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 |
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container_title | Journal of neuro-oncology |
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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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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.</description><subject>Brain cancer</subject><subject>Brain Neoplasms - metabolism</subject><subject>Breast cancer</subject><subject>Breast Neoplasms - metabolism</subject><subject>Cancer therapies</subject><subject>Clinical trials</subject><subject>Epidemiology</subject><subject>Epidermal growth factor</subject><subject>ErbB-2 protein</subject><subject>Female</subject><subject>Humans</subject><subject>Medical prognosis</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Meningeal Neoplasms - therapy</subject><subject>Meninges</subject><subject>Metastases</subject><subject>Metastasis</subject><subject>Neurology</subject><subject>Oncology</subject><subject>Patients</subject><subject>Prognosis</subject><subject>Prospective Studies</subject><subject>Receptor, ErbB-2 - metabolism</subject><subject>Topic Review</subject><issn>0167-594X</issn><issn>1573-7373</issn><issn>1573-7373</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNp9kF1LwzAUhoMobn78AS8k4I0g1SSnSdpLGdMJA0FUvAtpezo6-jGTbsx_b-amghdehZPzvG_CQ8gZZ9ecMX3jOWeKRUyIiEGqdbTeI0MuNUQaNOyTIeNKRzKN3wbkyPs5YyzWwA_JAKSI4wTkkLyOV129qtoZbWxrZ9hg29OupJPxk7iimUPre5rbNkcXJlu1tME-3FmPntq2oDUu-i6kQgXamhaVDxE8IQelrT2e7s5j8nI3fh5Nounj_cPodhrloGUfaYko0yItoUySwgqMMxCZghS1UsJimuQIHHJtMcuYzVKuSstKLmTCMlUmcEwut70L170v0femqXyOdW1b7JbeCAWKx0nQE9CLP-i8W7o2_C5QUmgQsdoUii2Vu857h6VZuKqx7sNwZjbWzda6CdbNl3WzDqHzXfUya7D4iXxrDgBsAR9WQZT7ffuf2k-_fo2X</recordid><startdate>20220401</startdate><enddate>20220401</enddate><creator>Mills, Matthew N.</creator><creator>King, Whitney</creator><creator>Soyano, Aixa</creator><creator>Pina, Yolanda</creator><creator>Czerniecki, Brian J.</creator><creator>Forsyth, Peter A.</creator><creator>Soliman, Hatem</creator><creator>Han, Hyo S.</creator><creator>Ahmed, Kamran A.</creator><general>Springer US</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7TK</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0003-3331-1529</orcidid></search><sort><creationdate>20220401</creationdate><title>Evolving management of HER2+ breast cancer brain metastases and leptomeningeal disease</title><author>Mills, Matthew N. ; 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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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