Trastuzumab (herceptine) dans le traitement medical des cancers du sein

Auteur/ices

  • Lamia Bayoudh
  • Mehdi Afrit
  • Olfa Daldoul
  • M Zarrad
  • Hamouda Boussen

Mots-clés :

Cancer du sein; Her 2 neu; thérapie ciblée

Résumé

Prérequis : Le trastuzumab est un anticorps monoclonal humanisé qui agit sur le récepteur HER2 neu, surexprimé dans 20% des cancers du sein et qui fait partie du complexe de l’Epidermal Growth Factor Receptor.
But : Préciser les connaissances récentes concernant l’utilisation pratique du « Trastuzumab (l’herceptine ®) » dans le cancer du sein.
Méthode : Recherche bibliographique et revue de la littérature effectuées en se référant aux bases de données médicales informatisées (Medline, Science direct) en utilisant les mots clés suivants : cancer du sein (breast cancer), thérapeutique ciblée (targeted therapy), HER2 neu, transtuzumab/herceptine.
Résultats : Le trastuzumab représente une importante avancée thérapeutique dans les cancers du sein et a permis une amélioration de la survie médiane en situation métastatique et une augmentation des survies actuarielle et globale en situation adjuvante. Sa tolérance est bonne avec un risque de toxicité cardiaque qui est rarement rapportée.
Conclusion : Le trastuzumab constitue une avancée thérapeutique pour les cancers du sein.

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Références

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Publiée

2012-01-25

Numéro

Rubrique

formation medicale continue