Bourgier C, Heymann S, Vielh P, Azria D
Service radiothérapie A, département d'oncologie radiothérapie, institut de cancérologie Gustave-Roussy, 114, rue Édouard-Vaillant, 94805 Villejuif, France.
Cancer Radiother. 2012 Feb;16(1):29-33. doi: 10.1016/j.canrad.2011.07.247. Epub 2012 Jan 21.
Breast cancer treatment guidelines are based on usual prognostic factors such as size, histological grade, axillar lymph node involvement, expression of hormonal receptors. The intrinsic molecular classification is giving additional information over clinical and pathological features. Predictive models for systemic relapse have been established and are currently under clinical investigation to determine precisely when chemotherapy is needed. This review will look after the implications of this classification in terms of radiobiology: on one hand, we will look if this classification helps for loco-regional relapse prediction and on the other hand, if it is able to change the radiotherapy schedule within the molecular classification.
乳腺癌治疗指南基于一些常见的预后因素,如肿瘤大小、组织学分级、腋窝淋巴结受累情况、激素受体表达等。内在分子分类为临床和病理特征提供了额外信息。已经建立了系统性复发的预测模型,目前正在进行临床研究以精确确定何时需要化疗。本综述将探讨这种分类在放射生物学方面的影响:一方面,我们将研究这种分类是否有助于局部区域复发预测;另一方面,它是否能够在分子分类内改变放疗方案。