Breast Cancer in Young Women: Status Quo and Advanced Disease Management by a Predictive, Preventive, and Personalized Approach

Cancers (Basel). 2019 Nov 14;11(11):1791. doi: 10.3390/cancers11111791.

Abstract

Why does healthcare of breast cancer (BC) patients, especially in a young population, matter and why are innovative strategies by predictive, preventive, and personalized medicine (PPPM) strongly recommended to replace current reactive medical approach in BC management? Permanent increase in annual numbers of new BC cases with particularly quick growth of premenopausal BC patients, an absence of clearly described risk factors for those patients, as well as established screening tools and programs represent important reasons to focus on BC in young women. Moreover, "young" BC cases are frequently "asymptomatic", difficult to diagnose, and to treat effectively on time. The objective of this article is to update the knowledge on BC in young females, its unique molecular signature, newest concepts in diagnostics and therapy, and to highlight the concepts of predictive, preventive, and personalized medicine with a well-acknowledged potential to advance the overall disease management.

Keywords: Flammer syndrome; body shape; breast cancer; epidemic; etiology; genotyping; individualized patient profile; innovative concepts; interpretation; paradigm change; patient stratification; phenotyping; predictive preventive and personalized medicine; premenopausal; prevalence; risk factors; screening; systemic hypoxia; young population.

Publication types

  • Review