Academic Journal

Diabetes, Obesity, and Inflammation: Impact on Clinical and Radiographic Features of Breast Cancer

التفاصيل البيبلوغرافية
العنوان: Diabetes, Obesity, and Inflammation: Impact on Clinical and Radiographic Features of Breast Cancer
المؤلفون: Braden Miller, Hunter Chalfant, Alexandra Thomas, Elizabeth Wellberg, Christina Henson, Molly W. McNally, William E. Grizzle, Ajay Jain, Lacey R. McNally
المصدر: International Journal of Molecular Sciences; Volume 22; Issue 5; Pages: 2757
بيانات النشر: Multidisciplinary Digital Publishing Institute
سنة النشر: 2021
المجموعة: MDPI Open Access Publishing
مصطلحات موضوعية: diabetes, obesity, imaging, molecular imaging, breast cancer
جغرافية الموضوع: agris
الوصف: Obesity, diabetes, and inflammation increase the risk of breast cancer, the most common malignancy in women. One of the mainstays of breast cancer treatment and improving outcomes is early detection through imaging-based screening. There may be a role for individualized imaging strategies for patients with certain co-morbidities. Herein, we review the literature regarding the accuracy of conventional imaging modalities in obese and diabetic women, the potential role of anti-inflammatory agents to improve detection, and the novel molecular imaging techniques that may have a role for breast cancer screening in these patients. We demonstrate that with conventional imaging modalities, increased sensitivity often comes with a loss of specificity, resulting in unnecessary biopsies and overtreatment. Obese women have body size limitations that impair image quality, and diabetes increases the risk for dense breast tis-sue. Increased density is known to obscure the diagnosis of cancer on routine screening mammography. Novel molecu-lar imaging agents with targets such as estrogen receptor, human epidermal growth factor receptor 2 (HER2), pyrimi-dine analogues, and ligand-targeted receptor probes, among others, have potential to reduce false positive results. They can also improve detection rates with increased resolution and inform therapeutic decision making. These emerg-ing imaging techniques promise to improve breast cancer diagnosis in obese patients with diabetes who have dense breasts, but more work is needed to validate their clinical application.
نوع الوثيقة: text
وصف الملف: application/pdf
اللغة: English
Relation: Molecular Pathology, Diagnostics, and Therapeutics; https://dx.doi.org/10.3390/ijms22052757
DOI: 10.3390/ijms22052757
الاتاحة: https://doi.org/10.3390/ijms22052757
Rights: https://creativecommons.org/licenses/by/4.0/
رقم الانضمام: edsbas.26F527EE
قاعدة البيانات: BASE