Incidence of HER2-expressing brain metastases in patients with HER2-null breast cancer: a matched case analysis.
Nelson S MossJolene M SinghAnne S ReinerJoshua Z DragoShanu ModiAndrew D SeidmanSarat ChandarlapatyDara S RossPublished in: NPJ breast cancer (2023)
The HER2-directed antibody-drug conjugate trastuzumab deruxtecan is active against lower levels of HER2 expression than prior-generation therapies. The rate of HER2 expression in brain metastases among patients with initially HER2-null breast cancer is undefined, and receptor discordance in advanced breast cancer with brain metastases may underestimate CNS response potential in the absence of brain metastasis sampling. In this cohort study including 136 patients with 401 samples scored according to ASCO/CAP guidelines, 15/28 patients (54%) with HER2-null primary breast cancer have detectable HER2 expression in subsequently resected brain metastases, a significant discordant population.
Keyphrases
- brain metastases
- small cell lung cancer
- poor prognosis
- binding protein
- lymph node
- risk factors
- long non coding rna
- blood brain barrier
- epidermal growth factor receptor
- climate change
- young adults
- clinical practice
- tyrosine kinase
- functional connectivity
- prognostic factors
- breast cancer risk
- metastatic breast cancer