Molecular diagnostic testing in breast cancer

Semin Oncol Nurs. 2015 May;31(2):108-21. doi: 10.1016/j.soncn.2015.02.008. Epub 2015 Feb 26.

Abstract

Objectives: An overview of molecular tests used in the treatment of breast cancer, organized by stage and clinical condition.

Data sources: Systematic review of scientific literature, guideline recommendations, and data published by test manufacturers.

Conclusion: Several molecular tests that analyze expression of cancer-related genes have been validated in clinical trials and are recommended by clinical practice guidelines to inform diagnosis and treatment decisions for personalized interventions.

Implications for nursing practice: Molecular testing has become an important part of patient care for those with breast cancer. Oncology nurses must understand this methodology to prescribe tests, interpret the results, and provide guidance to patients.

Keywords: Breast gene expression; breast cancer subtypes; molecular diagnostics; molecular test.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, U.S. Gov't, Non-P.H.S.
  • Review
  • Systematic Review

MeSH terms

  • Biomarkers, Tumor / analysis*
  • Breast Neoplasms / diagnosis*
  • Breast Neoplasms / genetics*
  • Breast Neoplasms / nursing
  • Evidence-Based Medicine / methods
  • Female
  • Humans
  • Molecular Diagnostic Techniques / methods*
  • Oncology Nursing / methods*

Substances

  • Biomarkers, Tumor