Breast Cancer Patients: Who Would Benefit from Neoadjuvant Chemotherapies?

被引:8
|
作者
Yao, Liqin [1 ]
Jia, Gang [2 ]
Lu, Lingeng [3 ,4 ,5 ]
Ma, Wenxue [6 ]
机构
[1] Huzhou Univ, Affiliated Hosp 1, Sch Med, Dept Breast & Thyroid Surg, Huzhou 313000, Peoples R China
[2] Peoples Hosp Zhengzhou Univ, Henan Prov Peoples Hosp, Dept Med Oncol, Zhengzhou 450003, Peoples R China
[3] Yale Sch Publ Hlth, Sch Med, Dept Chron Dis Epidemiol, New Haven, CT 06520 USA
[4] Yale Univ, Yale Canc Ctr, 60 Coll St, New Haven, CT 06520 USA
[5] Yale Univ, Ctr Biomed Data Sci, 60 Coll St, New Haven, CT 06520 USA
[6] Univ Calif San Diego, Sanford Stem Cell Clin Ctr, Moores Canc Ctr, Dept Med, La Jolla, CA 92093 USA
关键词
breast cancer; cytotoxic T lymphocytes (CTLs); Human Leukocyte Antigen-DR (HLA-DR); neoadjuvant chemotherapy (NACT); pathologic complete response (pCR); tumor-infiltrating lymphocytes (TILs); RECURRENCE SCORE; HLA-DR; EXPRESSION; LYMPHOCYTES; MACROPHAGES; ACTIVATION; WOMEN;
D O I
10.3390/curroncol29070389
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Neoadjuvant chemotherapy (NACT) was developed with the aims of shrinking tumors or stopping cancer cells from spreading before surgery. Unfortunately, not all breast cancer patients will benefit from NACT, and thus, patients must weigh the risks and benefits of treatment prior to the initiation of therapy. Currently, the data for predicting the efficacy of NACT is limited. Molecular testing, such as Oncotype DX, MammaPrint, and Curebest 95GC, have been developed to assist which breast cancer patients will benefit from the treatment. Patients with an increased level of Human Leukocyte Antigen-DR isotype, tumor-infiltrating lymphocytes, Fizzy-related protein homolog, and a decreased level of tumor-associated macrophages appear to benefit most from NACT.
引用
收藏
页码:4902 / 4913
页数:12
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