Critical evaluation of prognostic factors.

Abstract:

:The ability to predict the biological behavior of breast tumors can allow selection of the optimum treatment and follow-up strategies. Conventionally, tumor size, lymph node metastases, and histopathologic features have been used to determine the risk of systemic relapse. The discovery of a number of specific genetic and biochemical alterations in breast tumors has led to the molecular era of prognostic factors. Many of these molecular changes are determinants of relevant biological characteristics of malignancy, ie, dyregulated proliferation, invasion, and metastases. Preliminary data suggest that they may provide a better determination of the risk of relapse than can be ascertained by conventional prognostic factors alone. For example, amplification/overexpression of HER-2/neu oncogene has been shown to be a marker of increased risk of relapse after locoregional therapy of breast cancer. More recent studies have shown that it may also play a role in determining sensitivity to chemo-therapeutic drugs. It is expected that a greater understanding of the molecular basis of breast cancer growth regulation will allow a better identification of subjects who should receive systemic therapy and will also allow a better selection of the appropriate systemic therapy regimen.

journal_name

Semin Oncol

journal_title

Seminars in oncology

authors

Dhingra K,Hortobagyi GN

subject

Has Abstract

pub_date

1996-08-01 00:00:00

pages

436-45

issue

4

eissn

0093-7754

issn

1532-8708

journal_volume

23

pub_type

杂志文章,评审
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    authors: Le Chevalier T,Gottfried M

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    authors: Dalton WS

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    pub_type: 杂志文章

    doi:

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    更新日期:1985-09-01 00:00:00

  • Clinicopathologic factors influencing the long-term prognosis following hepatic resection for large hepatocellular carcinoma more than 10 cm in diameter.

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    journal_title:Seminars in oncology

    pub_type: 杂志文章

    doi:

    authors: Noguchi T,Kawarada Y,Kitagawa M,Ito F,Sakurai H,Machishi H,Yamagiwa K,Yokoi H,Mizumoto R

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    doi:

    authors: Markman M

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    doi:

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  • Treatment of chronic myelogenous leukemia with different cytokines.

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    doi:

    authors: Wandl UB,Opalka B,Kloke O,Nagel-Hiemke M,Moritz T,Niederle N

    更新日期:1992-04-01 00:00:00

  • Moving disease biology from the laboratory to the clinic.

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    authors: Binet S,Fellous A,Lataste H,Krikorian A,Couzinier JP,Meininger V

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  • Acute promyelocytic leukemia: recent advances in diagnosis and management.

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  • Metabolic emergencies in the cancer patient.

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    更新日期:2000-06-01 00:00:00

  • Targeted and immune therapies among patients with metastatic renal carcinoma undergoing hemodialysis: A systemic review.

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