Onkologie. 2010:4(2):110-114

Anthracyclins in breast cancer therapy: pros and cons

Tomáš Svoboda
KOC FN Plzeň

Anthracyclins ranked among the basic drugs used in the adjuvant, neoadjuvant as far as in paliative treatment of breast cancer for a long

time. Their indication was based on a high eficacy. However, lot of circumstances appeared within the last years which totally change

our view on the anthracyclins position. First of all there is a fear of significant cardiotoxicity, the incidence of secondary malignancies –

leucemias and ineffectivnes in patients with HER2 and TOPO2 negative tumors. Pros and cons of the anthracycline use in breast cancer

are summarised in the following article.

Keywords: anthracyclin, paclitaxel, docetaxel, HER2 receptor, topoisomerase-2alpha

Published: May 1, 2010  Show citation

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Svoboda T. Anthracyclins in breast cancer therapy: pros and cons. Onkologie. 2010;4(2):110-114.
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References

  1. Leonard RCF, Williams S, Tulpule A, et al. Improving the therapeutic index of anthracycline chemotherapy: Focus on liposomal doxorubicin (Myocet). The Breast 2009; 18: 218-224. Go to original source... Go to PubMed...
  2. Jones, et al. Breast Cancer Res Treat. 2007; 106(S1): S5 [Abstract 12].
  3. Slamon, et al. Breast Cancer Res Treat. 2007; 106(S1): S5 [Abstract 13].
  4. Steinherz LJ, et al. JAMA. 1991; 266: 1672-1677.
  5. Esteva FV, Hortobagyi GN. Topoisomerase II alpha Amplification and Anthracycline-Based Chemotherapy- The Jury is Still Out. JCO, 2009; 27(21): 20. Go to original source... Go to PubMed...
  6. Pritchard KI. Are HER2 And TOP2A Usefull As Prognostic Or Predictive Biomarkers For Anthracycline-Based Adjuvant Chemotherapy For Breast Cancer? JCO 2009. Go to original source...
  7. Von Hoff DD. Semin Oncol. 1998; 25: 31-36, Swain S, et al. J Clin Oncol. 1997; 15: 1333-1340, Hensley ML, et al. J Clin Oncol. 1999; 17: 3333-3355.
  8. Pinder, et al. J Clin Oncol 2007, 25: 3308-3315.
  9. Tan-Chiu E, et al. J Clin Oncol. 2005; 23: 7811-7819.
  10. Tut, et al. Proc. ASCO 2009, Abstr. nr. CRA 501.
  11. Valero V, et al. J Clin Oncol. 1999; 17: 1425-1434, Harris L, et al. Cancer. 2002; 94: 25-36, Batist G, et al. J Clin Oncol. 2001; 19: 1444-1454.
  12. Slamon, et al. N Engl J Med 2001; 344: 783-792, Marty, et al. JCO 23: 19, July 1st 2005. Go to original source... Go to PubMed...




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