Update on Precision Medicine in Breast Cancer
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Updated: Jan 23, 2026

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Published on: December 28, 2021
Jasgit C Sachdev1,2, Ana C Sandoval3, Mohammad Jahanzeb3
1HonorHealth Research Institute, Scottsdale, AZ, USA. Jasgit.Sachdev@honorhealth.com.
Abstract:
Precision medicine approaches have found applications in the treatment of several tumor types and have led to rapid advancement in the number of available therapies for some difficult-to-treat diseases. In comparison to tumors like EGFR-mutated lung cancer, and BRAF-mutated melanoma for example, precision medicine in breast cancer is still in its infancy despite the much earlier identification of targets like ER and HER2. Though significant progress has been made in new therapies for hormone-receptor-positive and HER2-positive breast cancers, identification of molecular heterogeneity and lack of other valid reproducible targets in triple-negative breast cancer remain a challenge. In this chapter, we outline the recent advances in technology and targeted treatments for breast cancer, the remaining challenges and ongoing efforts to address these to make precision medicine a reality for all breast cancer patients.
Insights
Precision medicine offers advanced cancer therapies, but breast cancer treatment lags behind other cancers. Ongoing research aims to overcome challenges in triple-negative breast cancer for broader patient benefit.
Area of Science:
- Oncology
- Genomics
- Pharmacology
Background:
- Precision medicine has revolutionized treatment for various cancers, improving outcomes for diseases like EGFR-mutated lung cancer and BRAF-mutated melanoma.
- Despite early target identification (ER, HER2), precision medicine in breast cancer is less advanced compared to other tumor types.
- While progress exists for hormone-receptor-positive and HER2-positive breast cancers, triple-negative breast cancer (TNBC) faces challenges due to molecular heterogeneity and a lack of validated targets.
Purpose of the Study:
- To review recent technological and therapeutic advancements in precision medicine for breast cancer.
- To identify persistent challenges hindering the widespread application of precision medicine in breast cancer.
- To highlight ongoing efforts to make precision medicine accessible to all breast cancer patients.
Main Methods:
- Review of current literature on precision medicine in oncology.
- Analysis of technological innovations impacting targeted cancer therapy.
- Examination of clinical trial data and research strategies for breast cancer.
Main Results:
- Significant advancements in targeted therapies for ER-positive and HER2-positive breast cancers have been achieved.
- Molecular heterogeneity and the absence of reliable targets in triple-negative breast cancer (TNBC) present major obstacles.
- New technologies and ongoing research are crucial for developing effective precision treatments for all breast cancer subtypes.
Conclusions:
- Precision medicine holds immense promise for breast cancer, but TNBC requires further dedicated research.
- Overcoming molecular heterogeneity and identifying novel targets are critical for advancing breast cancer precision therapy.
- Continued innovation in technology and targeted treatments is essential to realize the full potential of precision medicine for every breast cancer patient.
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