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Overview of Breast Cancer and Implications of Overtreatment of Early-Stage Breast Cancer: An Indian Perspective

The prevalence and mortality of breast cancer is increasing in Asian countries, including India. With advances in medical technology leading to better detection and characterization of the disease, it has been possible to classify breast cancer into various subtypes using markers, which helps predic...

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Detalles Bibliográficos
Autores principales: Bhattacharyya, Gouri Shankar, Doval, Dinesh C., Desai, Chirag J., Chaturvedi, Harit, Sharma, Sanjay, Somashekhar, S.P.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: American Society of Clinical Oncology 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7328098/
https://www.ncbi.nlm.nih.gov/pubmed/32511068
http://dx.doi.org/10.1200/GO.20.00033
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author Bhattacharyya, Gouri Shankar
Doval, Dinesh C.
Desai, Chirag J.
Chaturvedi, Harit
Sharma, Sanjay
Somashekhar, S.P.
author_facet Bhattacharyya, Gouri Shankar
Doval, Dinesh C.
Desai, Chirag J.
Chaturvedi, Harit
Sharma, Sanjay
Somashekhar, S.P.
author_sort Bhattacharyya, Gouri Shankar
collection PubMed
description The prevalence and mortality of breast cancer is increasing in Asian countries, including India. With advances in medical technology leading to better detection and characterization of the disease, it has been possible to classify breast cancer into various subtypes using markers, which helps predict the risk of distant recurrence, response to therapy, and prognosis using a combination of molecular and clinical parameters. Breast cancer and its therapy, mainly surgery, systemic therapy (anticancer chemotherapy, hormonal therapy, targeted therapy, and immunotherapy), and radiation therapy, are associated with significant adverse influences on physical and mental health, quality of life, and the economic status of the patient and her family. The fear of recurrence and its devastating effects often leads to overtreatment, with a toxic cost to the patient financially and physically in cases in which this is not required. This article discusses some aspects of a breast cancer diagnosis and its impact on the various facets of the life of the patient and her family. It further elucidates the role of prognostic factors, the currently available biomarkers and prognostic signatures, and the importance of ethnically validating biomarkers and prognostic signatures.
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spelling pubmed-73280982020-08-03 Overview of Breast Cancer and Implications of Overtreatment of Early-Stage Breast Cancer: An Indian Perspective Bhattacharyya, Gouri Shankar Doval, Dinesh C. Desai, Chirag J. Chaturvedi, Harit Sharma, Sanjay Somashekhar, S.P. JCO Glob Oncol Review Articles The prevalence and mortality of breast cancer is increasing in Asian countries, including India. With advances in medical technology leading to better detection and characterization of the disease, it has been possible to classify breast cancer into various subtypes using markers, which helps predict the risk of distant recurrence, response to therapy, and prognosis using a combination of molecular and clinical parameters. Breast cancer and its therapy, mainly surgery, systemic therapy (anticancer chemotherapy, hormonal therapy, targeted therapy, and immunotherapy), and radiation therapy, are associated with significant adverse influences on physical and mental health, quality of life, and the economic status of the patient and her family. The fear of recurrence and its devastating effects often leads to overtreatment, with a toxic cost to the patient financially and physically in cases in which this is not required. This article discusses some aspects of a breast cancer diagnosis and its impact on the various facets of the life of the patient and her family. It further elucidates the role of prognostic factors, the currently available biomarkers and prognostic signatures, and the importance of ethnically validating biomarkers and prognostic signatures. American Society of Clinical Oncology 2020-06-08 /pmc/articles/PMC7328098/ /pubmed/32511068 http://dx.doi.org/10.1200/GO.20.00033 Text en © 2020 by American Society of Clinical Oncology https://creativecommons.org/licenses/by-nc-nd/4.0/ Creative Commons Attribution Non-Commercial No Derivatives 4.0 License: https://creativecommons.org/licenses/by-nc-nd/4.0/
spellingShingle Review Articles
Bhattacharyya, Gouri Shankar
Doval, Dinesh C.
Desai, Chirag J.
Chaturvedi, Harit
Sharma, Sanjay
Somashekhar, S.P.
Overview of Breast Cancer and Implications of Overtreatment of Early-Stage Breast Cancer: An Indian Perspective
title Overview of Breast Cancer and Implications of Overtreatment of Early-Stage Breast Cancer: An Indian Perspective
title_full Overview of Breast Cancer and Implications of Overtreatment of Early-Stage Breast Cancer: An Indian Perspective
title_fullStr Overview of Breast Cancer and Implications of Overtreatment of Early-Stage Breast Cancer: An Indian Perspective
title_full_unstemmed Overview of Breast Cancer and Implications of Overtreatment of Early-Stage Breast Cancer: An Indian Perspective
title_short Overview of Breast Cancer and Implications of Overtreatment of Early-Stage Breast Cancer: An Indian Perspective
title_sort overview of breast cancer and implications of overtreatment of early-stage breast cancer: an indian perspective
topic Review Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7328098/
https://www.ncbi.nlm.nih.gov/pubmed/32511068
http://dx.doi.org/10.1200/GO.20.00033
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