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中华乳腺病杂志(电子版) ›› 2025, Vol. 19 ›› Issue (06) : 352 -357. doi: 10.3877/cma.j.issn.1674-0807.2025.06.005

所属专题: 文献

综述

激素受体阳性/HER-2阴性早期乳腺癌的新辅助治疗
王天艺1, 李筝1, 许锐1,,2,()   
  1. 1 510405 广州,广州中医药大学第二临床医学院
    2 510405 广州,广东省中医院乳腺病专科医院
  • 收稿日期:2025-04-22 出版日期:2025-12-01
  • 通信作者: 许锐
  • 基金资助:
    广东省医学科学技术研究基金项目(C2021063)

Neoadjuvant therapy for hormone receptor-positive/HER-2-negative early breast cancer

Tianyi Wang, Zheng Li, Rui Xu()   

  • Received:2025-04-22 Published:2025-12-01
  • Corresponding author: Rui Xu
引用本文:

王天艺, 李筝, 许锐. 激素受体阳性/HER-2阴性早期乳腺癌的新辅助治疗[J/OL]. 中华乳腺病杂志(电子版), 2025, 19(06): 352-357.

Tianyi Wang, Zheng Li, Rui Xu. Neoadjuvant therapy for hormone receptor-positive/HER-2-negative early breast cancer[J/OL]. Chinese Journal of Breast Disease(Electronic Edition), 2025, 19(06): 352-357.

激素受体(HR)阳性/HER-2阴性乳腺癌是乳腺癌中最常见的亚型,占所有乳腺癌的72%。近年来,新辅助治疗在HR阳性/HER-2阴性乳腺癌中的应用逐渐受到关注,其疗效和临床价值存在争议。本文阐述了HR阳性/HER-2阴性乳腺癌新辅助治疗的最新进展,讨论了化疗、传统内分泌治疗、内分泌联合靶向治疗(如周期蛋白依赖性激酶4/6抑制剂、PI3K抑制剂等)以及免疫治疗的临床疗效和安全性,介绍了新辅助治疗中常用的疗效评估工具(如pCR、Ki-67、RCB、PEPI评分等)和多基因检测技术对临床治疗的意义,为未来临床研究和个体化治疗提供理论依据和探索方向。

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