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分子谱分析对乳腺癌治疗管理的影响

Impact of Molecular Profiling on Therapy Management in Breast Cancer.

作者信息

Ultimescu Flavia, Hudita Ariana, Popa Daniela Elena, Olinca Maria, Muresean Horatiu Alin, Ceausu Mihail, Stanciu Diana Iuliana, Ginghina Octav, Galateanu Bianca

机构信息

OncoTeam Diagnostic S.A., 010719 Bucharest, Romania.

Doctoral School of Medicine, "Carol Davila" University of Medicine and Pharmacy Bucharest, 050474 Bucharest, Romania.

出版信息

J Clin Med. 2024 Aug 23;13(17):4995. doi: 10.3390/jcm13174995.

Abstract

Breast cancer (BC) remains the most prevalent cancer among women and the leading cause of cancer-related mortality worldwide. The heterogeneity of BC in terms of histopathological features, genetic polymorphisms, and response to therapies necessitates a personalized approach to treatment. This review focuses on the impact of molecular profiling on therapy management in breast cancer, emphasizing recent advancements in next-generation sequencing (NGS) and liquid biopsies. These technologies enable the identification of specific molecular subtypes and the detection of blood-based biomarkers such as circulating tumor cells (CTCs), circulating tumor DNA (ctDNA), and tumor-educated platelets (TEPs). The integration of molecular profiling with traditional clinical and pathological data allows for more tailored and effective treatment strategies, improving patient outcomes. This review also discusses the current challenges and prospects of implementing personalized cancer therapy, highlighting the potential of molecular profiling to revolutionize BC management through more precise prognostic and therapeutic interventions.

摘要

乳腺癌(BC)仍然是全球女性中最常见的癌症,也是癌症相关死亡的主要原因。乳腺癌在组织病理学特征、基因多态性以及对治疗的反应方面存在异质性,因此需要个性化的治疗方法。本综述重点关注分子谱分析对乳腺癌治疗管理的影响,强调了下一代测序(NGS)和液体活检的最新进展。这些技术能够识别特定的分子亚型,并检测基于血液的生物标志物,如循环肿瘤细胞(CTC)、循环肿瘤DNA(ctDNA)和肿瘤诱导血小板(TEP)。将分子谱分析与传统临床和病理数据相结合,可以制定更具针对性和有效性的治疗策略,改善患者预后。本综述还讨论了实施个性化癌症治疗目前面临的挑战和前景,强调了分子谱分析通过更精确的预后和治疗干预彻底改变乳腺癌管理的潜力。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f16c/11396537/6973f1be609d/jcm-13-04995-g001.jpg

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