Apocrine carcinoma of the breast: A brief update on the molecular features and targetable biomarkers

Semir Vranic1, Rebecca Feldman, Zoran Gatalica

  • 1Department of Pathology, University of Sarajevo Clinical Center. semir.vranic@gmail.com.

Insights

Apocrine breast cancer is rare and typically Her-2/neu positive. This review discusses its molecular traits and new biomarkers for advanced disease, emphasizing personalized treatment strategies.

Area of Science:

  • Oncology
  • Genomics
  • Biomarkers

Background:

  • Apocrine carcinoma of the breast is a rare malignancy.
  • It exhibits distinct molecular features: estrogen receptor-negative, androgen receptor-positive, and frequent Her-2/neu overexpression (~30%).
  • Limited treatment options exist for advanced or metastatic stages.

Purpose of the Study:

  • To review the molecular characteristics of apocrine breast cancer.
  • To discuss emerging theranostic biomarkers for this rare cancer.
  • To highlight the significance of comprehensive molecular profiling for personalized treatment.

Main Methods:

  • Literature review of apocrine breast cancer.
  • Analysis of molecular features and biomarker data.
  • Discussion of current and future therapeutic strategies.

Main Results:

  • Apocrine carcinoma presents a unique receptor profile.
  • Her-2/neu is a common target, but other pathways are implicated.
  • Synergistic and antagonistic molecular events can influence treatment response.

Conclusions:

  • Understanding the molecular landscape of apocrine breast cancer is crucial.
  • Novel theranostic biomarkers offer potential for targeted therapies.
  • Comprehensive profiling is essential for tailoring treatment to individual patients.

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