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揭示激素失衡在乳腺癌发生中的作用:一项综述

Unveiling the Role of Hormonal Imbalance in Breast Cancer Development: A Comprehensive Review.

作者信息

Satpathi Shweta, Gaurkar Sagar S, Potdukhe Ashwini, Wanjari Mayur B

机构信息

Internal Medicine, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research, Wardha, IND.

Otolaryngology and Head and Neck Surgery, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research, Wardha, IND.

出版信息

Cureus. 2023 Jul 11;15(7):e41737. doi: 10.7759/cureus.41737. eCollection 2023 Jul.

Abstract

Breast cancer is a complex and multifactorial disease with a significant global impact. Hormonal imbalance has emerged as a crucial factor in breast cancer development, highlighting the importance of understanding the intricate interplay between hormones and breast tissue. This comprehensive review aims to unveil the role of hormonal imbalance in breast cancer by exploring the involvement of key hormones, including estrogen and progesterone, and their receptors in tumor development. The review delves into how hormonal imbalance impacts breast tissue, emphasizing the significance of hormone receptor status in guiding treatment decisions. Furthermore, the review investigates the influence of other hormones, such as insulin and growth factors, and their cross-talk with hormone pathways in breast cancer progression. The implications of hormonal imbalance assessment in breast cancer risk assessment and the importance of hormone testing in diagnosis and treatment decisions are also discussed. Moreover, the review provides an overview of the various hormonal therapies used in breast cancer treatment, their benefits, limitations, and ongoing research efforts to optimize their efficacy and overcome resistance. Future directions in hormonal therapy research, including developing novel therapies and personalized medicine approaches, are explored. This review underscores the need for a comprehensive understanding of hormonal imbalance in breast cancer to enhance prevention, diagnosis, and treatment strategies, ultimately improving outcomes for individuals affected by this disease.

摘要

乳腺癌是一种复杂的多因素疾病,在全球具有重大影响。激素失衡已成为乳腺癌发展的关键因素,凸显了了解激素与乳腺组织之间复杂相互作用的重要性。这篇综述旨在通过探讨关键激素(包括雌激素和孕激素)及其受体在肿瘤发展中的作用,揭示激素失衡在乳腺癌中的作用。该综述深入研究了激素失衡如何影响乳腺组织,强调了激素受体状态在指导治疗决策中的重要性。此外,该综述还研究了其他激素(如胰岛素和生长因子)的影响,以及它们在乳腺癌进展中与激素途径的相互作用。还讨论了激素失衡评估在乳腺癌风险评估中的意义以及激素检测在诊断和治疗决策中的重要性。此外,该综述概述了乳腺癌治疗中使用的各种激素疗法、它们的益处、局限性以及为优化疗效和克服耐药性而正在进行的研究工作。还探讨了激素疗法研究的未来方向,包括开发新疗法和个性化医疗方法。这篇综述强调了全面了解乳腺癌中激素失衡对于加强预防、诊断和治疗策略的必要性,最终改善受该疾病影响个体的治疗结果。

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