease course, and what appears to be the central nervous system (CNS) tropism associated with HER2-amplified tumors was not clinically evident. With improved systemic control and prolonged survival, the incidence of brain metastases has increased, and CNS disease, often in the setting of well-controlled extracranial disease, is proving to be an increasingly important and clinically challenging cause of morbidity and mortality in patients with HER2-positive advanced breast cancer. This review summarizes the known clinical data for the systemic treatment of HER2-positive CNS metastases and includes information about ongoing clinical trials of novel therapies as well as emerging strategies for early detection and prevention. |
X Demographics
Geographical breakdown
Country | Count | As % |
---|---|---|
United States | 1 | 50% |
Unknown | 1 | 50% |
Demographic breakdown
Type | Count | As % |
---|---|---|
Members of the public | 1 | 50% |
Science communicators (journalists, bloggers, editors) | 1 | 50% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
United States | 2 | 4% |
South Africa | 1 | 2% |
Unknown | 53 | 95% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Researcher | 11 | 20% |
Student > Ph. D. Student | 9 | 16% |
Student > Bachelor | 7 | 13% |
Other | 6 | 11% |
Student > Postgraduate | 6 | 11% |
Other | 13 | 23% |
Unknown | 4 | 7% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 29 | 52% |
Agricultural and Biological Sciences | 6 | 11% |
Biochemistry, Genetics and Molecular Biology | 5 | 9% |
Unspecified | 2 | 4% |
Pharmacology, Toxicology and Pharmaceutical Science | 2 | 4% |
Other | 6 | 11% |
Unknown | 6 | 11% |