Issledovaniâ i Praktika v Medicine (Jun 2019)

FIBROSCLEROSIS AND SCLEROSING ADENOSIS WITH MICROCALCIFICATIONS IN THE BREAST. MOLECULAR PATHOGENESIS, TIMELY DIAGNOSIS AND TREATMENT

  • E. L. Muyzhnek,
  • V. I. Kiselev,
  • O. E. Jakobs,
  • N. I. Rozhkova,
  • A. D. Kaprin,
  • I. I. Burdina,
  • S. B. Zapirova,
  • M. L. Mazo,
  • S. P. Prokopenko,
  • P. G. Labazanova

DOI
https://doi.org/10.17709/2409-2231-2019-6-2-8
Journal volume & issue
Vol. 6, no. 2
pp. 75 – 85

Abstract

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A brief review of current data on the generality of the epidemiology and molecular pathogenesis of breast cancer and benign breast diseases is presented. Currently, a type of mastopathy, fibrosclerosis/sclerosing adenosis, ac­companied by the formation of microcalcifications, is considered as a benign pathological condition with a high risk of malignancy, and also as a pre-start condition of a possible transition of mastopathy to cancer. In the review is discussed the fundamental biological process of the epithelial-mesenchymal transition (EMT) as a molecular pathogenetic basis of this phenomenon. Identification of the above mentioned pathological changes using mam­mography and refined diagnostics using a vacuum aspiration biopsy allow timely treatment of fibrosclerosis and sclerosing adenosis with Indinol® Forto, a drug of pathogenetic action based on indole-3-carbinol, due to its mul­tiple anticancer and oncoprophylactic activity, including ability to reverse at the epigenetic level the EMT process abnormally proceeding in these benign breast diseases.

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