Hormone receptor-positive early breast cancer in young women: A comprehensive review

被引:4
作者
Walbaum, Benjamin [1 ,2 ,3 ]
Garcia-Fructuoso, Isabel [1 ,2 ]
Martinez-Saez, Olga [1 ,2 ]
Schettini, Francesco [1 ,2 ]
Sanchez, Cesar [3 ,4 ]
Acevedo, Francisco [3 ,4 ]
Chic, Nuria [1 ,2 ]
Munoz-Carrillo, Javier [2 ]
Adamo, Barbara [1 ,2 ]
Munoz, Montserrat [1 ,2 ,7 ]
Partridge, Ann H. [5 ,6 ,7 ]
Bellet, Meritxell [8 ,9 ]
Braso-Maristany, Fara [1 ,10 ,11 ]
Prat, Aleix [1 ,10 ,11 ,12 ,13 ]
Vidal, Maria [1 ,2 ,11 ,12 ,13 ]
机构
[1] Hosp Clin Barcelona, August Pi I Sunyer Biomed Res Inst, Dept Med Oncol, Translat Genom & Targeted Therapies Solid Tumors G, Barcelona, Spain
[2] Hosp Clin Barcelona, Dept Med Oncol, Barcelona, Spain
[3] Pontificia Univ Catolica Chile, Dept Med Oncol, Santiago, Chile
[4] Univ Catolica Chile, Fac Med, Santiago, Chile
[5] Dana Farber Canc Inst, Dept Med Oncol, Boston, MA USA
[6] Dana Farber Brigham Canc Ctr, Breast Oncol Program, Boston, MA USA
[7] Harvard Med Sch, Boston, MA USA
[8] Vall dHebron Univ Hosp, Oncol Dept, Breast Canc Unit, Barcelona, Spain
[9] Vall dHebron Inst Oncol, Barcelona, Spain
[10] Hosp Clin Barcelona, Inst Canc & Blood Disorders, Barcelona, Spain
[11] Reveal Genom, Barcelona, Spain
[12] Hosp Quironsalud, Inst Oncol IOB, Barcelona, Spain
[13] Univ Barcelona, Fac Med & Hlth Sci, Barcelona, Spain
关键词
Young women; Early breast cancer; Hormone receptor-positive; Biomarkers; Prognosis; Genomic-signatures; INTERNATIONAL CONSENSUS GUIDELINES; ENDOCRINE THERAPY; PREMENOPAUSAL PATIENTS; FERTILITY PRESERVATION; ADJUVANT CHEMOTHERAPY; MOLECULAR PORTRAITS; OVARIAN SUPPRESSION; TAMOXIFEN; DIAGNOSIS; AGE;
D O I
10.1016/j.ctrv.2024.102804
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
The incidence of breast cancer in <= 40 yr-old women (YWBC) has been steadily increasing in recent decades. Although this group of patients represents less than 10 % of all newly diagnosed BC cases it encompasses a significant burden of disease. Usually underrepresented in clinical trials, YWBCs are also characterized by late diagnoses and poorly differentiated, aggressive-subtype disease, partly explaining its poor prognosis along with a high recurrence risk, and high mortality rates. On the other hand, YWBC treatment poses unique challenges such as preservation of fertility, and long-term toxicity and adverse events. Herein, we summarize the current evidence in hormone receptor-positive YWBC including specific risk factors, clinicopathologic and genomic features, and available evidence on response to chemotherapy and endocrine therapy. Overall, we advocate for a more comprehensive multidisciplinary healthcare model to improve the outcomes and the quality of life of this subset of younger patients.
引用
收藏
页数:12
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