Evolving management of HER2+ breast cancer brain metastases and leptomeningeal disease

Patients with human epidermal growth factor receptor 2 (HER2)-positive breast cancer are at a particularly high risk of breast cancer brain metastasis (BCBM) and leptomeningeal disease (LMD). Improvements in systemic therapy have translated to improved survival for patients with HER2-positive BCBM a...

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Veröffentlicht in:Journal of neuro-oncology 2022-04, Vol.157 (2), p.249-269
Hauptverfasser: Mills, Matthew N., King, Whitney, Soyano, Aixa, Pina, Yolanda, Czerniecki, Brian J., Forsyth, Peter A., Soliman, Hatem, Han, Hyo S., Ahmed, Kamran A.
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container_end_page 269
container_issue 2
container_start_page 249
container_title Journal of neuro-oncology
container_volume 157
creator Mills, Matthew N.
King, Whitney
Soyano, Aixa
Pina, Yolanda
Czerniecki, Brian J.
Forsyth, Peter A.
Soliman, Hatem
Han, Hyo S.
Ahmed, Kamran A.
description Patients with human epidermal growth factor receptor 2 (HER2)-positive breast cancer are at a particularly high risk of breast cancer brain metastasis (BCBM) and leptomeningeal disease (LMD). Improvements in systemic therapy have translated to improved survival for patients with HER2-positive BCBM and LMD. However, the optimal management of these cases is rapidly evolving and requires a multidisciplinary approach. Herein, a team of radiation oncologists, medical oncologists, neuro-oncologists, and breast surgeon created a review of the evolving management of HER2-positive BCBM and LMD. We assess the epidemiology, diagnosis, and evolving treatment options for patients with HER2-positive BCBM and LMD, as well as the ongoing prospective clinical trials enrolling these patients. The management of HER2-positive BCBM and LMD represents an increasingly common challenge that involves the coordination of local and systemic therapy. Advances in systemic therapy have resulted in an improved prognosis, and promising targeted therapies currently under prospective investigation have the potential to further benefit these patients.
doi_str_mv 10.1007/s11060-022-03977-x
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source MEDLINE; SpringerLink Journals - AutoHoldings
subjects Brain cancer
Brain Neoplasms - metabolism
Breast cancer
Breast Neoplasms - metabolism
Cancer therapies
Clinical trials
Epidemiology
Epidermal growth factor
ErbB-2 protein
Female
Humans
Medical prognosis
Medicine
Medicine & Public Health
Meningeal Neoplasms - therapy
Meninges
Metastases
Metastasis
Neurology
Oncology
Patients
Prognosis
Prospective Studies
Receptor, ErbB-2 - metabolism
Topic Review
title Evolving management of HER2+ breast cancer brain metastases and leptomeningeal disease
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