Introduction
Breast
cancer
remains
the
most
significant
affecting
women
worldwide,
with
an
increasing
incidence,
especially
in
developing
regions.
The
introduction
of
genomic
tests
like
Oncotype
DX
has
revolutionized
personalized
treatment,
allowing
for
more
tailored
approaches
to
therapy.
This
study
focuses
on
United
Arab
Emirates
(UAE),
where
breast
is
leading
cause
cancer-related
deaths
among
women,
aiming
assess
predictive
accuracy
test
categorizing
patients
based
recurrence
risk.
Materials
and
methods
A
retrospective
cohort
was
conducted
95
diagnosed
at
Tawam
Hospital
between
2013
2017
who
underwent
testing.
Data
patient
demographics,
tumor
characteristics,
treatment
details,
scores
were
collected.
Survival
analysis
performed
using
Kaplan-Meier
method,
chi-square
goodness
fit
assessing
model's
adequacy.
Results
cohort's
age
range
27-71
years,
a
mean
50,
indicating
concentration
cases
early
post-menopausal
period.
classified
55
(57.9%)
as
low
risk,
29
(30.5%)
medium
11
(11.6%)
high
risk
recurrence.
majority,
73
(76.8%),
did
not
receive
chemotherapy,
highlighting
test's
impact
decisions.
survival
revealed
no
statistically
difference
rates
across
categories
(p
=
0.268231).
Conclusion
provides
valuable
approach
by
UAE.
While
influences
decisions,
particularly
use
this
find
correlation
actual
events.
These
findings
underscore
need
further
research
optimize
testing
UAE's
diverse
population
enhance
strategies
management.
Abstract
Breast
cancer
is
the
second
leading
cause
of
death
for
women
worldwide.
The
heterogeneity
this
disease
presents
a
big
challenge
in
its
therapeutic
management.
However,
recent
advances
molecular
biology
and
immunology
enable
to
develop
highly
targeted
therapies
many
forms
breast
cancer.
primary
objective
therapy
inhibit
specific
target/molecule
that
supports
tumor
progression.
Ak
strain
transforming,
cyclin-dependent
kinases,
poly
(ADP-ribose)
polymerase,
different
growth
factors
have
emerged
as
potential
targets
subtypes.
Many
drugs
are
currently
undergoing
clinical
trials,
some
already
received
FDA
approval
monotherapy
or
combination
with
other
treatment
yet
achieve
promise
against
triple-negative
(TNBC).
In
aspect,
immune
has
come
up
promising
approach
specifically
TNBC
patients.
Different
immunotherapeutic
modalities
including
immune-checkpoint
blockade,
vaccination,
adoptive
cell
transfer
been
extensively
studied
setting
cancer,
especially
approved
blockers
chemotherapeutic
treat
several
trials
ongoing.
This
review
provides
an
overview
developments
advancements
immunotherapies
treatment.
successes,
challenges,
prospects
were
critically
discussed
portray
their
profound
prospects.
Breast
cancer
(BC)
is
one
of
the
major
public
health
challenges
worldwide.
Studies
that
address
new
evidence
on
trends
BC
are
great
importance
for
preventing
and
controlling
occurrence
development
diseases
improving
health.
The
aim
this
study
was
to
analyze
outcomes
global
burden
disease
(GBD),
incidence,
deaths,
risk
factors
from
1990
2019,
predict
GBD
until
2050
inform
control
planning
efforts.
In
study,
results
show
regions
with
low
levels
socio-demographic
index
(SDI)
will
have
largest
in
future.
leading
factor
death
attributable
2019
metabolic
risks,
followed
by
behavioral
risks.
This
supports
worldwide
urgent
need
comprehensive
prevention
strategies
reduce
exposure,
early
screening,
improve
treatment
effectively
BC.
Journal of Advanced Research,
Год журнала:
2023,
Номер
unknown
Опубликована: Июль 1, 2023
Breast
cancer
(BC)
is
a
malignant
disease
that
occurs
worldwide
and
poses
serious
health
burden.
To
assess
the
prevalence
of
BC
burden
in
Western
Pacific
region
(WPR)
from
1990
to
2019,
predict
trends
2020
2044.
The
driving
factors
are
analyzed
region-oriented
improvement
measures
put
forward.
We
used
Global
Burden
Disease
Study
2019
obtain
information
on
cases,
deaths,
disability-adjusted
life
years
(DALYs)
age-standardized
incidence
rate
(ASIR),
death
(ASDR),
DALYs
WPR
2019.
Age-period-cohort
(APC)
models
were
analyze
age,
period,
cohort
effects
breast
cancer,
Bayesian
APC
(BAPC)
was
over
next
25
years.
In
conclusion,
deaths
have
increased
rapidly
past
30
expected
continue
increase
between
High
body
mass
index
primary
risk
factor
for
mortality
middle-income
countries,
whereas
alcohol
use
Japan.
Age
key
development
BC,
with
40
being
critical
point.
Incidence
coincide
course
economic
development.
remains
an
essential
public
issue
will
substantially
future.
More
efforts
should
be
made
countries
prompt
behavior
minimize
because
these
nations
accounts
majority
WPR.
Frontiers in Public Health,
Год журнала:
2023,
Номер
10
Опубликована: Янв. 16, 2023
The
incidence,
mortality,
burden
of
disability-adjusted
life
years
(DALYs),
and
attributable
risk
factors
breast
cancer
vary
significantly
by
country
or
region,
particularly
between
developing
developed
countries.
This
study
aimed
to
analyze
development
trends
in
countries
based
on
the
influence
different
sociodemographic
indices
(SDIs)
World
Bank
(WB)
income-level
disease
data
from
1990
2019.
Abstract
Purpose
The
residual
cancer
burden
index
(RCB)
was
proposed
as
a
response
evaluation
criterion
in
breast
patients
treated
with
Neoadjuvant
Chemotherapy
(NAC).
This
study
evaluated
the
relevance
of
RCB
replase-free
survival
(RFS).
Methods
clinical
data
254
who
received
NAC
between
2016
and
2020
were
retrospectively
collected.
relationship
clinicopathologic
factors
RFS
using
Cox
proportional
hazards
regression
models.
estimates
determined
by
Kaplan–Meier(K-M)
analysis
compared
log-rank
test.
Multivariate
logistic
used
to
evaluate
risk
associated
RCB.
Receiver
operating
characteristic
(ROC)
curves
showed
potential
MP
grading
systems
biomarkers
for
RFS.
Results
At
median
follow-up
52
months,
59
patients(23.23%)
developed
relapse.
that
older
age
(
P
=
0.022),
high
Pathologic
T
stage
after
0.023)
score(
0.003)
outcomes
multivariate
indicated
0
(pathologic
complete
[pCR])
HER2-positive
0.002)
triple-negative
(TNBC)
0.013).
In
addition,
scoring
served
prognostic
markers
NAC,
their
area
under
(AUCs)
0.691
0.342,
respectively.
Conclusion
These
suggest
can
be
equally
applied
predict
Chinese
NAC.
application
may
help
guide
selection
treatment
strategies.
Journal of Cancer Research and Clinical Oncology,
Год журнала:
2025,
Номер
151(2)
Опубликована: Фев. 11, 2025
Abstract
Background
Breast
cancer
(BC)
poses
an
increasing
threat
to
women’s
health,
yet
its
characteristics
in
women
of
childbearing
age
(WCBA)
are
infrequently
reported.
This
study
aims
investigate
the
patterns
and
trends
BC
incidence
among
WCBA
over
past
decades.
Materials
methods
focuses
on
aged
15–49
years,
consistent
with
WHO
definition
WCBA.
Estimates
95%
uncertainty
intervals
(UIs)
for
were
obtained
from
Global
Burden
Diseases
Study
2021.
We
utilized
age-period-cohort
(APC)
model
estimate
overall
annual
percentage
change
(net
drift,
%
per
year)
within
each
group
(local
year).
also
provided
fitted
longitudinal
age-specific
rates
adjusted
period
deviations
(age
effects)
period/cohort
relative
risks
(period/cohort
1992
Results
In
2021,
global
was
561.44
thousand
(95%
UI
519.76
606.99).
Between
estimated
0.47
CI
0.41–0.52)
worldwide,
ranging
−0.43
−0.54–−0.31)
High
sociodemographic
index
(SDI)
region
2.03
1.97–2.1)
Low-middle
SDI
region.
Local
drift
analysis
showed
that
higher
regions
had
age-standardized
WCBA,
effects
demonstrating
similar
across
different
risk
age.
Notably,
rising
trend
occurs
at
progressively
younger
ages.
Globally,
unfavorable
cohort
observed.
All
exhibited
increased
risks,
except
region,
which
saw
a
reduction
influenced
by
effects,
particularly
those
born
after
1996.
Conclusion
The
highlights
urgent
need
effective
intervention
preventive
policies
alleviate
this
growing
burden.
Breast
cancer,
the
second-most
common
and
lethal
disease
in
women,
poses
a
severe
danger
to
global
health.
cancer
rates
continue
climb
despite
advances
medical
technology.
Predictions
indicate
that
by
2040,
there
will
be
more
than
three
million
new
cases
yearly.
Targeted
medicines
have
experienced
profound
transformation
treating
breast
allowing
for
individualized
strategies
lessen
side
effects
improve
patient
outcomes.
This
thorough
analysis
gives
rigorous
investigation
of
current
developments
cancer-targeted
treatments.
It
carefully
examines
several
subtypes,
including
hormone
receptor-positive
(HR+),
HER2-positive
(HER2+),
triple-negative
(TNBC),
recognizing
illness'
fundamental
variety.
offers
specialized
treatment
plans
catered
each
subtype's
particular
traits.
The
review
also
how
precise
genetic
abnormalities
like
BRCA1/2
PIK3CA
mutations
molecular
profiling
facilitate
therapy
selection.
Monoclonal
antibodies
small
molecule
inhibitors
are
some
targeted
examined
study.
explains
these
treatments
works
supports
its
findings
with
data
from
clinical
trials.
considers
potential
medications
addresses
persistent
problems,
such
as
resistance
mechanisms,
chances
combining
therapies,
cutting-edge
classification
techniques.
study
seeks
give
healthcare
professionals,
researchers,
patients
overview
recent
advancements
drawing
on
opinions
top
authorities
area.
coordinated
effort
aims
create
customized,
efficient
eventually
bolstering
battle
against
this
powerful
illness.
Journal of Global Health,
Год журнала:
2024,
Номер
14
Опубликована: Июль 19, 2024
Abstract
Background
Breast
cancer
in
young
women
(BCY)
is
much
less
common
but
has
significant
health
sequelae
and
societal
costs.
We
aimed
to
evaluate
the
global
regional
burden
of
breast
aged
15–39
years
from
1990
2019.
Methods
collected
detailed
data
on
Global
Burden
Disease
Study
2019
(GBD
2019)
Data
Resources.
The
age-standardised
incidence
rate
(ASIR),
mortality
(ASMR),
disability-adjusted
life
(ASDR),
estimated
annual
percentage
change
(EAPC)
were
used
assess
disease
BCY.
Bayesian
Age-Period-Cohort
model
was
forecast
2020
2030.
Results
From
2019,
increases
ASIR
found
for
BCY
(EAPC
=
0.59,
95%
confidence
interval
(CI)
0.5
0.68),
whereas
decreases
ASMR
−0.41,
CI
−0.53
−0.3)
ASDR
−0.35,
−0.46
−0.24).
Across
countries
with
varying
sociodemographic
indexes
(SDI),
all
regions
showed
an
upward
trend
morbidity,
except
a
high
SDI.
While
DALYs
rates
have
decreased
high,
high-middle,
middle
SDI,
they
increased
low-middle
low
Countries
lower
SDIs
are
projected
bear
greatest
over
next
decade,
including
both
categories.
Alcohol
use
main
risk
factor
attributed
deaths
most
countries,
while
exposure
second
hand
smoke
predominant
SDI
countries.
Conclusions
rise
worldwide,
there
differences.
or
face
even
more
challenges,
as
experienced
increasing
than
higher
SDIs.
Breast Cancer Research,
Год журнала:
2024,
Номер
26(1)
Опубликована: Янв. 22, 2024
The
birth
cohort
effect
has
been
suggested
to
influence
the
rate
of
breast
cancer
incidence
and
trends
associated
reproductive
lifestyle
factors.
We
conducted
a
study
determine
whether
differential
pattern
associations
exists
between
certain
factors
risk
based
on
cohorts.