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基于患者来源的肿瘤类器官,转移性三阴性乳腺癌病例实现部分缓解。

Partial Response Achieved in a Case of Metastatic Triple-Negative Breast Cancer Based on the Patient-Derived Tumor Organoids.

作者信息

Liu Yang, Liang Shuai, Li Jian

机构信息

Department of Breast Surgery, Shanxi Province Cancer Hospital/Shanxi Hospital Affiliated to Cancer Hospital, Chinese Academy of Medical Sciences/Cancer Hospital Affiliated to Shanxi Medical University, Taiyuan, 030013, People's Republic of China.

出版信息

Int J Womens Health. 2025 Jul 31;17:2395-2400. doi: 10.2147/IJWH.S520867. eCollection 2025.

Abstract

BACKGROUND

The prognosis of triple-negative breast cancer (TNBC) is dismal due to aggressive behaviors. Emergence of patient-derived tumor organoids (PDTOs) allows for biomarker identification and drug screening to identify potential drugs at the patient-specific level. Here, we described a case of metastatic TNBC who obtained partial response in the liver metastatic lesions after treatment with sacituzumab govitecan that was identified highly sensitive by the PDTOs.

CASE PRESENTATION

A 50-year-old woman visited our hospital for re-examination due to over 9 years after surgery for the left breast cancer. In February 2024, she experienced liver metastasis. In combination with medical history and immunohistochemistry results, metastatic TNBC was diagnosed. Based on the PDTO drug sensitivity testing, the patient was treated with highly sensitive sacituzumab govitecan. After 6 cycles of treatment, liver metastatic lesions were reduced partially.

CONCLUSION

In our case of TNBC, partial response is achieved in the liver metastatic lesions after treatment based on the PDTOs, unveiling that the PDTO, a potential companion tool for selection of treatment options, can facilitate the personalized treatment in metastatic TNBC patients to improve the prognosis.

摘要

背景

三阴性乳腺癌(TNBC)因侵袭性强,预后较差。患者来源的肿瘤类器官(PDTOs)的出现使得能够进行生物标志物鉴定和药物筛选,从而在患者个体水平上识别潜在药物。在此,我们描述了一例转移性TNBC患者,在用戈沙妥珠单抗治疗后,其肝脏转移病灶获得了部分缓解,而该药物经PDTOs鉴定为高度敏感。

病例介绍

一名50岁女性因左乳腺癌术后9年余来我院复查。2024年2月,她出现肝脏转移。结合病史和免疫组化结果,诊断为转移性TNBC。基于PDTOs药物敏感性检测,该患者接受了高度敏感的戈沙妥珠单抗治疗。经过6个周期的治疗,肝脏转移病灶部分缩小。

结论

在我们的TNBC病例中,基于PDTOs治疗后肝脏转移病灶获得了部分缓解,这表明PDTO作为一种潜在的辅助工具,可用于选择治疗方案,有助于转移性TNBC患者的个体化治疗,从而改善预后。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cc09/12323790/a7c9072d6abc/IJWH-17-2395-g0001.jpg

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