Risk Stratification and Treatment Selection in HER2+ Breast Cancer: The Current Treatment Landscape and NCCN Guideline Recommendations

Opinion
Video

Paolo Tarantino, MD, discusses risk factors in early breast cancer, NCCN guideline-recommended therapies, and the transformative impact of HER2-targeted treatments over the past decade.

Video content above is prompted by the following:

  • Discuss the risk factors and clinical characteristics that define high-risk early breast cancer, such as tumor size, nodal status, hormone receptor status, and residual disease after neoadjuvant therapy.
  • How should clinicians approach risk stratification in early breast cancer to identify high-risk patients who may benefit from more aggressive treatment?
  • Please provide a brief overview of treatment options in HER2+ breast cancer.
    • Please highlight the NCCN guideline recommendations for managing early breast cancer, particularly Category 1 preferred options.
  • How have the available HER2-targeted therapies changed the treatment landscape for patients with HER2+ breast cancer over the past decade or so?
    • What are the key factors you consider when selecting an appropriate HER2-targeted therapy for your patients with HER2+ breast cancer?
  • How do you approach the sequencing and combinations of HER2-targeted agents in the adjuvant, neoadjuvant, and metastatic settings?
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