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HER2 and Response to Paclitaxel in Node-Positive Breast Cancer
HER2 and Response to Paclitaxel in Node-Positive Breast Cancer
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HER2 and Response to Paclitaxel in Node-Positive Breast Cancer
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HER2 and Response to Paclitaxel in Node-Positive Breast Cancer
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HER2 and Response to Paclitaxel in Node-Positive Breast Cancer
HER2 and Response to Paclitaxel in Node-Positive Breast Cancer
Journal Article

HER2 and Response to Paclitaxel in Node-Positive Breast Cancer

2007
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Overview
The tissue blocks from a large group of women who had participated in a randomized trial of the treatment of node-positive breast cancer were analyzed for the expression of HER2 and the estrogen receptor. A significant interaction was found between HER2 positivity and a benefit from the addition of paclitaxel after adjuvant treatment with doxorubicin plus cyclophosphamide. A significant interaction was found between HER2 positivity and a benefit from the addition of paclitaxel after adjuvant treatment with doxorubicin plus cyclophosphamide. Adjuvant chemotherapy improves disease-free and overall survival in early-stage breast cancer, 1 and anthracyclines and taxanes are two of the most active agents in such treatment. 2 The Cancer and Leukemia Group B (CALGB) 8541 trial showed that increasing the dose of a doxorubicin (Adriamycin)–based regimen from a relatively low dose (30 mg per square meter of body-surface area) to what is now considered to be a standard dose (60 mg per square meter) is highly beneficial. 3 , 4 Subsequently, a randomized trial (CALGB 9344/INT0148) examined the effects of increased doses of doxorubicin, above 60 mg per square meter, when combined with cyclophosphamide . . .