Bridging the gap: Predicting brain metastasis in breast cancer.

IF 2.6 Q3 ONCOLOGY World journal of clinical oncology Pub Date : 2024-02-24 DOI:10.5306/wjco.v15.i2.356
Daniela Gonsalves, Raquel Ciérvide, Felipe Couñago
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Abstract

Chen et al explored clinicopathological features and prognostic factors, revealing advanced tumor stage, lung metastases, HER-2 overexpression, and triple-negative status as key contributors. Recent research connects astrocytes' role in brain metastasis with signaling pathways and the impact of Trastuzumab on HER-2 tumor survival. Factors such as positive HER2 status, lack of estrogen receptor expression, and liver metastasis are identified as additional risk factors. The routine use of magnetic resonance imaging, insights into gene mutations associated with metastasis, and the role of radiotherapy, including prophylaxis possibilities, is controversial in clinical practice. Understanding these risk factors in a multidisciplinary collaboration is precise for local treatments and targeted therapies, particularly for HER2+ tumors, impacting directly on longer survival.

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缩小差距:预测乳腺癌的脑转移。
Chen 等人探讨了临床病理特征和预后因素,发现晚期肿瘤分期、肺转移、HER-2 过表达和三阴性状态是关键因素。最新研究将星形胶质细胞在脑转移中的作用与信号通路以及曲妥珠单抗对HER-2肿瘤生存的影响联系起来。HER2阳性状态、缺乏雌激素受体表达和肝转移等因素被认为是额外的风险因素。在临床实践中,磁共振成像的常规使用、与转移相关的基因突变的见解以及放疗的作用(包括预防的可能性)都存在争议。通过多学科合作了解这些风险因素,对局部治疗和靶向治疗,尤其是对HER2+肿瘤的局部治疗和靶向治疗具有精确性,可直接延长患者的生存期。
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期刊介绍: The WJCO is a high-quality, peer reviewed, open-access journal. The primary task of WJCO is to rapidly publish high-quality original articles, reviews, editorials, and case reports in the field of oncology. In order to promote productive academic communication, the peer review process for the WJCO is transparent; to this end, all published manuscripts are accompanied by the anonymized reviewers’ comments as well as the authors’ responses. The primary aims of the WJCO are to improve diagnostic, therapeutic and preventive modalities and the skills of clinicians and to guide clinical practice in oncology. Scope: Art of Oncology, Biology of Neoplasia, Breast Cancer, Cancer Prevention and Control, Cancer-Related Complications, Diagnosis in Oncology, Gastrointestinal Cancer, Genetic Testing For Cancer, Gynecologic Cancer, Head and Neck Cancer, Hematologic Malignancy, Lung Cancer, Melanoma, Molecular Oncology, Neurooncology, Palliative and Supportive Care, Pediatric Oncology, Surgical Oncology, Translational Oncology, and Urologic Oncology.
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