乳腺癌新辅助内分泌治疗的研究进展及展望

新辅助内分泌治疗（neoadjuvant endocrine therapy,NET）代替新辅助化疗（neoadjuvant chemotherapy therapy,NCT）对于雌激素受体（estrogen receptor,ER）阳性乳腺癌患者而言是一种有效的临床治疗策略,可以使肿瘤降期,从而接受乳腺癌保乳手术并减少术后的辅助化疗。本文旨在就NET的患者选择、NET效果对比、NET持续时间、NET与NCT效果对比及联合使用、NET联合靶向治疗、机会之窗试验、疗效评估预后指标及NET后辅助治疗决策等最新研究进展进行综述。

Research progress and prospects of neoadjuvant endocrine therapy for breast cancer

Neoadjuvant endocrine therapy (NET) instead of neoadjuvant chemotherapy (NCT) is an effective clinical strategy for estrogen receptor (ER)-positive breast cancer patients, which can reduce tumor stage, achieve breast-conserving surgery for breast cancer and reduce the need for adjuvant chemotherapy. This article aimed to review the latest research progress in several aeras: patient selection for NET, comparison of efficacy of NET, duration of NET, comparison and combined use of NET and NCT, NET combined with targeted therapy, window of opportunity trials, efficacy evaluation indicators and adjuvant therapy decision after neoadjuvant endocrine therapy.