Niess-Gain Professor of Surgery, Alvin J. Siteman Cancer Center and Department of Surgery, Washington University School of Medicine and Barnes-Jewish Hospital, St. Louis, MO.
CA Cancer J Clin. 2014 May-Jun;64(3):186-94. doi: 10.3322/caac.21225. Epub 2014 Mar 19.
Despite recent calls to intensify the search for new risk factors for breast cancer, acting on information that we already have could prevent thousands of cases each year. This article reviews breast cancer primary prevention strategies that are applicable to all women, discusses the underutilization of chemoprevention in high-risk women, highlights the additional advances that could be made by including young women in prevention efforts, and comments on how the molecular heterogeneity of breast cancer affects prevention research and strategies.
尽管最近有人呼吁加强寻找乳腺癌新的风险因素,但利用我们已经掌握的信息就可以每年预防数千例病例。本文综述了适用于所有女性的乳腺癌一级预防策略,讨论了在高危女性中化学预防的利用不足,强调了通过将年轻女性纳入预防措施可以取得的额外进展,并就乳腺癌的分子异质性如何影响预防研究和策略发表了评论。