Table 1.
Risk factors, identification, and chances of BM in BC patients.
Risk Factors | Identification | Brain Metastasis Risk | References |
---|---|---|---|
Lymph nodes | Histopathology | Positive lymphnodes-4, HR = 2.5, p = 0.029 | [23] |
Tumor grade | Histopathology | The grade of the tumor is 3; Rate is 7.9% after 10-years completion of follow-up | [24] |
Tumor size | Histopathology | The size of the tumor is 2 cm, after 10 years with a 7% rate. Size of tumor greater than 2 cm have a high risk of BM | [25] |
Luminal A and B subtypes |
Molecular biology | Over-expresses of epidermal growth factor of a human determined as HER-2 | [26] |
AlphaB-crystallin (CRYAB) | Genetic biomarker | Occurrence of BM | [27] |
Phosphatidylinositol 3-kinase (PI3K) and mitogen-activated protein kinase (MAPK/ERK) |
Molecular biomarker | Overexpression of HER 3 receptor MAPK signaling pathway preferentially activated in the BM of cancer patients |
[23] |
VEGF and CXCR-4 | Molecular biomarker | Disrupt the BBB with migration in the parenchyma region |
[28] |
A2,6-sialyltransferase | Genetic driver | Cancer cell extravasations in the course of the BBB | [29] |
Adjuvant trastuzumab trials |
Targeted therapy for HER2-positive | BM risk was increased with a range of 1.32 to 1.9 | [30] |