From the National Cancer Institute, Bethesda, MD.
Cancer J. 2021;27(1):76-82. doi: 10.1097/PPO.0000000000000503.
Triple-negative breast cancer (TNBC) accounts for 15% to 20% of breast cancers and has an incidence as high as 50% of brain metastases once patients develop advanced disease. The lack of targeted and effective therapies, characteristic of this subtype of breast cancer, is especially evident once central nervous system (CNS) metastases occur. Compared with other subtypes of breast cancer, TNBC patients have the shorter interval from diagnosis to development of brain metastases and the shorter overall survival once they occur, a median of 4 to 6 months. Preclinical studies of TNBC and CNS microenvironment are actively ongoing, clarifying mechanisms and orienting more effective approaches to therapy. While the first drugs have been specifically approved for use in metastatic TNBC, data on their CNS effect are still awaited.
三阴性乳腺癌(TNBC)占乳腺癌的 15%至 20%,一旦患者出现晚期疾病,其脑转移的发病率高达 50%。这种乳腺癌亚型缺乏靶向和有效的治疗方法,一旦发生中枢神经系统(CNS)转移,这种情况尤其明显。与其他乳腺癌亚型相比,TNBC 患者从诊断到发生脑转移的时间间隔更短,一旦发生脑转移,总生存期更短,中位数为 4 至 6 个月。TNBC 和 CNS 微环境的临床前研究正在积极进行中,这些研究阐明了机制,并为更有效的治疗方法指明了方向。虽然第一批药物已专门批准用于转移性 TNBC,但仍在等待关于其 CNS 作用的数据。