Central Nervous System Metastases from Triple-Negative Breast Cancer: Current Treatments and Future Prospective

被引:26
|
作者
Syriac, Arun Kadamkulam [1 ]
Nandu, Nitish Singh [2 ]
Leone, Jose Pablo [1 ]
机构
[1] Dana Farber Canc Inst, Dept Med Oncol, Boston, MA 02215 USA
[2] Montefiore Med Ctr, Albert Einstein Coll Med, Dept Hosp & Palliat Med, Bronx, NY 10467 USA
来源
关键词
triple-negative breast cancer; metastatic disease; brain metastasis; prognosis clinical outcomes; immunotherapy; stereotactic radiosurgery; whole-brain radiation therapy; antibody-drug conjugate; oligometastatic brain metastasis; clinical outcomes; prediction; prognosis; personalization; multi-omics; machine learning; individualized treatment algorithms; patient benefits; WHOLE-BRAIN RADIOTHERAPY; GRADED PROGNOSTIC ASSESSMENT; PHASE-III TRIAL; FRONT-LINE CHEMOTHERAPY; CELL LUNG-CARCINOMA; SACITUZUMAB GOVITECAN; SURGICAL RESECTION; MALIGNANT-MELANOMA; DOUBLE-BLIND; CAPECITABINE;
D O I
10.2147/BCTT.S274514
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
It is estimated that approximately one-third of patients with triple-negative breast cancer (TNBC) will develop brain metastases. The prognosis for patients with breast cancer brain metastasis has improved in the recent past, especially for hormone receptor and human epidermal growth factor receptor 2 (HER) positive subtypes. However, the overall survival rate for patients with triple-negative subtype remains poor. The development of newer treatment options, including antibody-drug conjugates such as Sacituzumab govitecan, is particularly encouraging. This article reviews the clinical outcomes, challenges, and current approach to the treatment of brain metastasis in TNBC. We have also briefly discussed newer treatment options and ongoing clinical trials. The development of brain metastasis significantly decreases the quality of life of patients with TNBC, and newer treatment strategies and therapeutics are the need of the hour for this disease subgroup.
引用
收藏
页码:1 / 13
页数:13
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