Tuesday, December 17, 2019

Breast Cancer Case Study - 803 Words

2.extravasation For metastatic outgrowth extravasation of tumor cells and secondary seeding are important. In secondary organs fibronectin expression is upregulated by primary tumors via resident fibroblasts, which serves as a docking site for VEGFR1+ hematopoietic progenitor cell (HPC) clusters and secondary seeding. During metastasis of breast cancer to lung, interaction of VCAM-1+ cancer cells with VLA-4-expressing macrophages, activates PI3K/Akt signaling in tumor cells, protecting them from caspase-induced apoptosis. Bone metastasis is also facilitated by interaction of VCAM1 with different integrin partner, ÃŽ ±4ÃŽ ²1, in osteoclasts. Thus, we can conclude that disruption of adhesion signaling between stromal cells and tumor cells can†¦show more content†¦Additional studies mention about how primary tumor hypoxia influences the premetastatic niche. Major BMDC contributors to hypoxia-induced pseudo-premetastatic niche are MDSCs and NK cells with impaired cytotoxicity.(Sceneay, 2012) (S ceneay J, et al. Primary tumor hypoxia recruits CD11b+/Ly6Cmed/Ly6G+ immune suppressor cells and compromises NK cell cytotoxicity in the premetastatic niche. Cancer research. 2012; 72:3906–3911. [PubMed: 22751463]) Organ tropism The circulating cancer cells that are released from primary tumors leave a micro- environment created by the supportive stroma of such tumors. Creating supportive stroma is a multi – step process, thus in some cases cancer cells seeded in new metastatic niches do not begin by inducing a supportive stroma because it already preexists. Such permissivity may be intrinsic to the tissue site (Talmadge and Fidler, 2010) or pre-induced by circulating factors released by the primary tumor (Peinado et al., 2011). Metastatic seeding of circulating tumour cells has been shown in some cases to be enhanced by the primary tumour, whose secreted products create an environment that favours establishment of metastases at unique distant sites, termed pre-metastatic niches. The most well-documented components of induced premetastatic niches are tumor-promoting inflammatoryShow MoreRelatedBreast Cancer Case Study929 Words   |  4 PagesIn the present study, we found that rate of pCR to neoadjuvant chemotherapy was 24.7% (n=25) in the whole cohort (n=101). This finding was consistent with the range of pCR rates to prospective randomized trials of preoperative chemotherapy of 15%-40% mentioned in the literature (Burstein et al., 2008). Moreover, high Ki-67 expression (cutoff 14%) was significantly correlated with achieving a pCR in the large cohort (p=0.016). This result matched with the finding of several studies that reported thatRead MoreBreast Cancer Case Study1234 Words   |  5 Pagesultimately lead to the progression of oral cancer. (Lee et al, 2010). c‑myc was among the first oncogenes found to be amplified in breast cancer, and it can contribute to many other forms of cancer (Victoria and Michael, 2007). It is a critical downstream effector of the Wnt/TCF pathway in colon cancer and activation of Myc might play a predominant role in the pathogenesis of tumors like pediatric hepatoblastoma (Sansom et al, 2007; Cairo et al, 2008). A study done in south Indian population has shownRead MoreBreast Cancer Case Study1306 Words   |  6 Pagesmetastases have caused substantial mortality and morbidity in cancer patients. Approximately 15% of women with breast cancer will be diagnosed with brain metastases (Zakaria et al., 2014). With early diagnosis and appropriate treatment, the quality of the patient’s life could be enhanced. 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This is applied in a case where the exposure is in a common population. For instance passive smoking and lung cancer (Risk Ratio: 1.3) (Morein Stuart, n.d). Consistency: Repeated observation of an association in a different population under different circumstances showing the same results suggests that the results of a single study are not due to chance. Criticism: This should be applied cautiously to avoid chances

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