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The potential role of neutrophil trogocytosis and G-CSF in the loss of HER2 expression

Publication at Faculty of Physical Education and Sport, First Faculty of Medicine, Second Faculty of Medicine |
2019

Abstract

In HER2-positive breast cancer (BC), the standard treatment consists of neoadjuvant sequential chemotherapy, HER2-targeted therapy, surgery, and, if indicated, radiotherapy and/or hormonal therapy. Trastuzumab, a recombinant antibody targeting HER2, has significantly extended the overall survival of BC patients and remains clinically reliable treatment.

The 5-year survival, when following the standard treatment protocol, including HER2-targeted therapy, leads to a favorable prognosis with a 5-year survival rate around 75%. Improved overall survival (OS) was reported in BC patients when trastuzumab was administered in both the neoadjuvant and adjuvant period rather than in the adjuvant period alone.

Thus, trastuzumab-containing neoadjuvant therapy is currently the standard of care.