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Chinese Journal of Breast Disease(Electronic Edition) ›› 2018, Vol. 12 ›› Issue (06): 329-334. doi: 10.3877/cma.j.issn.1674-0807.2018.06.003

Special Issue:

• Forum of Specialists • Previous Articles     Next Articles

Breast cancer genetic testing from the perspective of precision medicine

Hengyu Li1, Yuan Sheng1,()   

  1. 1. Department of Thyroid and Breast Surgery, Changhai Hospital, Navy Medical University, Shanghai 200433, China
  • Received:2018-05-02 Online:2018-12-01 Published:2018-12-01
  • Contact: Yuan Sheng
  • About author:
    Corresponding author: Sheng Yuan, Email:

Abstract:

Precision medicine is the future trend for breast cancer treatment. With the development of gene sequencing technology and the decline of detection cost, genetic testing is widely used in clinical practice, and has gradually become one of the important factors for clinical decision-making. However, the credibility of the test results and the feasibility of the treatment regimen still need to be improved. If the current method of genetic testing has reliable result, clear mechanism, definitive function and availability of effective drugs for targeted therapy, it can provide clinical guidance. For many genes with unclear mechanisms and functions, the accuracy of genetic testing cannot be guaranteed and more clinical trials are needed, so it is not recommended to guide clinical decision-making. We introduced the testing of three representative genes, including BRCA1/2, ESR1 and PIK3CA, to explore the clinical significance of breast cancer genetic testing from the perspective of precision medicine.

Key words: Breast neoplasms, Genes, BRCA1, Early detection of cancer, Precision medicine

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