ERBB2 and breast carcinoma: The upregulation of HER2 in metastatic breast cancer to the uterus, in combination with tamoxifen therapy, stimulates aggressive growth and invasiveness of tumors, as HER2 overexpression is associated with relative resistance to tamoxifen, and increased sensitivity to anthracycline chemotherapy, usually 5-fluorouracil and doxorubicin[161-164].