Systemic treatment in breast cancer: a primer for radiologists
Identifieur interne : 001781 ( Main/Exploration ); précédent : 001780; suivant : 001782Systemic treatment in breast cancer: a primer for radiologists
Auteurs : Aya Y. Michaels [États-Unis] ; Abhishek R. Keraliya [États-Unis] ; Sree Harsha Tirumani [États-Unis] ; Atul B. Shinagare [États-Unis] ; Nikhil H. Ramaiya [États-Unis]Source :
- Insights into Imaging [ 1869-4101 ] ; 2015.
Abstract
Cytotoxic chemotherapy, hormonal therapy and molecular targeted therapy are the three major classes of drugs used to treat breast cancer. Imaging modalities such as computed tomography (CT), magnetic resonance imaging (MRI), 18F-FDG positron emission tomography (PET)/CT and bone scintigraphy each have a distinct role in monitoring response and detecting drug toxicities associated with these treatments. The purpose of this article is to elucidate the various systemic therapies used in breast cancer, with an emphasis on the role of imaging in assessing treatment response and detecting treatment-related toxicities.
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Url:
DOI: 10.1007/s13244-015-0447-4
PubMed: 26567115
PubMed Central: 4729711
Affiliations:
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Michaels</name><affiliation wicri:level="2"><nlm:aff id="Aff1">Department of Radiology, Brigham and Women’s Hospital, Harvard Medical School, 75 Francis Street, Boston, MA 02115 USA</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Massachusetts</region></placeName><wicri:cityArea>Department of Radiology, Brigham and Women’s Hospital, Harvard Medical School, 75 Francis Street, Boston</wicri:cityArea></affiliation></author><author><name sortKey="Keraliya, Abhishek R" sort="Keraliya, Abhishek R" uniqKey="Keraliya A" first="Abhishek R." last="Keraliya">Abhishek R. Keraliya</name><affiliation wicri:level="2"><nlm:aff id="Aff1">Department of Radiology, Brigham and Women’s Hospital, Harvard Medical School, 75 Francis Street, Boston, MA 02115 USA</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Massachusetts</region></placeName><wicri:cityArea>Department of Radiology, Brigham and Women’s Hospital, Harvard Medical School, 75 Francis Street, Boston</wicri:cityArea></affiliation><affiliation wicri:level="2"><nlm:aff id="Aff2">Department of Imaging, Dana Farber Cancer Institute, Harvard Medical School, 450 Brookline Avenue, Boston, MA 02215 USA</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Massachusetts</region></placeName><wicri:cityArea>Department of Imaging, Dana Farber Cancer Institute, Harvard Medical School, 450 Brookline Avenue, Boston</wicri:cityArea></affiliation></author><author><name sortKey="Tirumani, Sree Harsha" sort="Tirumani, Sree Harsha" uniqKey="Tirumani S" first="Sree Harsha" last="Tirumani">Sree Harsha Tirumani</name><affiliation wicri:level="2"><nlm:aff id="Aff1">Department of Radiology, Brigham and Women’s Hospital, Harvard Medical School, 75 Francis Street, Boston, MA 02115 USA</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Massachusetts</region></placeName><wicri:cityArea>Department of Radiology, Brigham and Women’s Hospital, Harvard Medical School, 75 Francis Street, Boston</wicri:cityArea></affiliation><affiliation wicri:level="2"><nlm:aff id="Aff2">Department of Imaging, Dana Farber Cancer Institute, Harvard Medical School, 450 Brookline Avenue, Boston, MA 02215 USA</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Massachusetts</region></placeName><wicri:cityArea>Department of Imaging, Dana Farber Cancer Institute, Harvard Medical School, 450 Brookline Avenue, Boston</wicri:cityArea></affiliation></author><author><name sortKey="Shinagare, Atul B" sort="Shinagare, Atul B" uniqKey="Shinagare A" first="Atul B." last="Shinagare">Atul B. Shinagare</name><affiliation wicri:level="2"><nlm:aff id="Aff1">Department of Radiology, Brigham and Women’s Hospital, Harvard Medical School, 75 Francis Street, Boston, MA 02115 USA</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Massachusetts</region></placeName><wicri:cityArea>Department of Radiology, Brigham and Women’s Hospital, Harvard Medical School, 75 Francis Street, Boston</wicri:cityArea></affiliation><affiliation wicri:level="2"><nlm:aff id="Aff2">Department of Imaging, Dana Farber Cancer Institute, Harvard Medical School, 450 Brookline Avenue, Boston, MA 02215 USA</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Massachusetts</region></placeName><wicri:cityArea>Department of Imaging, Dana Farber Cancer Institute, Harvard Medical School, 450 Brookline Avenue, Boston</wicri:cityArea></affiliation></author><author><name sortKey="Ramaiya, Nikhil H" sort="Ramaiya, Nikhil H" uniqKey="Ramaiya N" first="Nikhil H." last="Ramaiya">Nikhil H. Ramaiya</name><affiliation wicri:level="2"><nlm:aff id="Aff1">Department of Radiology, Brigham and Women’s Hospital, Harvard Medical School, 75 Francis Street, Boston, MA 02115 USA</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Massachusetts</region></placeName><wicri:cityArea>Department of Radiology, Brigham and Women’s Hospital, Harvard Medical School, 75 Francis Street, Boston</wicri:cityArea></affiliation><affiliation wicri:level="2"><nlm:aff id="Aff2">Department of Imaging, Dana Farber Cancer Institute, Harvard Medical School, 450 Brookline Avenue, Boston, MA 02215 USA</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Massachusetts</region></placeName><wicri:cityArea>Department of Imaging, Dana Farber Cancer Institute, Harvard Medical School, 450 Brookline Avenue, Boston</wicri:cityArea></affiliation></author></analytic><series><title level="j">Insights into Imaging</title><idno type="eISSN">1869-4101</idno><imprint><date when="2015">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Abstract</title><p>Cytotoxic chemotherapy, hormonal therapy and molecular targeted therapy are the three major classes of drugs used to treat breast cancer. Imaging modalities such as computed tomography (CT), magnetic resonance imaging (MRI), <sup>18</sup>F-FDG positron emission tomography (PET)/CT and bone scintigraphy each have a distinct role in monitoring response and detecting drug toxicities associated with these treatments. The purpose of this article is to elucidate the various systemic therapies used in breast cancer, with an emphasis on the role of imaging in assessing treatment response and detecting treatment-related toxicities.</p></sec><sec><title><italic>Teaching Points</italic></title><p>• <italic>Cytotoxic chemotherapy is often used in combination with HER2-targeted and endocrine therapies</italic>.</p><p>• <italic>Endocrine and HER2-targeted therapies are recommended in hormone-receptor- and HER2-positive cases</italic>.</p><p>• <italic>CT is the workhorse for assessment of treatment response in breast cancer metastases</italic>.</p><p>• <italic>Alternate treatment response criteria can help in interpreting pseudoprogression in metastasis</italic>.</p><p>• <italic>Unique toxicities are associated with cytotoxic chemotherapy and with endocrine and HER2-targeted therapies</italic>.</p></sec></div></front><back><div1 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Bryant</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="De Azambuja, E" uniqKey="De Azambuja E">E de Azambuja</name></author><author><name sortKey="Holmes, Ap" uniqKey="Holmes A">AP Holmes</name></author><author><name sortKey="Piccart Gebhart, M" uniqKey="Piccart Gebhart M">M Piccart-Gebhart</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>États-Unis</li></country><region><li>Massachusetts</li></region></list><tree><country name="États-Unis"><region name="Massachusetts"><name sortKey="Michaels, Aya Y" sort="Michaels, Aya Y" uniqKey="Michaels A" first="Aya Y." last="Michaels">Aya Y. Michaels</name></region><name sortKey="Keraliya, Abhishek R" sort="Keraliya, Abhishek R" uniqKey="Keraliya A" first="Abhishek R." last="Keraliya">Abhishek R. Keraliya</name><name sortKey="Keraliya, Abhishek R" sort="Keraliya, Abhishek R" uniqKey="Keraliya A" first="Abhishek R." last="Keraliya">Abhishek R. Keraliya</name><name sortKey="Ramaiya, Nikhil H" sort="Ramaiya, Nikhil H" uniqKey="Ramaiya N" first="Nikhil H." last="Ramaiya">Nikhil H. Ramaiya</name><name sortKey="Ramaiya, Nikhil H" sort="Ramaiya, Nikhil H" uniqKey="Ramaiya N" first="Nikhil H." last="Ramaiya">Nikhil H. Ramaiya</name><name sortKey="Shinagare, Atul B" sort="Shinagare, Atul B" uniqKey="Shinagare A" first="Atul B." last="Shinagare">Atul B. Shinagare</name><name sortKey="Shinagare, Atul B" sort="Shinagare, Atul B" uniqKey="Shinagare A" first="Atul B." last="Shinagare">Atul B. Shinagare</name><name sortKey="Tirumani, Sree Harsha" sort="Tirumani, Sree Harsha" uniqKey="Tirumani S" first="Sree Harsha" last="Tirumani">Sree Harsha Tirumani</name><name sortKey="Tirumani, Sree Harsha" sort="Tirumani, Sree Harsha" uniqKey="Tirumani S" first="Sree Harsha" last="Tirumani">Sree Harsha Tirumani</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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