Bland and Copeland's The Breast

Chemotherapy and HER2-Directed Therapy for Metastatic Breast Cancer

Introduction Despite significant advances and the introduction of new therapeutics for patients with metastatic breast cancer (MBC), based on estimates from the World Health Organization there were approximately 685,000 deaths globally in 2020 from breast cancer, which remains incurable in…

Management of Bone Metastases in Breast Cancer

Introduction Bone is the most common site of first recurrence in patients with breast cancer, affecting up to 70% of patients with metastatic disease. Patients with bone metastases are at high risk for developing clinically significant complications, often referred to…

Management of Breast Cancer Solitary Metastases

Over the past 40 years, new and advanced breast cancer multimodality treatments have resulted in improved median survival times for patients with metastatic breast cancer (MBC). Breast cancer most commonly metastasizes to bone, followed by lung, brain, and liver. Until…

Locally Advanced and Inflammatory Breast Cancer

Locally advanced breast cancer (LABC) and inflammatory breast cancer (IBC), a special subtype of stage III breast cancer, were historically associated with a high risk of recurrence, for which a multimodality management approach has been the cornerstone of treatment. In…

Locoregional Recurrence of Breast Cancer

The prevention of locoregional recurrence (LRR) continues to be an important goal of breast cancer treatments today. Since its inception in the late 19th century, the primary objective of surgery has been local control of disease. Despite innovations in the…

Adjuvant and Neoadjuvant HER2 Therapy

Introduction HER2 (also known as ERBB2) represents a potent oncogenic driver in 15% to 20% of breast carcinomas and is associated with an aggressive phenotype and poor patient outcome if not treated. The addition of trastuzumab, the first monoclonal antibody…