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03

Tumor Category

乳腺癌

共 24 篇文章

IF 98.4RCT乳腺癌2026-03

5-year results of hypofractionated locoregional radiotherapy in early breast cancer HypoG-01 (UNICANCER): a French multicentre, randomised, non-inferiority, phase 3, open-label, controlled trial.

Rivera S, Ghodssighassemabadi R, Auzac G et al. · Lancet

结论对于需要局部区域放疗的早期乳腺癌患者,3周放疗(15次分次40 Gy)在手臂淋巴水肿风险方面非劣效于5周放疗(25次分次50 Gy)。此外,在其他晚期正常组织效应方面,两种放疗方案的安全性相似,为临床实践提供了新的治疗选择。

PMID: 41794436DOI ↗
IF 56.7CT乳腺癌2026-03

Trastuzumab deruxtecan in hormone receptor-positive, HER2-low/-ultralow metastatic breast cancer (DESTINY-Breast06): outcome analyses by time to progression on prior first-line endocrine therapy with CDK4/6 inhibitor and baseline burden of disease.

Curigliano G, Hu X, Dent R et al. · Ann Oncol

结论这些数据表明,对于既往接受过至少一次内分泌治疗的HR+、HER2低表达/超低表达转移性乳腺癌患者,无论其既往一线内分泌治疗联合CDK4/6i的进展时间、是否存在内分泌抵抗或疾病负荷如何,T-DXd均是一种广泛有效的治疗选择。本研究结果进一步支持了T-DXd在该患者群体中的临床应用价值。

PMID: 41780642DOI ↗
IF 56.7CT乳腺癌2026-03

OPTIMAL: A Multinational Phase III Study of Oral Paclitaxel (DHP107) versus Intravenous Weekly Paclitaxel in HER2-Negative Recurrent or Metastatic Breast Cancer.

Xu B, Jeong H, Sun T et al. · Ann Oncol

结论本研究结果表明,DHP107在HER2阴性乳腺癌患者中显示出与静脉注射紫杉醇非劣效的疗效,且安全性可控。这支持了DHP107作为一种有效且便捷的替代方案,用于HER2阴性乳腺癌的治疗。

PMID: 41833903DOI ↗
IF 51.1CT乳腺癌2026-03

Deep learning on histopathological images to predict breast cancer recurrence risk and chemotherapy benefit: a multicentre, model development and validation study.

Shamai G, Cohen S, Binenbaum Y et al. · Lancet Oncol

结论这些研究结果表明,应用于常规组织病理学的AI模型可以作为指导激素受体阳性、HER2阴性早期乳腺癌化疗决策的实用且可扩展的工具。这种方法有望减少不必要的化疗,并扩大精准肿瘤学的可及性,尤其是在基因组检测不可用或负担不起的资源有限地区。

PMID: 41831466DOI ↗
IF 45.3CT乳腺癌2026-03

VIKTORIA-1 Trial of Gedatolisib Plus Fulvestrant With or Without Palbociclib in Hormone Receptor-Positive/HER2-/PIK3CA Wild-Type Advanced Breast Cancer.

Hurvitz SA, Layman RM, Curigliano G et al. · J Clin Oncol

结论在激素受体阳性/HER2阴性/PIK3CA野生型晚期乳腺癌患者中,无论是否联合palbociclib,在fulvestrant基础上加用gedatolisib均能显著降低疾病进展或死亡的风险。本研究结果支持gedatolisib联合疗法作为此类患者的有效治疗选择,并具有可管理的安全性特征。

PMID: 41802242DOI ↗
IF 45.3CT乳腺癌2026-03

The Pathologic Response Evaluation and Detection in Circulating Tumor-DNA Study: Ultrasensitive Circulating Tumor-DNA Assessment of Breast Cancer Minimal Residual Disease.

Hunter NB, Parsons HA, Cope L et al. · J Clin Oncol

结论在HER2阳性乳腺癌和TNBC中,NAT后的ctDNA不能区分pCR和非pCR患者。然而,ctDNA提供了显著优越的预后分层能力,能够识别出预后极佳和风险极高的患者。这些发现支持将ctDNA指导的治疗降级和升级策略应用于乳腺癌患者。

PMID: 41805422DOI ↗
IF 45.3Other乳腺癌2026-03

TBCRC 048 (Olaparib Expanded) Expansion Cohorts: Phase II Study of Olaparib Monotherapy for Patients With Metastatic Breast Cancer With Germline Mutations in PALB2 or Somatic Mutations in BRCA1 or BRCA2.

Tung NM, Robson ME, Li T et al. · J Clin Oncol

结论奥拉帕利对携带gPALB2m和sBRCAm的转移性乳腺癌患者具有活性。这项研究显著扩大了可能从PARP抑制剂中获益的乳腺癌患者群体,超越了仅携带种系BRCA1/2突变的患者,为PARP抑制剂的更广泛应用提供了依据。

PMID: 41604601DOI ↗
IF 23.5CT乳腺癌2026-03

Diagnostic accuracy, fairness and clinical implementation of AI for breast cancer screening: results of multicenter retrospective and prospective technical feasibility studies.

Kelly CJ, Wilson M, Warren LM et al. · Nat Cancer

结论该AI系统在乳腺癌筛查中表现出优越的诊断准确性,并能有效提高检出率和效率。然而,前瞻性部署揭示了数据分布变化,提示未来临床实施需要自适应校准和持续监测,以确保安全性和公平性。

PMID: 41807818DOI ↗
IF 16.9CT乳腺癌2026-03

Locally Ablative Therapies in Oligometastatic Breast Cancer.

Nierenberg TC, Thomas SM, Halliday I et al. · JAMA Surg

结论本队列研究结果表明,尽管BR+MT和BR治疗与改善的OS相关,但接受手术/消融治疗的单部位dnMBC患者比例较低。若考虑对单部位dnMBC患者进行侵入性干预,乳腺原发灶切除可能是有益的。

PMID: 41779401DOI ↗
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