2010, Número 4
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Rev Esp Med Quir 2010; 15 (4)
Cáncer de mama triple negativo, estado actual
Olaya GEJ
Idioma: Español
Referencias bibliográficas: 81
Paginas: 228-236
Archivo PDF: 91.56 Kb.
RESUMEN
El cáncer de mama es el más frecuente en las mujeres, se han hecho múltiples esfuerzos para clasificarlo con base en su perfil genético y el perfil de tinción de inmunohistoquímica. El cáncer de mama triple negativo se define por su falta de expresión a receptores de estrógeno, receptores de progesterona y receptor del factor de crecimiento epidérmico humano 2. Representa 15% de todos los cánceres de mama y son más frecuentes en mujeres premenopáusicas afroamericanas. Tiene distintas características moleculares, histológicas y clínicas, que incluyen particularmente el mal pronóstico a pesar de su alta sensibilidad a la quimioterapia estándar. Se ha asociado con el llamado cáncer de mama
basal-like por todas las similitudes que guardan entre sí; sin embargo, no son sinónimos, por lo que siguen haciéndose esfuerzos para poder diferenciarlos con técnicas rutinarias de patología. Además de revisar dichas características, nos enfocamos en su tratamiento actual y en las terapias blanco posibles de acuerdo con los defectos moleculares propios de este subgrupo, incluidas las implicaciones de la disfunción del BRCA1.
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