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**Triple-negative breast cancer (TNBC)** is a subtype of breast cancer that doesn't express the estrogen receptor (ER), progesterone receptor (PR), or human epidermal growth factor receptor 2 (HER2). These receptors are typically targeted by hormone therapies and HER2-targeted therapies in other types of breast cancer. The absence of these receptors in TNBC means that these standard treatments are not effective. About 10-15% of breast cancers are triple-negative, making it a less common but aggressive form of the disease. It tends to be more aggressive because it often grows faster and is more likely to spread than other types of breast cancer. This aggressiveness is partly due to the lack of targeted therapies, meaning that treatment options are often limited to chemotherapy, radiation, and surgery. TNBC is more commonly diagnosed in younger women, African American women, and those with a BRCA1 gene mutation. Research indicates that genetic factors, lifestyle choices, and environmental exposures may contribute to the development of TNBC, but more studies are needed to fully understand the causes. The lack of receptor expression also influences how TNBC responds to treatment. Traditional hormone therapies that block estrogen or progesterone are ineffective, and HER2-targeted drugs like trastuzumab are not an option. This necessitates the use of alternative treatment strategies, primarily focusing on chemotherapy to kill cancer cells directly. Scientists are continuously exploring new targeted therapies and immunotherapies that can recognize and attack TNBC cells more effectively. The development of these new treatments is crucial for improving outcomes for patients diagnosed with this challenging subtype of breast cancer.
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