Breast cancer radiotherapy: What physicians need to know in the era of the precision medicine
Autor: | Felipe Couñago Lorenzo, Ana Aurora Díaz-Gavela, David Sanz Rosa, Luis Leonardo Guerrero, Elia del Cerro Peñalver, Sofía Sanchez García |
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Rok vydání: | 2021 |
Předmět: |
0301 basic medicine
Cancer Research medicine.medical_specialty medicine.medical_treatment Breast Neoplasms Context (language use) 03 medical and health sciences 0302 clinical medicine Breast cancer Radioterapia Need to know Physicians Surveys and Questionnaires medicine Humans Medical physics Radioquímica Breast Meaning (existential) Precision Medicine Medicina de precisión Neoplasm Staging Education Medical business.industry Cancer General Medicine Cáncer Precision medicine medicine.disease Radiation therapy Natural history 030104 developmental biology Oncology 030220 oncology & carcinogenesis Neoplasias de la mama Female business |
Zdroj: | Breast Disease. 40:1-16 |
ISSN: | 1558-1551 0888-6008 |
DOI: | 10.3233/bd-201022 |
Popis: | Breast cancer is the most common cancer in women worldwide and encompasses a broad spectrum of diseases in one with significant epidemiological, clinical, and biological heterogeneity, which determines a different natural history and prognostic profile. Although classical tumour staging (TNM) still provides valuable information, the current reality is that the clinicians must consider other biological and molecular factors that directly influence treatment decision-making. The management of breast cancer has changed radically in the last 15 years due to significant advances in our understanding of these tumours. This knowledge has brought with it a major impact regarding surgical and systemic management and has been practice-changing, but it has also created significant uncertainties regarding how best integrate the radiotherapy treatment into the therapeutic scheme. In parallel, radiotherapy itself has also experienced major advances, new radiobiological concepts have emerged, and genomic data and other patient-specific factors must now be integrated into individualised treatment approaches. In this context, “precision medicine” seeks to provide an answer to these open questions and uncertainties. The aim of the present review is to clarify the meaning of this term and to critically evaluate its role and impact on contemporary breast cancer radiotherapy. Sin financiación No data JCR 2021 0.269 SJR (2021) Q3, 1780/2489 Medicine (miscellaneous) No data IDR 2021 UEM |
Databáze: | OpenAIRE |
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