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Precision medicine in breast cancer: reality or utopia?

机译:乳腺癌中的精准医学:现实还是乌托邦?

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摘要

Many cancers, including breast cancer, have demonstrated prognosis and support advantages thanks to the discovery of targeted therapies. The advent of these new approaches marked the rise of precision medicine, which leads to improve the diagnosis, prognosis and treatment of cancer. Precision medicine takes into account the molecular and biological specificities of the patient and their tumors that will influence the treatment determined by physicians. This new era of medicine is accessible through molecular genetics platforms, the development of high-speed sequencers and means of analysis of these data. Despite the spectacular results in the treatment of cancers including breast cancer, described in this review, not all patients however can benefit from this new strategy. This seems to be related to the many genetic mutations, which may be different from one patient to another or within the same patient. It comes to give new impetus to the research—both from a technological and biological point of view—to make the hope of precision medicine accessible to all.
机译:由于发现了靶向疗法,包括乳腺癌在内的许多癌症已显示出预后并具有优势。这些新方法的出现标志着精密医学的兴起,从而改善了癌症的诊断,预后和治疗。精密医学考虑了患者及其肿瘤的分子和生物学特异性,这将影响医师确定的治疗方法。通过分子遗传学平台,高速测序仪的开发以及这些数据的分析手段,可以进入医学的新纪元。尽管本综述描述了在治疗包括乳腺癌在内的多种癌症方面取得了令人瞩目的成果,但并非所有患者都能从这一新策略中受益。这似乎与许多遗传突变有关,这些遗传突变可能因患者而异,也可能在同一患者中有所不同。从技术和生物学的角度来看,它给研究提供了新的动力,从而使所有人都可以使用精确医学的希望。

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