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Rev. méd. Chile ; 146(10): 1095-1101, dic. 2018. tab, graf
Article in Spanish | LILACS | ID: biblio-978744

ABSTRACT

Background: HER2+ breast cancer (BC) subtype overexpresses the Human Epidermal growth factor Receptor type-2 (HER2) and is characterized by its aggressiveness and its high sensitivity to monoclonal antibody-based HER2-targeted therapies. Aim: To assess the prognosis and evaluate the impact of novel anti-HER2 therapies on advanced HER2+ BC patients treated at our institution over the last decades. Material and Methods: Analysis of the patient database at a cancer center of a university hospital. Information about the subtype of cancer was obtained in 2,149 of 2,724 patients in the database. Eighteen percent of the latter were HER2+. We analyzed data of 83 of these patients with advanced disease. Results: Median overall survival (OS) was 24 months. For patients treated between 1997-2006 median OS was 17 months and for those treated in the period 2007-2017 median OS was 32 months (p = 0.09). Conclusions: A non-significant trend towards better survival in the last decade was observed. HER2+ BC overall survival has improved in our center. This can be probably attributed to the use of novel more effective anti-HER2 therapies.


Subject(s)
Humans , Female , Adult , Middle Aged , Aged , Aged, 80 and over , Young Adult , Breast Neoplasms/mortality , Breast Neoplasms/chemistry , Receptor, ErbB-2/analysis , Time Factors , Breast Neoplasms/pathology , Breast Neoplasms/drug therapy , Immunohistochemistry , Chile/epidemiology , Retrospective Studies , Receptor, ErbB-2/antagonists & inhibitors , Kaplan-Meier Estimate , Trastuzumab/therapeutic use , Lapatinib/therapeutic use , Neoplasm Recurrence, Local , Antineoplastic Agents/therapeutic use
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