中国癌症杂志 ›› 2019, Vol. 29 ›› Issue (12): 971-976.doi: 10.19401/j.cnki.1007-3639.2019.12.009

• 综述 • 上一篇    下一篇

精准医学时代三阴性乳腺癌治疗的研究进展

曹晓珊  综述 ,丛斌斌  审校   

  1. 山东省肿瘤防治研究院(山东省肿瘤医院),山东第一医科大学(山东省医学科学院),乳腺病中心,山东 济南,250117
  • 出版日期:2019-12-30 发布日期:2020-01-08
  • 通信作者: 丛斌斌 E-mail: congbinbinbin@126.com

The progress of treatment for triple-negative breast cancer in the era of precision medicine

CAO Xiaoshan, CONG Binbin   

  1. Department of Breast Cancer Center, Shandong Cancer Hospital and Institute, Shandong First Medical University and Shandong Academy of Medical Science, Jinan 250117, Shandong Province, China
  • Published:2019-12-30 Online:2020-01-08
  • Contact: CONG Binbin E-mail: congbinbinbin@126.com

摘要: 三阴性乳腺癌(triple-negative breast cancer,TNBC)是指雌激素受体、孕激素受体、人表皮生长因子受体2表达均为阴性的乳腺癌,占所有乳腺癌病理学类型的10%~20%。TNBC术后近期复发率较高,易发生内脏转移,尤其是肺和脑的转移,且晚期化疗效果欠佳。与其他亚型乳腺癌比较,TNBC恶性程度高,预后差,一直是临床研究关注的重点和难点。而在精准医学时代基因检测技术的应用,TNBC的分类更加准确,出现了针对不同靶点的靶向治疗和针对免疫检查点的免疫治疗等多种治疗手段,现就TNBC治疗的研究进展进行综述。

关键词: 三阴性乳腺癌, 精准医学, 靶向治疗, 免疫治疗

Abstract:  Triple-negative breast cancer (TNBC) is histologically defined by a lack of estrogen receptor and progesterone receptor expression and the absence of human epidermal growth factor receptor 2 overexpression and/or amplification, accounting for 10%-20% of all diagnosed breast cancers. As a group, patients with TNBC have a relatively poor outcome, including high incidence of relapse, early metastasis and poor effect of chemotherapy in advanced stage, and are more prone to visceral metastasis, especially lung and brain metastases. Compared with other subtypes of breast cancer, TNBC are frequently of higher histologic grade and poorer prognosis, which has always been the focus and difficulty of clinical research. In the era of precision medicine, with the application of gene detection technology, the classification of TNBC is more accurate, and there are many kinds of treatment, such as targeted therapy and immunotherapy. This review described the latest development in TNBC.

Key words: Triple-negative breast cancer, Precision medicine, Targeted therapy, Immunotherapy