摘要
在雌激素受体阳性的早期乳腺癌患者中,在激素治疗之外加用辅助化疗通常被认为是有问题的。单纯内分泌治疗后的低复发风险和/或对化疗的低敏感性是并不是所有患者都能从化疗中受益的原因。当治疗决策仅仅基于典型的临床组织学特征时,大多数患者可能暴露于不必要的治疗相关不良事件和医疗费用。基因表达谱已被开发,以完善医生的决策过程和定制个性化治疗的患者。特别是,这些检查的设计是为了避免患者不必要治疗的副作用,并确保辅助化疗被正确推荐给早期乳腺癌患者。在这篇综述中,我们将讨论主要的诊断试验及其潜在的临床应用【Oncotype DX(安可待), MammaPrint, PAM50/Prosigna, EndoPredict, MapQuant DX, IHC4,和Theros-Breast Cancer基因表达比测定)。
关键词: 辅助化疗,早期乳腺癌(EBC), Oncotype DX
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