El Hachem Georges, Gombos Andrea, Awada Ahmad
Department of Hematology and Medical Oncology, Saint George Hospital University Medical Center, University of Balamand, Beirut, Lebanon.
Oncology Medicine Department, Institut Jules Bordet, Université Libre de Bruxelles, Brussels, Belgium.
F1000Res. 2019 Apr 30;8. doi: 10.12688/f1000research.17542.1. eCollection 2019.
Breast cancer is a global health issue. For decades, breast cancer was classified into many histological subtypes on the basis of microscopic and immunohistochemical evaluation. The discovery of many key genomic driver events involved in breast cancer carcinogenesis resulted in a better understanding of the tumor biology, the disease heterogeneity and the prognosis leading to the discovery of new modalities of targeted therapies and opening horizons toward a more personalized medicine. In recent years, many therapeutic options emerged in the field of metastatic breast carcinoma, especially for the luminal subtypes. They were able to transform the course of the disease while maintaining quality of life. However, the options are still limited for triple-negative breast cancer, but the better knowledge of its complex biology and the discovery of molecular targets are promising for more efficient novel therapies.
乳腺癌是一个全球性的健康问题。几十年来,乳腺癌是根据显微镜检查和免疫组化评估被分为多种组织学亚型的。许多参与乳腺癌致癌过程的关键基因组驱动事件的发现,使人们对肿瘤生物学、疾病异质性和预后有了更好的理解,从而发现了新的靶向治疗方式,并为更个性化的医学开辟了前景。近年来,转移性乳腺癌领域出现了许多治疗选择,尤其是对于管腔亚型。它们能够改变疾病进程,同时维持生活质量。然而,三阴性乳腺癌的治疗选择仍然有限,但对其复杂生物学的更深入了解以及分子靶点的发现,有望带来更有效的新型疗法。