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Assessment of HER2 status in breast cancer: why, when and how?
引用本文:Dowsett M,Cooke T,Ellis I,Gullick WJ,Gusterson B,Mallon E,Walker R. Assessment of HER2 status in breast cancer: why, when and how?[J]. European journal of cancer (Oxford, England : 1990), 2000, 36(2): 170-176. DOI: 10.1016/S0959-8049(99)00264-6
作者姓名:Dowsett M  Cooke T  Ellis I  Gullick WJ  Gusterson B  Mallon E  Walker R
摘    要:

收稿时间:1999-09-20

Assessment of HER2 status in breast cancer: why,when and how?
Dowsett M,Cooke T,Ellis I,Gullick W J,Gusterson B,Mallon E,Walker R. Assessment of HER2 status in breast cancer: why,when and how?[J]. European journal of cancer (Oxford, England : 1990), 2000, 36(2): 170-176. DOI: 10.1016/S0959-8049(99)00264-6
Authors:Dowsett M  Cooke T  Ellis I  Gullick W J  Gusterson B  Mallon E  Walker R
Affiliation:Academic Department of Biochemistry, Royal Marsden Hospital, London, UK. mitch@icr.ac.uk
Abstract:Human epidermal growth factor receptor 2 (HER2) is overexpressed, usually as a result of HER2 proto-oncogene amplification, in 20-30% of breast cancers. A HER2-positive status is generally associated with more aggressive disease and a worse prognosis. Furthermore, a positive HER2 status may predict the likelihood of resistance to some conventional therapies, as well as probably being predictive of sensitivity to anthracycline dose intensification. In addition to this prognostic/predictive value, HER2 is a target for specific therapy, with anti-HER2 monoclonal antibody therapy available in the USA. This article reviews the different assays used to determine HER2 status, discussing their relative advantages/disadvantages and the need for their standardisation before integration alongside other pathological indices into the clinical management of breast cancer.
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