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三阴性乳腺癌的当前治疗模式。

Current treatment paradigms for triple-negative breast cancer.

作者信息

Yadav Sumeet K, Leon-Ferre Roberto A

机构信息

Department of Hospital Internal Medicine, Mayo Clinic Health System, Mankato, MN, USA -

Department of Oncology, Mayo Clinic, Rochester, MN, USA.

出版信息

Minerva Med. 2024 Oct;115(5):589-598. doi: 10.23736/S0026-4806.24.09458-8. Epub 2024 Jul 17.

Abstract

Triple negative breast cancer (TNBC) accounts for 15% of all breast cancers and is characterized by more aggressive biology, significant disease heterogeneity, and worse clinical outcomes. In recent years, improved understanding of TNBC tumor biology and its heterogeneity have led to the identification of new molecular targets, opening avenues for novel treatment strategies. Clinical trials evaluating immunotherapy, poly-ADP ribose polymerase (PARP) inhibitors, and antibody drug conjugates have shown improvement in clinical outcomes, leading to their incorporation to the treatment options available for patients with TNBC. This review aimed to provide the internal medicine specialist and primary care provider with a comprehensive overview of the current systemic therapy approaches for TNBC and introduce clinicians to novel therapies that have recently been added to the treatment armamentarium against this disease.

摘要

三阴性乳腺癌(TNBC)占所有乳腺癌的15%,其生物学行为更具侵袭性,疾病异质性显著,临床结局较差。近年来,对TNBC肿瘤生物学及其异质性的深入了解促使人们发现了新的分子靶点,为新型治疗策略开辟了道路。评估免疫疗法、聚ADP核糖聚合酶(PARP)抑制剂和抗体药物偶联物的临床试验已显示出临床结局的改善,从而使其被纳入TNBC患者的可用治疗方案中。本综述旨在为内科专科医生和初级保健提供者全面概述TNBC目前的全身治疗方法,并向临床医生介绍最近已添加到针对该疾病的治疗手段中的新型疗法。

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