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Review

Systemic Treatment Approaches in her2-Negative Advanced Breast Cancer—Guidance on the Guidelines

1
Department of Oncology, Division of Medical Oncology, University of Alberta, Cross Cancer Institute, Edmonton, AB, Canada
2
Division of Medical Oncology, University of Ottawa and The Ottawa Hospital Research Institute, The Ottawa Hospital Cancer Centre, Ottawa, ON, Canada
*
Author to whom correspondence should be addressed.
Curr. Oncol. 2015, 22(s1), 29-42; https://doi.org/10.3747/co.22.2360
Submission received: 12 December 2014 / Revised: 14 January 2015 / Accepted: 11 February 2015 / Published: 1 March 2015

Abstract

Despite advancements in the treatment of early-stage breast cancer, many patients still develop disease recurrence; others present with de novo metastatic disease. For most patients with advanced breast cancer, the primary treatment intent is noncurative—that is, palliative—in nature. The goals of treatment should therefore focus on maximizing symptom control and extending survival. Treatments should be evaluated on an individualized basis in terms of evidence, but also with full respect for the wishes of the patient in terms of acceptable toxicity. Given the availability of extensive reviews on the roles of endocrine therapy and HER2 (human epidermal growth factor receptor 2)–targeted therapies for advanced disease, we focus here mainly on treatment guidelines for the non-endocrine management of HER2-negative advanced breast cancer in a Canadian health care context.
Keywords: Advanced breast cancer; metastatic breast cancer; treatment guidelines; her2-negativity; endocrine-resistant breast cancer; chemotherapy; targeted therapy; biologic therapy Advanced breast cancer; metastatic breast cancer; treatment guidelines; her2-negativity; endocrine-resistant breast cancer; chemotherapy; targeted therapy; biologic therapy

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MDPI and ACS Style

Joy, A.A.; Ghosh, M.; Fernandes, R.; Clemons, M.J. Systemic Treatment Approaches in her2-Negative Advanced Breast Cancer—Guidance on the Guidelines. Curr. Oncol. 2015, 22, 29-42. https://doi.org/10.3747/co.22.2360

AMA Style

Joy AA, Ghosh M, Fernandes R, Clemons MJ. Systemic Treatment Approaches in her2-Negative Advanced Breast Cancer—Guidance on the Guidelines. Current Oncology. 2015; 22(s1):29-42. https://doi.org/10.3747/co.22.2360

Chicago/Turabian Style

Joy, A.A., M. Ghosh, R. Fernandes, and M.J. Clemons. 2015. "Systemic Treatment Approaches in her2-Negative Advanced Breast Cancer—Guidance on the Guidelines" Current Oncology 22, no. s1: 29-42. https://doi.org/10.3747/co.22.2360

APA Style

Joy, A. A., Ghosh, M., Fernandes, R., & Clemons, M. J. (2015). Systemic Treatment Approaches in her2-Negative Advanced Breast Cancer—Guidance on the Guidelines. Current Oncology, 22(s1), 29-42. https://doi.org/10.3747/co.22.2360

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