Résumé
Le traitement des patientes au stade métastatique d’un cancer du sein est actuellement fondé sur les caractéristiques phénotypiques de la tumeur initiale. Sachant que les tumeurs primaires de même que les métastases sont très hétérogènes au plan morphologique, phénotypique et génotypique, se pose la question du bien-fondé de cette attitude. En outre, l’hypothèse d’une évolution phénotypique du stade initial à la maladie métastatique liée à l’introduction dès le stade initial de la maladie des nouveaux traitements utilisant des molécules ciblées, ne doit pas être écartée. Ainsi, des modifications phénotypiques pourraient être responsables de l’échec thérapeutique. La question qui mérite d’être posée est la suivante : a-t-on les bonnes cibles du traitement ? Cette question est d’autant plus cruciale que le coût des traitements a décuplé.
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Sigal-Zafrani, B., Cottu, P., de Cremoux, P. (2010). Que sait-on des modifications phénotypiques et génotypiques entre tumeur primitive et métastase(s) des cancers du sein ?. In: Cancer du sein en situation métastatique. Springer, Paris. https://doi.org/10.1007/978-2-8178-0076-9_3
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DOI: https://doi.org/10.1007/978-2-8178-0076-9_3
Publisher Name: Springer, Paris
Print ISBN: 978-2-8178-0075-2
Online ISBN: 978-2-8178-0076-9