临床外科杂志 ›› 2024, Vol. 32 ›› Issue (7): 780-782.doi: 10.3969/j.issn.1005-6483.2024.07.030

• 综述与讲座 • 上一篇    下一篇

激素受体阳性/人表皮生长因子受体2阴性晚期乳腺癌的治疗现状

王羽 邵彬 刘洋 王松 张建国   

  1. 150086 黑龙江省牡丹江市肿瘤医院头颈乳腺三科(王羽,邵彬),核医学科(刘洋),肿瘤内二科(王松);哈尔滨医科大学附属第二医院乳腺外科(王羽,张建国)
  • 收稿日期:2023-06-01 出版日期:2024-07-20 发布日期:2024-07-20
  • 通讯作者: 张建国,Email:zhangjianguo27@126.com

Current treatment status of HR + / HER 2-advanced breast cancer

WANG Yu,SHAO Bin,LIU Yang,WANG Song,ZHANG Jianguo   

  1. Department of Breast Surgery,the Second Affiliated Hospital of Harbin Medical University,Heilongjiang 150086,China
  • Received:2023-06-01 Online:2024-07-20 Published:2024-07-20

摘要: 目前,乳腺癌的发病率已位居世界首位,激素受体阳性(HR+)/人表皮生长因子受体2 阴性(HER2-)晚期乳腺癌病人预后较差。以往,治疗的药物主要为第三代芳香化酶抑制剂(AI)和氟维司群。近几年,开启了内分泌联合细胞周期蛋白依赖性激酶4/6(CDK4/6)抑制剂治疗时代。不同CDK4/6抑制剂其相关不良事件有所不同,需评估病人身体状况而制定治疗方案,但普遍存在中性粒细胞减少。依维莫司、阿培利司、西达本胺等都是二线治疗药物。

关键词: 激素受体阳性, 晚期乳腺癌, CDK4/6抑制剂

Abstract: At present,the incidence of breast cancer has been the first in the world,and hormone receptor-positive (HR+) / human epidermal growth factor receptor 2-negative (HER2-) advanced breast cancer has seriously affected the prognosis of patients.In the past,the therapeutic drugs were mainly third-generation aromatase inhibitors (AI) and fulvestrant.In recent years,the era of endocrine therapy combined with cyclin-dependent kinase4/6(CDK4/6) inhibitors has begun.Different CDK4/6 inhibitors have different related adverse events,and they need to evaluate the physical condition of patients and develop a treatment plan,but neutropenia is prevalent.Everolimus,Alpelisib,and Chidamide are second-line therapeutic drugs.

Key words: hormone receptor positive, advanced breast cancer, CDK4/6 inhibitor

[1] 申永强 王辉 潘驰. 血清可溶性肿瘤坏死因子受体P55、金属硫蛋白1E对雌激素受体阳性乳腺癌根治术病人临床转归的影响[J]. 临床外科杂志, 2024, 32(5): 490-493.
[2] 邓宏武 周征宇 万能斌等. TAC与TC新辅助化疗方案治疗局部晚期乳腺癌疗效比较 [J]. 临床外科杂志, 2012, 20(11): 770-772.
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