Clinical Benefit and Risk Evaluation of Neoadjuvant Treatment for HER2+ Early Breast Cancer (EBC)

Consensus StatementQuality of EvidenceStrength of Rec.Key Ref
1. Neoadjuvant therapy is the preferred treatment approach for patients with high-risk HER2-positive breast cancer, defined as tumor size ≥T2 or clinically node-positive disease.IA1,2
2. The neoadjuvant treatment platform may be used for patients with intermediate risk defined as T1cN0 to individualize subsequent therapeutic strategies according to the patient’s clinical and/or pathologic response.IIA3,4

References

  1. Sara A, et al. Hurvitz. 2019 ASCO Annual Meeting.
  2. Prat A, et al. SABCS 2016.
  3. Harbeck N, et al. J Clin Oncol 2017 35:3046-3054.
  4. Metzger O, et al. ASCO, 2019, abstract 502

(2026 UPDATE)