Rethinking breast cancer follow-up based on individual risk and recurrence management

被引：37

作者：

De Rose, Fiorenza ^{[1
]}

Meduri, Bruno ^{[2
]}

De Santis, Maria Carmen ^{[3
]}

Ferro, Antonella ^{[4
]}

Marino, Lorenza ^{[5
]}

Colciago, Riccardo Ray ^{[3
]}

Gregucci, Fabiana ^{[6
]}

Vanoni, Valentina ^{[1
]}

Apolone, Giovanni ^{[7
]}

Di Cosimo, Serena ^{[8
]}

Delaloge, Suzette ^{[9
]}

Cortes, Javier ^{[10
,11
]}

Curigliano, Giuseppe ^{[12
,13
]}

机构：

[1] Santa Chiara Hosp, Dept Radiat Oncol, Trento, Italy

[2] Univ Hosp Modena, Dept Radiat Oncol, Modena, Italy

[3] Fdn IRCCS Ist Nazl Tumori, Dept Radiat Oncol, Milan, Italy

[4] Santa Chiara Hosp, Dept Med Oncol, Trento, Italy

[5] Humanitas Ist Clin Catanese, Dept Radiat Oncol, Misterbianco, CT, Italy

[6] F Miulli Gen Reg Hosp, Dept Radiat Oncol, Bari, Italy

[7] Fdn IRCCS Ist Nazl Tumori, Sci Directorate, Milan, Italy

[8] Fdn IRCCS Ist Nazl Tumori, Dept Appl Res & Technol Dev, Via Giovanni Antonio Amadeo 42, I-20100 Milan, Italy

[9] Gustave Roussy, Dept Canc Med, Villejuif, France

[10] Int Breast Canc Ctr IBCC, Med Oncol Dept, Quirosalud Grp, Barcelona, Spain

[11] Univ Europea Madrid, Fac Biomed & Hlth Sci, Dept Med, Madrid, Spain

[12] Univ Milan, European Inst Oncol, IRCCS, Milan, Italy

[13] Univ Milan, Dept Oncol & Hematooncol, Milan, Italy

来源：

CANCER TREATMENT REVIEWS | 2022年 / 109卷

关键词：

Breast cancer; Follow-up; Recurrence; Oligometastatic disease; Personalized treatment; Liquid biopsy; BODY RADIATION-THERAPY; DOUBLE-BLIND; INTERSTITIAL BRACHYTHERAPY; OLIGOMETASTATIC DISEASE; TUMOR RECURRENCE; STAGE; CARE; DIAGNOSIS; SURVIVAL; CHEMOTHERAPY;

D O I：

10.1016/j.ctrv.2022.102434

中图分类号：

R73 [肿瘤学];

学科分类号：

100214 ;

摘要：

Current follow-up policies for early breast cancer aim to detect loco-regional recurrences and manage treatment -related adverse effects. Their "one size fits all" approach does not take into account differences in subtypes at initial diagnosis, individual prognosis and treatments received. They are derived from clinical trials conducted when early detection means -other than mammography -and treatment options were limited. Herein, we address the arguments for re-evaluating current breast cancer follow-up strategies starting from recent advances in breast cancer local and systemic treatments and discussing individual risk of recurrence prediction models, time-adapted imaging and biomarker assessment for disease diagnostic anticipation. This change in perspective would transform breast cancer follow-up into an integrated, multidisciplinary team medical practice. Hence we discuss the important role of patient-centered approaches, but also of general practitioners and other health professionals, in the final promotion of personalized surveillance programs and patient education.

引用

页数：11

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