Medical Oncology Department, University of Colorado Health Sciences Center, Aurora, 80045-0508, USA.
Am J Clin Oncol. 2010 Dec;33(6):637-45. doi: 10.1097/COC.0b013e3181b8afcf.
This review describes the pathology, prognosis, current treatment options, and future directions for the management of patients with triple-negative breast cancer. "Triple-negative" tumors lack expression of estrogen and progesterone receptors, and HER2. The subtype comprises some 15% of all breast cancers, with tumors of a typically larger size and higher grade. Clinically, triple-negative breast cancer has a relatively high rate of recurrence and distant metastasis, and poor overall survival. The standard of care is chemotherapy, although recent research suggests a sound rationale for the use of targeted agents with antitumor and/or antiangiogenic activity such as receptor tyrosine kinase inhibitors.
这篇综述描述了三阴性乳腺癌的病理学、预后、当前治疗选择以及未来的管理方向。“三阴性”肿瘤缺乏雌激素和孕激素受体以及 HER2 的表达。该亚型约占所有乳腺癌的 15%,肿瘤通常体积较大,分级较高。临床上,三阴性乳腺癌的复发和远处转移率相对较高,整体生存率较差。标准治疗方法是化疗,尽管最近的研究表明,使用具有抗肿瘤和/或抗血管生成活性的靶向药物(如受体酪氨酸激酶抑制剂)具有合理的依据。