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乳腺癌:发病机制与治疗方法

Breast cancer: pathogenesis and treatments.

作者信息

Xiong Xin, Zheng Le-Wei, Ding Yu, Chen Yu-Fei, Cai Yu-Wen, Wang Lei-Ping, Huang Liang, Liu Cui-Cui, Shao Zhi-Ming, Yu Ke-Da

机构信息

Department of Breast Surgery, Key Laboratory of Breast Cancer in Shanghai, Cancer Institute, Fudan University Shanghai Cancer Center, Department of Oncology, Shanghai Medical College, Fudan University, Shanghai, P. R. China.

Department of Breast and Thyroid, Guiyang Maternal and Child Health Care Hospital & Guiyang Children's Hospital, Guiyang, P. R. China.

出版信息

Signal Transduct Target Ther. 2025 Feb 19;10(1):49. doi: 10.1038/s41392-024-02108-4.

Abstract

Breast cancer, characterized by unique epidemiological patterns and significant heterogeneity, remains one of the leading causes of malignancy-related deaths in women. The increasingly nuanced molecular subtypes of breast cancer have enhanced the comprehension and precision treatment of this disease. The mechanisms of tumorigenesis and progression of breast cancer have been central to scientific research, with investigations spanning various perspectives such as tumor stemness, intra-tumoral microbiota, and circadian rhythms. Technological advancements, particularly those integrated with artificial intelligence, have significantly improved the accuracy of breast cancer detection and diagnosis. The emergence of novel therapeutic concepts and drugs represents a paradigm shift towards personalized medicine. Evidence suggests that optimal diagnosis and treatment models tailored to individual patient risk and expected subtypes are crucial, supporting the era of precision oncology for breast cancer. Despite the rapid advancements in oncology and the increasing emphasis on the clinical precision treatment of breast cancer, a comprehensive update and summary of the panoramic knowledge related to this disease are needed. In this review, we provide a thorough overview of the global status of breast cancer, including its epidemiology, risk factors, pathophysiology, and molecular subtyping. Additionally, we elaborate on the latest research into mechanisms contributing to breast cancer progression, emerging treatment strategies, and long-term patient management. This review offers valuable insights into the latest advancements in Breast Cancer Research, thereby facilitating future progress in both basic research and clinical application.

摘要

乳腺癌具有独特的流行病学模式和显著的异质性,仍然是女性恶性肿瘤相关死亡的主要原因之一。乳腺癌日益细化的分子亚型提高了对该疾病的理解和精准治疗水平。乳腺癌的发生和发展机制一直是科学研究的核心,研究涵盖了肿瘤干性、肿瘤内微生物群和昼夜节律等多个方面。技术进步,特别是与人工智能相结合的技术,显著提高了乳腺癌检测和诊断的准确性。新型治疗理念和药物的出现代表了向个性化医学的范式转变。有证据表明,根据个体患者风险和预期亚型量身定制的最佳诊断和治疗模式至关重要,这支持了乳腺癌精准肿瘤学时代的发展。尽管肿瘤学取得了快速进展,且越来越强调乳腺癌的临床精准治疗,但仍需要对与该疾病相关的全景知识进行全面更新和总结。在本综述中,我们全面概述了乳腺癌的全球现状,包括其流行病学、危险因素、病理生理学和分子分型。此外,我们详细阐述了对乳腺癌进展机制、新兴治疗策略和长期患者管理的最新研究。本综述为乳腺癌研究的最新进展提供了有价值的见解,从而促进基础研究和临床应用的未来发展。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a4dd/11836418/b2877c1a0390/41392_2024_2108_Fig1_HTML.jpg

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