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Annals of breast cancer and therapy最新文献

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Olaparib for Simultaneous Occurrence of Breast Cancer and Ovarian Cancer with BRCA1 奥拉帕尼治疗同时发生的BRCA1型乳腺癌和卵巢癌
Pub Date : 2023-01-01 DOI: 10.36959/739/528
Tanaka Rina, Sasaki Akinori, Sano Shoko, Mizokami Ken
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引用次数: 0
Patterns of Care and Predictors of Survival among DCIS Patients: An NCDB Analysis DCIS患者的护理模式和生存预测因素:NCDB分析
Pub Date : 2020-10-01 DOI: 10.36959/739/526
Broecker Justine S, Liu Yuan S, Dewey Betsey, Styblo Toncred, Gillespie Theresa S
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引用次数: 1
Unmet Clinical Need: Developing Prognostic Biomarkers and Precision Medicine to Forecast Early Tumor Relapse, Detect Chemo-Resistance and Improve Overall Survival in High-Risk Breast Cancer. 未满足的临床需求:开发预后生物标志物和精准医学来预测高危乳腺癌的早期肿瘤复发,检测化疗耐药和提高总生存率。
Pub Date : 2020-05-02 DOI: 10.36959/739/525
Gagan Gupta, Caroline Dasom Lee, Mary L Guye, Robert E Van Sciver, Michael P Lee, Alex C Lafever, Anthony Pang, Angela M Tang-Tan, Janet S Winston, Billur Samli, Rick J Jansen, Richard A Hoefer, Amy H Tang

Chemo-resistant breast cancer is a major barrier to curative treatment for a significant number of women with breast cancer. Neoadjuvant chemotherapy (NACT) is standard first- line treatment for most women diagnosed with high-risk TNBC, HER2+, and locally advanced ER+ breast cancer. Current clinical prognostic tools evaluate four clinicopathological factors: Tumor size, LN status, pathological stage, and tumor molecular subtype. However, many similarly treated patients with identical residual cancer burden (RCB) following NACT experience distinctly different tumor relapse rates, clinical outcomes and survival. This problem is particularly apparent for incomplete responders with a high-risk RCB classification following NACT. Therefore, there is a pressing need to identify new prognostic and predictive biomarkers, and develop novel curative therapies to augment current standard of care (SOC) treatment regimens to save more lives. Here, we will discuss these unmet needs and clinical challenges that stand in the way of precision medicine and personalized cancer therapy.

化疗耐药乳腺癌是许多乳腺癌妇女治愈性治疗的主要障碍。对于大多数被诊断为高危TNBC、HER2+和局部晚期ER+乳腺癌的女性来说,新辅助化疗(NACT)是标准的一线治疗。目前的临床预后工具评估四个临床病理因素:肿瘤大小、LN状态、病理分期和肿瘤分子亚型。然而,许多类似治疗的NACT后残余癌症负担(RCB)相同的患者经历了明显不同的肿瘤复发率、临床结局和生存。对于NACT后高危RCB分类的不完全应答者,这个问题尤其明显。因此,迫切需要确定新的预后和预测性生物标志物,并开发新的治疗方法来增强当前的标准护理(SOC)治疗方案,以挽救更多的生命。在这里,我们将讨论这些未满足的需求和临床挑战,这些需求和挑战阻碍了精准医学和个性化癌症治疗。
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引用次数: 15
Difficult-to-Diagnose Hormone-Negative, Human Epidermal Growth Factor Receptor 2-Positive Poorly-Differentiated Breast Cancer in a Male Patient 难以诊断的激素阴性、人表皮生长因子受体2阳性低分化乳腺癌1例男性患者
Pub Date : 2020-03-12 DOI: 10.36959/739/524
Kitada Masahiro, Yasuda Shunsuke, A. Masahiro, Yoshida Nana, Okazaki Satoshi, Ishibashi Kei
Male breast cancer is rare, accounting for approximately 0.5-1.0% of all cases and is often a hormone-dependent luminal type. The percentage of hormone-negative, human epidermal growth factor receptor 2 (HER2)-positive breast cancer cases is very small in male patients (0.6-1.2%), and the prognosis is generally poor.
男性癌症罕见,约占所有病例的0.5-1.0%,通常是激素依赖性管腔型。激素阴性、人表皮生长因子受体2(HER2)阳性的乳腺癌症病例在男性患者中的百分比很小(0.6-1.2%),预后通常很差。
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引用次数: 0
The Lived Experience of African American Women with Lymphedema 非裔美国妇女淋巴水肿的生活经历
Pub Date : 2019-03-11 DOI: 10.36959/739/522
Collins-Bohler Deborah
African American women have a greater number of aggressive cancer treatments and higher incidence of Breast Cancer-Related Lymphedema (BCRLE) than Caucasians. BCRLE cannot be cured and the treatment requires patients to make considerable lifestyle changes and maintain daily and lifelong care to decrease the swelling and prevent exacerbations.
非裔美国妇女比白种人有更多的积极的癌症治疗和更高的乳腺癌相关淋巴水肿(BCRLE)发病率。BCRLE无法治愈,治疗需要患者改变相当大的生活方式,并维持日常和终身护理,以减少肿胀和防止恶化。
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引用次数: 0
Oncotype DX RS correlation with clinicopathologic risk factors and chemotherapy. Retrospective study in early stage ER positive breast cancer Oncotype DX RS与临床病理危险因素及化疗的相关性。早期ER阳性乳腺癌的回顾性研究
Pub Date : 2018-11-02 DOI: 10.33582/2640-8198/1005
F. Salih, F. Calaud, K. Rasul, M. Elmistiri, N. Elhadi, Hafez Gazouani, S. Bujassoum
Background: Oncotype DX risk score, a clinically validated test that estimates the recurrence and predicts the likelihood of benefit from adjuvant chemotherapy in early ERPR positive, node-negative breast cancer, it is calculated based on characteristics of 21 genes that define the ER status, Her2 neu status, tumor proliferation, and tumor invasion. NCCN guidelines recommend adjuvant endocrine therapy for low RS (<18) and systemic adjuvant chemotherapy for high RS (>30), but no clear consensus about chemotherapy role in intermediate RS [18-30]. The aim of the study: Look for Oncotype Dx correlation, with clinicopathologic risk factors (age, tumor histology, tumor size, tumor grade, ER/PR status, tumor proliferation index) and chemotherapy. We did also evaluate how John Hopkins university recurrence score online tool can be utilized in filtering patient for Oncotype DX testing. Methods: Retrospective records review of approximately 54 patients who had Oncotype DX test during 2012-2017 in National Cancer Center–Qatar. Result: Of 54 patients studied 64.8% had low RS, 27.8% had intermediate RS, and 7.4% had high RS. Univariate analysis showed significant correlation with tumor grade (p<0.003), PR% status (cut-off 1%; p<0.016) and Ki67% (cut-off 20%; p<0.001). There was no significant correlation with patient age, tumor histology or tumor size. In multivariate analysis, only Ki67% predicted the Oncotype DX RS (p<0.028). JHU recurrence score had a moderate association with Oncotype DX RS at strength of agreement 0.524 (Cohen Kappa) Adjuvant chemotherapy treatment correlated significantly with the Oncotype DX RS in both univariate analysis (p < 0.002) and multivariate analysis (p < 0.003) Conclusion: Oncotype RS correlates significantly with the tumor grade, Ki67%, PR status, and chemotherapy treatment. JHU recurrence score has reasonable utility in filtering patient for Oncotype DX testing.
背景:Oncotype DX风险评分是一项临床验证的测试,用于估计早期ERPR阳性、淋巴结阴性乳腺癌的复发和预测辅助化疗获益的可能性,它是根据定义ER状态、Her2新状态、肿瘤增殖和肿瘤侵袭的21个基因的特征计算得出的。NCCN指南建议对低RS进行辅助内分泌治疗(30),但对中等RS的化疗作用尚无明确共识[18-30]。研究目的:寻找Oncotype Dx与临床病理危险因素(年龄、肿瘤组织学、肿瘤大小、肿瘤分级、ER/PR状态、肿瘤增殖指数)和化疗的相关性。我们还评估了约翰霍普金斯大学复发评分在线工具如何用于筛选患者进行Oncotype DX检测。方法:回顾性分析2012-2017年卡塔尔国家癌症中心进行Oncotype DX检测的约54例患者的记录。结果:54例患者中,64.8%为低RS, 27.8%为中等RS, 7.4%为高RS,单因素分析显示与肿瘤分级(p<0.003)、PR%状态(截止1%;p<0.016), Ki67%(截止值20%;p < 0.001)。与患者年龄、肿瘤组织学及肿瘤大小无显著相关性。在多变量分析中,只有Ki67%预测Oncotype DX RS (p<0.028)。JHU复发评分与Oncotype DX RS有中等相关性,一致性强度为0.524 (Cohen Kappa)。辅助化疗治疗与Oncotype DX RS在单因素分析(p < 0.002)和多因素分析(p < 0.003)中均有显著相关性。结论:Oncotype RS与肿瘤分级、Ki67%、PR状态、化疗治疗均有显著相关性。JHU复发评分在筛选Oncotype DX检测患者中具有合理的应用价值。
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引用次数: 4
Pro-necroptotic agents in cancer therapy 促坏死药物在癌症治疗中的应用
Pub Date : 2018-10-19 DOI: 10.33582/2640-8198/1004
A. El-Sharkawy, A. Malki
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引用次数: 0
Control of breast cancer using metal-containing polymers based on cell line results 利用基于细胞系结果的含金属聚合物控制乳腺癌
Pub Date : 2018-08-08 DOI: 10.33582/2640-8198/1003
M. Roner, C. Carraher, Kimberly R. Shahi, Alisha Moric-Johnson, Lindsey C. Miller, P. Slawek, Francesca Mosca
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引用次数: 1
Long-term outcome data for patients with HER2- positive early-stage breast cancer treated with adjuvant trastuzumab: Benefit outside clinical trial setting HER2阳性早期乳腺癌患者接受辅助曲妥珠单抗治疗的长期结局数据:临床试验外的获益
Pub Date : 2018-07-07 DOI: 10.33582/2640-8198/1002
Quintyne Ki, B Woulfe, Coffey Jc, Gupta Rk
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引用次数: 0
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Annals of breast cancer and therapy
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