Poll

What age where you diagnosed with breast cancer?

User login

HER2 Positive Breast Cancers: Surviving the Challenge

Share |
HER2 positive breast cancers

One thing that those with only casual knowledge of breast cancer may not realize is that it is not a monolithic disease. There are actually many different types of breast cancer cells and tumors that can develop in a woman's body, and all have unique characteristics that impact prognosis and treatment.

In about 25-30% of all breast cancer cases, there is a genetic mutation in a gene called Human Epidermal growth factor Receptor 2, or HER2 for short. This gene is involved in the regulation of breast cell growth and division, and when there is a mutation its inability to function properly can ultimately lead to the development of breast cancer. Because we are talking about a mutation found in up to 30% of breast cancers, clearly HER2 malfunction is not an insignificant problem.

When HER2 Genes Attack
HER2 performs its regulatory role by producing proteins that send messages to breast cells telling them how fast to grow and how often to divide. When these genes are suffering from mutation, however, they can no longer control breast cancer cell reproduction effectively. Excess amounts of the HER2 protein will be produced, and this extra protein will be found attached to the outside of breast cancer cells. When tests detect the presence of these extra proteins, it is said that the cancer cells in question are HER2-positive. Breast cancers that test positive for HER2 tend to be aggressive, and to frequently metastasize and spread to other parts of the body. This is because all the excess HER2 proteins do their job too well, as an important regulatory system of breast cell reproduction is thrown completely off kilter.

When breast cancer cells overexpress HER2 proteins, they also will increase their production of another type of protein known as a chemokine receptor. The type of chemokine receptor produced by breast cancer cells is called CXCR4, and it is naturally drawn like a biochemical magnet to another type of chemokine receptor that is produced as a matter of routine by the lungs, liver, and the bones. This fatal attraction is why HER2 breast cancer spreads to these other parts of the body so readily – and when breast cancer metastasizes in this way, the consequences are usually dire.

Surviving HER2 Breast Cancer
Survival rates for breast cancer is calculated by stages. If breast cancers are detected in stage one, the earliest stage, the expectation is that 100% of the women diagnosed will still be alive in five years. In stage two, when the cancer has started to spread into the surrounding tissue and the lymph nodes, five year survival rates drop to a still good 87%. In stage three, when the degree of metastasis is greater, the numbers drop to 57%, as the odds begin to become more frightening. If things reach stage four, and the cancer has metastasized into other parts of the body, the chances of still being alive after five years is only 20%.

The prognosis for those with HER2 is worse than these numbers at stages two through four, as the fast-acting nature of the HER2 proteins on cancer cells makes this cancer more aggressive and more likely to metastasize than other types of breast cancers. Early detection is therefore even more critical with this type of breast cancer than with other types.

Killing Cancer Twice
The Institute of Cancer Research in England has recently discovered something interesting about cell cancer death. They found out that there are actually two different ways that cancerous cells can die, and not just one as had previously been believed.

However, even early detection is not always enough to stop HER2. Recurrence rates for this type of cancer are higher than with most, and even those that are caught in the earliest stages have a much greater chance of eventually returning than other breast cancers. The good news is that the drug of choice for the treatment of HER2 breast cancer, Herceptrin (trastuzumab), can cut the chances of recurrence in women whose breast cancers have been caught early by as much as one half. Women whose HER2 breast cancer has reached stage three can also be helped by Herceptrin, as this drug can raise five year survival rates for women in this group to 30%. But as can be seen by the relatively low survival rate for HER2 cancer in this stage, this is indeed an aggressive and dangerous breast cancer that needs to be caught as early as possible. Unfortunately, only about 15 to 20% of women diagnosed with this type of breast cancer are in an early stage at the time of detection, when Herceptrin can make its biggest impact.

The Nature of the Threat
Even though it is genetic factors that cause HER2-positive breast cancer, it cannot be inherited from a woman's parents. Mutations occur unpredictably in this gene as women age, and there has been speculation that environmental toxins and pollutions might play some role in these genetic changes. But as things stand now, it appears that any woman could conceivably suffer a mutation in the HER2 gene at any time, with the likelihood of it happening increasing progressively as women age.

Regular breast cancer screening remains the best way for all breast cancers, including HER2-positive breast cancers, to be detected early. Women concerned about their risk of this disease should talk to their own doctors or consult with other medical experts they trust to discuss the possibility of arranging a protocol for comprehensive and sensible breast cancer screening.

Add new comment

Plain text

  • No HTML tags allowed.
  • Lines and paragraphs break automatically.