The Management of Metastatic Triple-Negative Breast Cancer: An Integrated and Expeditionary Approach

Author(s): Katarzyna Rygiel * .

DOI: 10.2174/9789815196023123010006

Importance of Biomarker Conversions as “Road Signs” to Manage Women with Metastatic Breast Cancer: How To Use Them for Personalized Care of These Patients?

Pp: 53-64 (12)

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Abstract

SHS investigation development is considered from the geographical and historical viewpoint. 3 stages are described. Within Stage 1 the work was carried out in the Department of the Institute of Chemical Physics in Chernogolovka where the scientific discovery had been made. At Stage 2 the interest to SHS arose in different cities and towns of the former USSR. Within Stage 3 SHS entered the international scene. Now SHS processes and products are being studied in more than 50 countries.

Abstract

During a metastatic progression of breast cancer (BC), and upon application of various antineoplastic therapies, the initial status of biomarkers can be altered. Awareness of changes in hormone receptors (HR) and human epidermal growth factor receptor 2 (HER2) is very important, because they may have an impact on patient management. However, the procedures for monitoring these changes in women with metastatic BC still remain unclear. According to the guidelines for clinical practice from the American Society of Clinical Oncology (ASCO), the reevaluation of metastatic BC lesions, is of great importance, and it has been recommended that the biopsies of multiple metastatic lesions need to be performed. The aim of this chapter is to highlight the role of retesting receptor status in BC metastases and the impact that this approach may have on the selection of therapeutic strategies, in the individualized management plans for patients with metastatic BC. In addition, this chapter concisely presents some novel biomarkers linked with targeted therapies for metastatic BC. 

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