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Correspondence
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Volume 345:995-998 September 27, 2001 Number 13
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Trastuzumab and Breast Cancer

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To the Editor: Slamon et al. (March 15 issue)1 show that the addition of trastuzumab, a monoclonal antibody against the human epidermal growth factor receptor HER2 (also known as HER2/neu), to chemotherapy in women with metastatic breast cancer that overexpresses HER2 is associated with significantly better responses and longer survival than chemotherapy alone. However, cardiotoxicity is the most serious complication of trastuzumab, especially when it is administered in combination with anthracyclines.1,2,3

We hypothesized that cardiotoxicity and antitumor efficacy may be related to specific uptake of trastuzumab in the myocardium and tumor, respectively. Twenty patients with metastatic breast cancer that expressed . . . [Full Text of this Article]

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