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The quality of life assessment of breast cancer patients. 乳腺癌患者的生活质量评估。
Pub Date : 2024-01-01 DOI: 10.3233/BD-249008
Uswatun Hasanah, Mardiana Ahmad, Prihantono Prihantono, Andi Nilawati Usman, Aryadi Arsyad, Dinah Inrawati Agustin

Objectives: Research investigating the quality of life (QOL) of breast cancer patients undergoing chemotherapy has yielded useful knowledge regarding the effects of cancer treatment on the quality of life of patients. This study reviews the assessment of the quality of life for those diagnosed with breast cancer.

Design: A systematic review was conducted.

Data sources: This systematic review utilized online databases, including PubMed, Web of Science, Scopus, and Google Scholar. A search ranging from 2018 to 2024 was carried out.

Review method: Medical Subject Headings (MESH) were used for keyword selection along with other target keywords, such as "Quality of life", "Breast cancer", "Chemotherapy", "Treatment side effects", "Patient experience", "Psychosocial well-being", "Physical functioning", "Emotional distress", and "Supportive care". We reviewed and included all English-language publications. A narrative synthesis was conducted to present the results of the studies.

Results: A total of 300 studies were obtained from the search using the specified keywords. Each result underwent another filtering round after applying the inclusion and exclusion criteria. This process led to a final selection of 20 papers that met the requirements and were included in the systematic review.

Conclusion: The use of instruments to measure the quality of life (QoL) of breast cancer patients is crucial in understanding the impact of breast cancer on patients' lives, from physical and mental health to social aspects.

研究目的对接受化疗的乳腺癌患者的生活质量(QOL)进行调查的研究,为了解癌症治疗对患者生活质量的影响提供了有用的知识。本研究回顾了对乳腺癌患者生活质量的评估:设计:进行了系统性回顾:本系统综述利用了在线数据库,包括 PubMed、Web of Science、Scopus 和 Google Scholar。检索时间为 2018 年至 2024 年:在选择关键词时使用了医学主题词表(MESH)以及其他目标关键词,如 "生活质量"、"乳腺癌"、"化疗"、"治疗副作用"、"患者体验"、"社会心理健康"、"身体机能"、"情绪困扰 "和 "支持性护理"。我们审查并收录了所有英文出版物。我们对研究结果进行了叙述性综合:使用指定关键词进行搜索,共获得 300 项研究结果。在应用纳入和排除标准后,每项结果都经过了另一轮筛选。通过这一过程,最终筛选出 20 篇符合要求的论文,并将其纳入系统综述:使用工具测量乳腺癌患者的生活质量(QoL)对于了解乳腺癌对患者生活的影响(从身体和心理健康到社会方面)至关重要。
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引用次数: 0
In-silico prediction of anti-breast cancer activity of ginger (Zingiber officinale) using machine learning techniques. 利用机器学习技术对生姜(Zingiber officinale)的抗乳腺癌活性进行室内预测。
Pub Date : 2024-01-01 DOI: 10.3233/BD-249002
Marisca Evalina Gondokesumo, Muhammad Rezki Rasyak

Introduction: Indonesian civilization extensively uses traditional medicine to cure illnesses and preserve health. The lack of knowledge on the security and efficacy of medicinal plants is still a significant concern. Although the precise chemicals responsible for this impact are unknown, ginger is a common medicinal plant in Southeast Asia that may have anticancer qualities.

Method: Using data from Dudedocking, a machine-learning model was created to predict possible breast anticancer chemicals from ginger. The model was used to forecast substances that block KIT and MAPK2 proteins, essential elements in breast cancer.

Result: Beta-carotene, 5-Hydroxy-74'-dimethoxyflavone, [12]-Shogaol, Isogingerenone B, curcumin, Trans-[10]-Shogaol, Gingerenone A, Dihydrocurcumin, and demethoxycurcumin were all superior to the reference ligand for MAPK2, according to molecular docking studies. Lycopene, [8]-Shogaol, [6]-Shogaol, and [1]-Paradol exhibited low toxicity and no Lipinski violations, but beta carotene had toxic predictions and Lipinski violations. It was anticipated that all three substances would have anticarcinogenic qualities.

Conclusion: Overall, this study shows the value of machine learning in drug development and offers insightful information on possible anticancer chemicals from ginger.

简介印度尼西亚文明广泛使用传统医药来治疗疾病和保护健康。但人们对药用植物的安全性和功效缺乏了解,这仍是一个重大问题。虽然造成这种影响的确切化学物质尚不清楚,但生姜是东南亚常见的药用植物,可能具有抗癌功效:方法:利用来自 Dudedocking 的数据,创建了一个机器学习模型来预测生姜中可能存在的乳腺癌抗癌化学物质。该模型用于预测可阻断 KIT 和 MAPK2 蛋白的物质,而 KIT 和 MAPK2 蛋白是乳腺癌的基本要素:结果:根据分子对接研究,β-胡萝卜素、5-羟基-74'-二甲氧基黄酮、[12]-肖高醇、异姜黄酮 B、姜黄素、反式-[10]-肖高醇、姜黄酮 A、二氢姜黄素和去甲氧基姜黄素都优于 MAPK2 的参考配体。番茄红素、[8]-Shogaol、[6]-Shogaol 和 [1]-Paradol 显示出低毒性,没有违反 Lipinski 规定的情况,但 beta 胡萝卜素有毒性预测和违反 Lipinski 规定的情况。预计这三种物质都具有抗致癌性:总之,这项研究显示了机器学习在药物开发中的价值,并为生姜中可能存在的抗癌化学物质提供了具有洞察力的信息。
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引用次数: 0
Erratum to: Anti-IL-8 monoclonal antibodies inhibits the autophagic activity and cancer stem cells maintenance within breast cancer tumor microenvironment. 勘误:抗IL-8单克隆抗体抑制乳腺癌肿瘤微环境中的自噬活性和癌症干细胞的维持。
Pub Date : 2024-01-01 DOI: 10.3233/BD-241111
Seham Abou Shousha, Eman M Osman, Suzan Baheeg, Yasmine Shahine
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引用次数: 0
Influence of variables on breast self-examination: Potential barrier or enhancement of breast cancer prevention. 各种变量对乳房自我检查的影响:预防乳腺癌的潜在障碍或促进因素。
Pub Date : 2024-01-01 DOI: 10.3233/BD-249001
Hijrah Hijrah, Andi Nilawati Usman, Yusring Sanusi Baso, Syafruddin Syarif, Mardiana Ahmad, Zafitri Nulandari

Introduction: Breast self-examination (BSE) is an important tool for early detection of breast cancer and can contribute to increased awareness and familiarity with breast tissue. This study aimed to review factors that influenced BSE in preventing breast cancer.

Methods: In the initial stage of searching for journal articles, 186 journals were obtained, then screening was carried out within a time span of 2019-2024 and using Indonesian and English 54 journals. Of the 12 journals reviewed, the results showed that 4 journals reviewed had conducted pre and post-BSE practices, and 8 journal reviews conducted BSE practices conducted by students and health workers.

Results: Several factors play an important role in implementing BSE, namely age, knowledge, history of exposure to information, family history, ethnicity, and attitude. Overall, the study shows that the need to create awareness and educate women, especially rural women, on the importance of BSE as a preventive measure for breast cancer is paramount.

Conclusions: Factors influencing the implementation of BSE can be a barrier or an enhancement in breast cancer prevention.

简介乳房自我检查(BSE)是早期发现乳腺癌的重要工具,有助于提高人们对乳房组织的认识和熟悉程度。本研究旨在探讨影响 BSE 预防乳腺癌的因素:在搜索期刊论文的初始阶段,获得了 186 种期刊,然后在 2019-2024 年的时间跨度内,使用印尼语和英语对 54 种期刊进行了筛选。结果显示,在12篇期刊中,有4篇期刊进行了BSE前后的实践,8篇期刊进行了学生和卫生工作者的BSE实践:有几个因素对实施 BSE 起着重要作用,即年龄、知识、信息接触史、家族史、种族和态度。总之,研究表明,最重要的是要让妇女,尤其是农村妇女认识到 BSE 作为乳腺癌预防措施的重要性:结论:影响 BSE 实施的因素可能会阻碍乳腺癌的预防,也可能会促进乳腺癌的预防。
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引用次数: 0
Breast gel based on Boswellia serrata, Betaine and myo-Inositol improves cyclic mastodynia in fertile women: A retrospective clinical study. 基于乳香、甜菜碱和肌醇的乳房凝胶可改善育龄妇女的周期性乳房疼痛:回顾性临床研究
Pub Date : 2024-01-01 DOI: 10.3233/BD-240012
Moira Burratti, Giuseppina Morano, Chiara Pasquale, Grazia Di Fonso, Loredana Costabile

Background: The management of mastodynia plays a central role in improving women quality of life. Despite its high occurrence, specific therapeutic guidelines for mastalgia are still lacking. Available therapies include unspecific anti-inflammatories, even though they may often expose to undesirable effects and low compliance.

Objective: The aim of this study was to highlight the efficacy of the topical application of combined natural molecules including Boswellia serrata, Betaine and myo-Inositol in improving cyclic mastalgia.

Methods: In this retrospective pilot clinical study, patients with cyclic mastalgia applied a specific breast gel for three months. The severity of the pain was measured through the Visual Analogue Score (VAS) in the treated group compared to untreated one. Treated patients also filled in a questionnaire evaluating acceptance and safety of the breast gel.

Results: This pilot clinical study demonstrated for the first time the efficacy of the topical application of a breast gel based on Betaine, Boswellia serrata, and myo-Inositol in improving cyclic mastodynia. The completed questionnaires also revealed high levels of acceptance, as both safety and compliance.

Conclusions: Besides confirming the positive effects of these natural molecules in the management of conditions affecting breast physiology - so far evaluated as oral supplementation - the obtained results pave the way for further studies supporting the use of such molecules as a tailored medical device in the management of breast pain, thus also opening toward a combined oral and topical approach.

背景:乳房疼痛的治疗在提高妇女生活质量方面发挥着重要作用。尽管乳房疼痛的发生率很高,但目前仍缺乏针对乳房疼痛的具体治疗指南。现有的疗法包括非特异性消炎药,尽管这些药物可能经常会产生不良影响,而且依从性较低:本研究旨在强调乳香、甜菜碱和肌醇等多种天然分子的局部应用对改善周期性乳痛症的疗效:在这项回顾性试点临床研究中,周期性乳房疼痛患者使用了一种特定的乳房凝胶,为期三个月。通过视觉模拟评分(VAS)测量治疗组与未治疗组的疼痛严重程度。接受治疗的患者还填写了一份问卷,对乳房凝胶的接受度和安全性进行评估:这项试验性临床研究首次证明了局部使用以甜菜碱、乳香和肌醇为基础的乳房凝胶对改善周期性乳房疼痛的疗效。完成的调查问卷还显示,该产品在安全性和依从性方面都获得了高度认可:结论:除了证实这些天然分子在治疗影响乳房生理机能的病症方面具有积极作用(迄今为止,这些天然分子都是以口服补充剂的形式进行评估的),所获得的结果还为进一步的研究铺平了道路,这些研究支持将这些分子用作治疗乳房疼痛的定制医疗设备,从而也为口服和外用相结合的方法开辟了道路。
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引用次数: 0
Synchronous primary breast angiosarcoma with invasive ductal carcinoma. 原发性乳腺血管肉瘤与浸润性导管癌同步。
Pub Date : 2024-01-01 DOI: 10.3233/BD-240003
Wala Ben Kridis, Mayssa Lajnef, Afef Khanfir

Primary angiosarcoma (PAS) of the breast is an extremely uncommon variant of breast malignancies. Highly aggressiveness and dismal prognosis characterize this endothelial neoplasm. We report here an unusual case of PAS of the breast occurring in a 46-year-old woman associated with concurrent bilateral invasive ductal carcinoma and ovarian metastases.

乳腺原发性血管肉瘤(PAS)是乳腺恶性肿瘤中极为罕见的一种。这种内皮肿瘤具有高度侵袭性和预后不良的特点。我们在此报告了一例不同寻常的乳腺原发性血管肉瘤病例,患者为一名 46 岁女性,同时伴有双侧浸润性导管癌和卵巢转移。
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引用次数: 0
Contraceptive use with breast cancer incidence in Indonesia. 印度尼西亚的避孕药具使用与乳腺癌发病率。
Pub Date : 2024-01-01 DOI: 10.3233/BD-249007
Sulfiana Sulfiana, Prihantono Prihantono, Andi Nilawati Usman, Mardiana Ahmad, M Aryadi Arsyad, Andi Agus Mumang

Introduction: Breast cancer is the most common cancer in women worldwide and is a significant threat to public health. This study aims to conduct a systematic review of the relationship between hormonal contraceptive use and breast cancer incidence.

Methods: The search was conducted using Google Scholar, Proquest, Pubmed and one Indonesian database, Garuda, using English and Indonesian keywords. The inclusion criteria in this study were the publication year of the last five years, namely 2019-2023, English and Indonesian language, case-control observational research, using the Indonesian population, and full-text access.

Results: A total of 165 studies were obtained from the Google Scholar database, including 104 studies. The overall multivariate analysis revealed that there was a statistically significant association of hormonal contraception with the incidence of breast cancer with OR values in the range of 2-6.

Conclusions: The findings of this systematic study suggest that the use of hormones can contribute to hormonal imbalances that further increase breast cell proliferation and disrupt gene expression, resulting in uncontrolled cell development/cancer. In addition, the findings recommend increasing the number of studies on this topic to obtain more adequate and possibly more diverse information.

导言:乳腺癌是全球妇女最常见的癌症,对公众健康构成重大威胁。本研究旨在对激素避孕药的使用与乳腺癌发病率之间的关系进行系统回顾:方法:使用 Google Scholar、Proquest、Pubmed 和一个印尼数据库 Garuda,使用英语和印尼语关键词进行检索。本研究的纳入标准为:最近五年(即 2019-2023 年)的发表年份、英语和印尼语、病例对照观察研究、使用印尼人口、全文获取:从谷歌学术数据库中共获得165项研究,其中包括104项研究。总体多变量分析显示,激素避孕与乳腺癌的发病率有显著的统计学关联,OR 值在 2-6 之间:这项系统性研究的结果表明,激素的使用会导致荷尔蒙失衡,从而进一步增加乳腺细胞的增殖并扰乱基因表达,导致细胞不受控制地发展/癌变。此外,研究结果还建议增加有关这一主题的研究数量,以获得更充分、可能更多样的信息。
{"title":"Contraceptive use with breast cancer incidence in Indonesia.","authors":"Sulfiana Sulfiana, Prihantono Prihantono, Andi Nilawati Usman, Mardiana Ahmad, M Aryadi Arsyad, Andi Agus Mumang","doi":"10.3233/BD-249007","DOIUrl":"10.3233/BD-249007","url":null,"abstract":"<p><strong>Introduction: </strong>Breast cancer is the most common cancer in women worldwide and is a significant threat to public health. This study aims to conduct a systematic review of the relationship between hormonal contraceptive use and breast cancer incidence.</p><p><strong>Methods: </strong>The search was conducted using Google Scholar, Proquest, Pubmed and one Indonesian database, Garuda, using English and Indonesian keywords. The inclusion criteria in this study were the publication year of the last five years, namely 2019-2023, English and Indonesian language, case-control observational research, using the Indonesian population, and full-text access.</p><p><strong>Results: </strong>A total of 165 studies were obtained from the Google Scholar database, including 104 studies. The overall multivariate analysis revealed that there was a statistically significant association of hormonal contraception with the incidence of breast cancer with OR values in the range of 2-6.</p><p><strong>Conclusions: </strong>The findings of this systematic study suggest that the use of hormones can contribute to hormonal imbalances that further increase breast cell proliferation and disrupt gene expression, resulting in uncontrolled cell development/cancer. In addition, the findings recommend increasing the number of studies on this topic to obtain more adequate and possibly more diverse information.</p>","PeriodicalId":9224,"journal":{"name":"Breast disease","volume":"43 1","pages":"127-134"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11191510/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141092530","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Early detection of self-breast examination using smartphone breast application. 使用智能手机乳房应用程序进行自我乳房检查的早期检测。
Pub Date : 2024-01-01 DOI: 10.3233/BD-249004
Nur Indah, Andi Nilawati Usman, Yusring Sanusi Baso, Syafruddin Syarif, Mardiana Ahmad, Andi Agus Mumang

Introduction: Breast self-examination (BSE) is a screening method that can help empower, raise awareness, and detect breast abnormalities in women. The use of smartphone applications for breast cancer early detection is able to overcome some of these barriers. This study aimed to conduct a systematic review to assess the effectiveness of the effect of using smartphone application-based technology on breast cancer.

Methods: Google Scholar, PubMed, Proquest, and ScienceDirect were searched for "breast self-examination" and "smartphone application" literature. This literature's study designs were quasi-experimental, prospective cohort, qualitative, and systematic review. The study contained five unique research projects with 828 varied participants.

Results: The use of smartphones was seen to have advantages in terms of increased knowledge, perceived vulnerability, barriers to breast self-examination (BSE), self-efficacy, health motivation, and BSE practices.

Conclusions: The utilization of smartphone apps related to BSE is shown through the availability, accessibility, and focus of information and is in line with the Health Belief Model (HBM).

简介乳房自我检查(BSE)是一种筛查方法,有助于增强妇女的能力、提高妇女的意识和检测乳房异常。使用智能手机应用程序进行乳腺癌早期检测能够克服其中的一些障碍。本研究旨在开展一项系统性综述,评估使用基于智能手机应用的技术对乳腺癌的影响效果:方法:在 Google Scholar、PubMed、Proquest 和 ScienceDirect 中搜索 "乳房自我检查 "和 "智能手机应用 "的文献。这些文献的研究设计包括准实验、前瞻性队列、定性和系统回顾。研究包含五个独特的研究项目,共有 828 名不同的参与者:结果:使用智能手机在增加知识、感知脆弱性、乳房自我检查(BSE)障碍、自我效能感、健康动机和 BSE 实践方面具有优势:结论:与 BSE 相关的智能手机应用程序的使用体现在信息的可用性、可及性和关注点上,并且符合健康信念模型 (HBM)。
{"title":"Early detection of self-breast examination using smartphone breast application.","authors":"Nur Indah, Andi Nilawati Usman, Yusring Sanusi Baso, Syafruddin Syarif, Mardiana Ahmad, Andi Agus Mumang","doi":"10.3233/BD-249004","DOIUrl":"10.3233/BD-249004","url":null,"abstract":"<p><strong>Introduction: </strong>Breast self-examination (BSE) is a screening method that can help empower, raise awareness, and detect breast abnormalities in women. The use of smartphone applications for breast cancer early detection is able to overcome some of these barriers. This study aimed to conduct a systematic review to assess the effectiveness of the effect of using smartphone application-based technology on breast cancer.</p><p><strong>Methods: </strong>Google Scholar, PubMed, Proquest, and ScienceDirect were searched for \"breast self-examination\" and \"smartphone application\" literature. This literature's study designs were quasi-experimental, prospective cohort, qualitative, and systematic review. The study contained five unique research projects with 828 varied participants.</p><p><strong>Results: </strong>The use of smartphones was seen to have advantages in terms of increased knowledge, perceived vulnerability, barriers to breast self-examination (BSE), self-efficacy, health motivation, and BSE practices.</p><p><strong>Conclusions: </strong>The utilization of smartphone apps related to BSE is shown through the availability, accessibility, and focus of information and is in line with the Health Belief Model (HBM).</p>","PeriodicalId":9224,"journal":{"name":"Breast disease","volume":"43 1","pages":"135-144"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11191427/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141183589","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Lectins as a promising therapeutic agent for breast cancer: A review. 作为乳腺癌治疗剂前景看好的凝集素:综述。
Pub Date : 2024-01-01 DOI: 10.3233/BD-230047
Keerti Singh, Lokita Agrawal, Rhea Gupta, Divyam Singh, Meghavi Kathpalia, Navkiran Kaur

Efficient treatment of cancer has been a subject of research by scientists for many years. Current treatments for cancer, such as radiotherapy, chemotherapy and surgery have been used in traditional combination therapy, but they have major setbacks like non-specificity, non-responsiveness in certain cancer types towards treatment, tumor recurrence, etc. Epidemiological data has shown that breast cancer accounts for 14% of cancer cases occurring in Indian women. In recent years, scientists have started to focus on the use of natural compounds like lectins obtained from various sources to counter the side effects of traditional therapy. Lectins like Sambucus nigra Agglutinin, Maackia amurensis lectin, Okra lectins, Haliclona caerulea lectin, Sclerotium rolfsii lectin, etc., have been discovered to have both diagnostic and therapeutic potential for breast cancer patients. Lectins have been found to have inhibitory effects on various cancer cell activities such as neo-angiogenesis, causing cell cycle arrest at the G1 phase, and inducing apoptosis. The major idea behind the use of lectins in cancer diagnostics and therapeutics is their capability to bind to glycosylated proteins that are expressed on the cell surface. This review focuses on an exploration of the roles of post-translational modification in cancer cells, especially glycosylation, and the potential of lectins in cancer diagnosis and therapeutics.

多年来,癌症的高效治疗一直是科学家们研究的课题。目前的癌症治疗方法,如放疗、化疗和手术等,都是传统的综合疗法,但这些疗法都有很大的缺陷,如没有特异性、某些癌症类型对治疗没有反应、肿瘤复发等。流行病学数据显示,乳腺癌占印度女性癌症病例的 14%。近年来,科学家们开始关注使用从各种来源获得的天然化合物(如凝集素)来对抗传统疗法的副作用。人们发现,像 Sambucus nigra Agglutinin、Maackia amurensis 凝集素、秋葵凝集素、Haliclona caerulea 凝集素、Sclerotium rolfsii 凝集素等凝集素对乳腺癌患者具有诊断和治疗潜力。研究发现,凝集素对癌细胞的各种活动具有抑制作用,如抑制新血管生成、使细胞周期停滞在 G1 期、诱导细胞凋亡等。将凝集素用于癌症诊断和治疗的主要理念是,凝集素能够与细胞表面表达的糖基化蛋白质结合。本综述将重点探讨糖基化等翻译后修饰在癌细胞中的作用,以及凝集素在癌症诊断和治疗中的潜力。
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引用次数: 0
Development of neuro-Behcet's disease in a patient with operable HER2-positive breast cancer during neoadjuvant chemotherapy: A case report. 一名可手术的 HER2 阳性乳腺癌患者在新辅助化疗期间出现神经性贝赫切特病:病例报告。
Pub Date : 2024-01-01 DOI: 10.3233/BD-230026
Taketo Nakai, Hirohito Seki, Akitsugu Makino, Yoshie Kadota, Takuji Kaburagi, Takehiro Okumura, Tsuyoshi Karahashi

Background: Neuro-Behcet's disease (NBD) is a variant of Behcet's disease (BD). To our knowledge, there have been no previous reports on concurrent NBD in breast cancer patients undergoing chemotherapy.

Case presentation: Our patient had a history of BD and was asymptomatic. She was diagnosed with human epidermal growth factor receptor 2-positive breast cancer by core needle biopsy and was administered neoadjuvant chemotherapy. After four courses, in addition to the aggravation of the existing adverse events, headache, fever, dysarthria, and muscle weakness in the upper left and lower extremities appeared. On admission, she was diagnosed with acute NBD, and steroid therapy was initiated. After her symptoms improved gradually, she was discharged. Then, she underwent mastectomy and axillary lymph node dissection for breast cancer. Trastuzumab and pertuzumab plus tamoxifen were administered postoperatively. Two years postoperatively, no recurrence of breast cancer and NBD was noted.

Conclusion: When chemotherapy is administered to breast cancer patients with a history of BD, it is necessary to select chemotherapy with as few adverse events as possible and to continue with treatment while paying attention to the risk of NBD.

背景:神经-贝赫切特病(NBD)是贝赫切特病(BD)的一种变异型。据我们所知,此前还没有关于正在接受化疗的乳腺癌患者并发 NBD 的报道:病例介绍:我们的患者有 BD 病史,无任何症状。通过核心针活检,她被确诊为人表皮生长因子受体 2 阳性乳腺癌,并接受了新辅助化疗。四个疗程后,除了原有的不良反应加重外,还出现了头痛、发热、构音障碍、左上肢和下肢肌无力等症状。入院时,她被诊断为急性 NBD,并开始接受类固醇治疗。症状逐渐好转后,她出院了。随后,她接受了乳腺癌切除术和腋窝淋巴结清扫术。术后使用了曲妥珠单抗和百妥珠单抗加他莫昔芬。术后两年,乳腺癌和 NBD 均未复发:结论:对有 BD 病史的乳腺癌患者进行化疗时,有必要选择不良反应尽可能少的化疗方法,并在继续治疗的同时注意 NBD 的风险。
{"title":"Development of neuro-Behcet's disease in a patient with operable HER2-positive breast cancer during neoadjuvant chemotherapy: A case report.","authors":"Taketo Nakai, Hirohito Seki, Akitsugu Makino, Yoshie Kadota, Takuji Kaburagi, Takehiro Okumura, Tsuyoshi Karahashi","doi":"10.3233/BD-230026","DOIUrl":"10.3233/BD-230026","url":null,"abstract":"<p><strong>Background: </strong>Neuro-Behcet's disease (NBD) is a variant of Behcet's disease (BD). To our knowledge, there have been no previous reports on concurrent NBD in breast cancer patients undergoing chemotherapy.</p><p><strong>Case presentation: </strong>Our patient had a history of BD and was asymptomatic. She was diagnosed with human epidermal growth factor receptor 2-positive breast cancer by core needle biopsy and was administered neoadjuvant chemotherapy. After four courses, in addition to the aggravation of the existing adverse events, headache, fever, dysarthria, and muscle weakness in the upper left and lower extremities appeared. On admission, she was diagnosed with acute NBD, and steroid therapy was initiated. After her symptoms improved gradually, she was discharged. Then, she underwent mastectomy and axillary lymph node dissection for breast cancer. Trastuzumab and pertuzumab plus tamoxifen were administered postoperatively. Two years postoperatively, no recurrence of breast cancer and NBD was noted.</p><p><strong>Conclusion: </strong>When chemotherapy is administered to breast cancer patients with a history of BD, it is necessary to select chemotherapy with as few adverse events as possible and to continue with treatment while paying attention to the risk of NBD.</p>","PeriodicalId":9224,"journal":{"name":"Breast disease","volume":"43 1","pages":"223-229"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11307018/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141537627","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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Breast disease
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