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早期乳腺癌的基因表达特征:与临床病理特征相结合更好。

Gene expression signatures in early breast cancer: Better together with clinicopathological features.

机构信息

Grupo Oncoclínicas (GOC), Centro Paulista de Oncologia (CPO) - Unidade Faria Lima, Av. Brigadeiro Faria Lima, 4300, São Paulo, SP 04538-132, Brazil.

Grupo Oncoclínicas (GOC), Centro Paulista de Oncologia (CPO) - Unidade Faria Lima, Av. Brigadeiro Faria Lima, 4300, São Paulo, SP 04538-132, Brazil.

出版信息

Crit Rev Oncol Hematol. 2022 Jul;175:103708. doi: 10.1016/j.critrevonc.2022.103708. Epub 2022 May 14.

DOI:10.1016/j.critrevonc.2022.103708
PMID:35580764
Abstract

Breast cancer (BC) is a highly heterogeneous disease, characterized by a variety of subtypes with distinct biological, molecular, and clinical behavior. Standard clinicopathological and tumor biology information (as assessed by gene expression signatures-GES), have provided enhanced prognostic and predictive information in both node-negative(N0) and positive(N +), hormonal receptor positive/human epidermal growth factor 2 negative (HR+/HER2-) early breast cancer (EBC). Herein, we comprehensively review the clinical data of 5 commonly used GES, namely, Oncotype DX(ODX)®; MammaPrint (MP)®; Prosigna®; Breast Cancer Index (BCI)® and Endopredict® - with sections specifically addressing the role of GES in special histologic subtypes, premenopausal women, late recurrence and adjuvant treatment de-escalation.

摘要

乳腺癌(BC)是一种高度异质性的疾病,其特点是存在多种具有不同生物学、分子和临床行为的亚型。标准的临床病理和肿瘤生物学信息(通过基因表达谱评估-GES),为淋巴结阴性(N0)和阳性(N+)、激素受体阳性/人表皮生长因子 2 阴性(HR+/HER2-)早期乳腺癌(EBC)患者提供了增强的预后和预测信息。在此,我们全面回顾了 5 种常用 GES 的临床数据,即 Oncotype DX(ODX)®;MammaPrint(MP)®;Prosigna®;Breast Cancer Index(BCI)®和 Endopredict® - 特别针对 GES 在特殊组织学亚型、绝经前妇女、晚期复发和辅助治疗降级中的作用进行了介绍。

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