Conţinutul numărului revistei |
Articolul precedent |
Articolul urmator |
843 3 |
Ultima descărcare din IBN: 2024-04-07 12:53 |
Căutarea după subiecte similare conform CZU |
618.19-006-08 (14) |
Științe medicale. Medicină (11136) |
SM ISO690:2012 FULGA, Veaceslav. Epidemiologia chimiorezistenţei in terapia cancerului mamar . In: Curierul Medical, 2015, nr. 3(58), pp. 54-57. ISSN 1875-0666. |
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Curierul Medical | ||||||
Numărul 3(58) / 2015 / ISSN 1875-0666 | ||||||
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CZU: 618.19-006-08 | ||||||
Pag. 54-57 | ||||||
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Background: Breast cancer is the most common cancer and the leading cause of cancer death in women. Despite advances in early detection and
the understanding of the molecular bases of breast cancer biology, about 30% of patients with primary breast cancer have recurrent disease. The rates of
local and systemic recurrence vary within different studies, but distant recurrences are dominant. In order to offer more effective and less toxic treatment,
the selection of therapies requires considering the clinical and molecular characteristics of the tumor. Nowadays, systemic treatment of breast cancer
includes cytotoxic, hormonal and immunotherapeutic agents. These medications are used in the adjuvant, neoadjuvant, and metastatic settings. In general,
systemic agents are active at the beginning of therapy in 90% of primary breast cancers and 50% of cases with metastases. However, after a variable period
of time, progression occurs. So, resistance to therapy is not only common, but also expected. The aim of this article was to review general mechanisms
of drug resistance, including multidrug resistance by P-glycoprotein, emergence of refractory tumors associated with multiple resistance mechanisms
and resistance factors characteristic to host-tumor-drug interactions. The most important anticancer agents specific to breast cancer are described.
Conclusions: In spite of multiple studies and different schemes of chemotherapy, 30% of patients with early diagnosed mammary carcinomas develop
recurrences during disease history. The majority of recurrences are developing in cases with lymph node metastases. Treatment resistance is caused
by multiple factors, is frequently unforeseeable and the most important reason of its development is existence of multiple subtypes of breast carcinoma. |
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Cuvinte-cheie breast carcinoma, therapy, resistance. |
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