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Efficacy of Adjuvant Combination Therapy With Trastuzumab and Chemotherapy in HER2-positive Early Breast Cancer: A Single Institutional Cohort Study from Clinical Practice.
Okamoto, Masahiro; Tajiri, Wakako; Ueo, Hiroki; Masuda, Takanobu; Ijichi, Hideki; Koga, Chinami; Nakamura, Yoshiaki; Taguchi, Kenichi; Ohno, Shinji; Tokunaga, Eriko.
Affiliation
  • Okamoto M; Department of Breast Oncology, National Hospital Organization Kyushu Cancer Center, Fukuoka, Japan.
  • Tajiri W; Department of Breast Oncology, National Hospital Organization Kyushu Cancer Center, Fukuoka, Japan.
  • Ueo H; Department of Breast Oncology, National Hospital Organization Kyushu Cancer Center, Fukuoka, Japan.
  • Masuda T; Department of Breast Oncology, National Hospital Organization Kyushu Cancer Center, Fukuoka, Japan.
  • Ijichi H; Department of Breast Oncology, National Hospital Organization Kyushu Cancer Center, Fukuoka, Japan.
  • Koga C; Department of Breast Oncology, National Hospital Organization Kyushu Cancer Center, Fukuoka, Japan.
  • Nakamura Y; Department of Breast Oncology, National Hospital Organization Kyushu Cancer Center, Fukuoka, Japan.
  • Taguchi K; Department of Pathology, National Hospital Organization Kyushu Cancer Center, Fukuoka, Japan.
  • Ohno S; Breast Cancer Center, Cancer Institute Hospital, Tokyo, Japan.
  • Tokunaga E; Department of Breast Oncology, National Hospital Organization Kyushu Cancer Center, Fukuoka, Japan eriko.tokunaga.pw@mail.hosp.go.jp.
Anticancer Res ; 40(6): 3315-3323, 2020 Jun.
Article in En | MEDLINE | ID: mdl-32487627
ABSTRACT
BACKGROUND/

AIM:

To evaluate the improvement in the prognosis by adjuvant trastuzumab in clinical practice and the risk factors for distant recurrence, we retrospectively investigated the prognosis of HER2-positive early breast cancer in our department before and after the introduction of adjuvant trastuzumab. PATIENTS AND

METHODS:

Cohorts A and B included 161 and 182 cases, respectively, who underwent surgery before (2000-2007) and after (2008-2015) the introduction of adjuvant trastuzumab.

RESULTS:

The rates of relapse-free and distant metastasis-free survival were significantly better in cohort B than in cohort A. The risk factors of distant recurrence found in cohort A, such as the presence of lymph node metastasis, lymphatic invasion, and a low histological grade, did not increase the risk in cohort B.

CONCLUSION:

Many risk factors seemed to have been negated by adjuvant trastuzumab administration. Therefore, further escalation of adjuvant treatment should be carefully considered.
Subject(s)
Key words

Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Breast Neoplasms / Chemotherapy, Adjuvant / Trastuzumab / Antineoplastic Agents, Immunological Type of study: Etiology_studies / Incidence_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Limits: Female / Humans Language: En Journal: Anticancer Res Year: 2020 Type: Article Affiliation country: Japan

Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Breast Neoplasms / Chemotherapy, Adjuvant / Trastuzumab / Antineoplastic Agents, Immunological Type of study: Etiology_studies / Incidence_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Limits: Female / Humans Language: En Journal: Anticancer Res Year: 2020 Type: Article Affiliation country: Japan