2021
DOI: 10.3390/diagnostics11091555
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Breast Cancer Heterogeneity

Abstract: Breast tumor heterogeneity is a major challenge in the clinical management of breast cancer patients. Both inter-tumor and intra-tumor heterogeneity imply that each breast cancer (BC) could have different prognosis and would benefit from specific therapy. Breast cancer is a dynamic entity, changing during tumor progression and metastatization and this poses fundamental issues to the feasibility of a personalized medicine approach. The most effective therapeutic strategy for patients with recurrent disease shou… Show more

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Cited by 28 publications
(30 citation statements)
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References 89 publications
(99 reference statements)
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“…Breast cancer, as the most commonplace tumor in female population, has a very strong time variant tumor metastasis and spatial heterogeneity associated with genotype and phenotypic differences, leading to a continuous change in the evaluation and treatment process of breast cancer ( Fumagalli and Barberis, 2021 ).…”
Section: Anticancer Effectsmentioning
confidence: 99%
“…Breast cancer, as the most commonplace tumor in female population, has a very strong time variant tumor metastasis and spatial heterogeneity associated with genotype and phenotypic differences, leading to a continuous change in the evaluation and treatment process of breast cancer ( Fumagalli and Barberis, 2021 ).…”
Section: Anticancer Effectsmentioning
confidence: 99%
“…HER2/erbB2 oncogene overexpression or amplification occurs in ~20% of BC patients, representing a negative prognostic factor, as HER2-positive BC is characterized by more aggressive tumor behavior ( 130 , 131 ). Moreover, HER2 expression may vary between the primary tumor and metastatic lesions (intra-tumor or temporal heterogeneity), with discordant expression rates between 4 and 16% for HER2 expressions, affecting tumor behavior and response to treatment ( 132 ). Finally, HER expression may also change during treatment.…”
Section: Molecular Imaging Of Receptorsmentioning
confidence: 99%
“…The main barrier to advancing BC treatment is the complex heterogeneity of breast tumors ( 66 ). For BC diagnosis, a solid biopsy is a well-established technique in clinics that provides information about tumor histology and subtype.…”
Section: Liquid Biopsy In Breast Cancermentioning
confidence: 99%