Emerging Landscape of Targeted Therapy of Breast Cancers With Low Human Epidermal Growth Factor Receptor 2 Protein Expression.

Context.-- Human epidermal growth factor receptor 2 (HER2) status in breast cancer is currently classified as negative or positive for selecting patients for anti-HER2 targeted therapy. The evolution of the HER2 status has included a new HER2-low category defined as an HER2 immunohistochemistry scor...

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Publicado en:Archives of Pathology & Laboratory Medicine Vol. 148; no. 2; pp. 242 - 256
Autores principales: Tozbikian, Gary, Krishnamurthy, Savitri, Bui, Marilyn M., Feldman, Michael, Hicks, David G., Jaffer, Shabnam, Khoury, Thaer, Shi Wei, Wen, Hannah, Pohlmann, Paula
Formato: pictorial review tables/charts Journal Article
Publicado: College of American Pathologists Feb2024
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Feb2024
      vid: 148
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      pub: College of American Pathologists
      place: Northfield, Illinois
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        10.5858/arpa.2022-0335-RA
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        atl: Emerging Landscape of Targeted Therapy of Breast Cancers With Low Human Epidermal Growth Factor Receptor 2 Protein Expression.
      aug:
        au:
          Tozbikian, Gary
          Krishnamurthy, Savitri
          Bui, Marilyn M.
          Feldman, Michael
          Hicks, David G.
          Jaffer, Shabnam
          Khoury, Thaer
          Shi Wei
          Wen, Hannah
          Pohlmann, Paula
        affil: Department of Pathology, The Ohio State University, Wexner Medical Center, Columbus
      sug:
        subj:
          Breast Neoplasms Drug Therapy
          Immunohistochemistry
          Epidermal Growth Factor Receptors Physiology
          Gene Expression
          Proteomics
          Gene Amplification
      ab: Context.-- Human epidermal growth factor receptor 2 (HER2) status in breast cancer is currently classified as negative or positive for selecting patients for anti-HER2 targeted therapy. The evolution of the HER2 status has included a new HER2-low category defined as an HER2 immunohistochemistry score of 1+ or 2+ without gene amplification. This new category opens the door to a targetable HER2-low breast cancer population for which new treatments may be effective. Objective.-- To review the current literature on the emerging category of breast cancers with low HER2 protein expression, including the clinical, histopathologic, and molecular features, and outline the clinical trials and best practice recommendations for identifying HER2-low-expressing breast cancers by immunohistochemistry. Data sources.-- We conducted a literature review based on peer-reviewed original articles, review articles, regulatory communications, ongoing and past clinical trials identified through ClinicalTrials.gov, and the authors' practice experience. Conclusions.-- The availability of new targeted therapy potentially effective for patients with breast cancers with low HER2 protein expression requires multidisciplinary recognition. In particular, pathologists need to recognize and identify this category to allow the optimal selection of patients for targeted therapy.
      pubtype: Academic Journal
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      ougenre: Article
    language: English
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