論文

査読有り 国際誌
2018年10月

Effectiveness of neo-adjuvant systemic therapy with trastuzumab for basal HER2 type breast cancer: results from retrospective cohort study of Japan Breast Cancer Research Group (JBCRG)-C03.

Breast cancer research and treatment
  • Yasuaki Sagara
  • Masahiro Takada
  • Yasuyo Ohi
  • Shoichiro Ohtani
  • Sasagu Kurozumi
  • Kenichi Inoue
  • Yoshimasa Kosaka
  • Masaya Hattori
  • Toshinari Yamashita
  • Shintaro Takao
  • Nobuaki Sato
  • Hiroji Iwata
  • Masafumi Kurosumi
  • Masakazu Toi
  • 全て表示

171
3
開始ページ
675
終了ページ
683
記述言語
英語
掲載種別
研究論文(学術雑誌)
DOI
10.1007/s10549-018-4873-0

PURPOSE: While human epidermal growth factor receptor 2 (HER2) target therapies have significantly improved the prognosis of patients with HER2-enriched breast cancer, differing clinical benefits and gene expression analyses suggest a divergent HER2 subgroup. We aimed to investigate whether the basal HER2 subtype of breast cancer has distinguished characteristics. METHODS: We performed a substudy by using data from a retrospective multi-institutional cohort of JBCRG-C03. Between 2001 and 2011, we identified 184 eligible patients who received concurrent neo-adjuvant chemotherapy (NAC) with trastuzumab for hormone receptor-negative and HER2-positive breast cancer. We defined basal HER2 subtype breast cancer as HER2-positive, ER/PgR-negative, and basal markers (EGFR, CK14 or CK5/6) positive by immunohistochemistrical evaluation. The pathologic complete response (pCR) and disease-free survival (DFS) rates were compared between the two subtypes. RESULTS: A total of 127 (69.0%) patients achieved pCR after NAC and 29 (15.8%) patients experienced events of DFS within a 42 month median follow-up period (interquartile range 26-58 months). Although the basal HER2 subtype was related with poor DFS (3 year DFS: non-basal HER2, 95.0%; basal HER2, 86.9%; adjusted HR 3.4; 95% CI 1.2-14.5), neither the subtype (pCR: non-basal HER2, 75%; basal HER2, 66.7%; adjusted OR 0.60; 95% CI 0.27-1.28) nor the degree of expression of basal markers was significantly related with the pCR rate. CONCLUSION: Basal HER2 phenotype showed poor DFS, but equivalent pCR rate after concurrent neo-adjuvant chemotherapy with trastuzumab. A different treatment approach to basal-HER2 type is needed even for cases that achieved adequate clinical response after NAC.

リンク情報
DOI
https://doi.org/10.1007/s10549-018-4873-0
PubMed
https://www.ncbi.nlm.nih.gov/pubmed/29971625
ID情報
  • DOI : 10.1007/s10549-018-4873-0
  • ISSN : 0167-6806
  • PubMed ID : 29971625

エクスポート
BibTeX RIS