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  • New
  • Open Access Icon
  • Research Article
  • 10.1016/j.seminoncol.2026.152466
Advances in the management of metastatic lobular breast cancer: Current evidence and emerging treatments.
  • Apr 1, 2026
  • Seminars in oncology
  • Ana Isabel Martín-Quesada + 1 more

Invasive lobular carcinoma (ILC) comprises ∼10%-15% of breast cancers and is characterized by loss of the cell-adhesion molecule E-cadherin (encoded by CDH1), discohesive growth, predominant estrogen receptor (ER) positivity, low-to-intermediate proliferation, and atypical metastatic spread to bone and gastrointestinal/peritoneal sites. Diagnostic assessment is often challenging owing to diffuse infiltration, frequently yielding non-measurable disease per response evaluation criteria in solid tumors (RECIST). Molecularly, ILC is enriched for phosphoinositide 3-kinase (PI3K) activation and harbors emerging vulnerabilities-such as ROS1 synthetic lethality in CDH1-deficient tumors and fibroblast growth factor receptor 1 (FGFR1)/bromodomain and extra-terminal (BET) dependencies-now under study. Because metastatic ILC remains underrepresented in trials, systemic therapy often mirrors invasive ductal carcinoma (IDC). This short communication synthesizes current evidence to distinguish shared from plausibly lobular-specific signals; highlights near-term opportunities-including antibody-drug conjugates (ADCs), oral selective ER degraders (SERDs), and selective use of immunotherapy in an immune-enriched subset with higher tumor-infiltrating lymphocytes (TILs) and PD-L1; and outlines trial-design adaptations-such as incorporating 18F-fluoroestradiol PET (FES-PET)-to improve representation and interpretability in metastatic ILC research.

  • New
  • Research Article
  • 10.1016/j.seminoncol.2026.152469
DNA methylation-mediated extracellular matrix gene silencing in colorectal cancer.
  • Apr 1, 2026
  • Seminars in oncology
  • Otília Menyhart + 2 more

  • New
  • Discussion
  • 10.1016/j.seminoncol.2025.152456
Artificial intelligence in gynecologic oncology: A cautionary look in the Indian context.
  • Apr 1, 2026
  • Seminars in oncology
  • Sarita Kumari + 2 more

  • Research Article
  • 10.1016/j.seminoncol.2026.152484
Concurrent ischemic stroke, pulmonary embolism, and hemorrhagic brain metastasis in pancreatic ductal adenocarcinoma: A case report.
  • Mar 11, 2026
  • Seminars in oncology
  • Ahmed Dahshan + 4 more

  • Research Article
  • 10.1016/j.seminoncol.2026.152483
Cancer-associated fibroblasts in bladder cancer: Immunosuppressive mechanisms and therapeutic targeting.
  • Mar 10, 2026
  • Seminars in oncology
  • Yi Liu + 5 more

  • Research Article
  • 10.1016/j.seminoncol.2026.152485
Evaluating the Ability of Generative AI to Standardize TNM Staging Data in Lung Cancer
  • Mar 1, 2026
  • Seminars in Oncology
  • Fatimah Abdulazim Altuhaifa + 4 more

  • Research Article
  • 10.1016/j.seminoncol.2025.152434
Nanoparticle-based approaches for doxorubicin delivery in hepatocellular carcinoma: Current strategies and emerging innovations.
  • Feb 1, 2026
  • Seminars in oncology
  • Ali G Alkhathami + 9 more

  • Research Article
  • 10.1053/s0093-7754(26)00004-7
Masthead
  • Feb 1, 2026
  • Seminars in Oncology

  • Research Article
  • Cite Count Icon 1
  • 10.1016/j.seminoncol.2025.152427
Physics-informed deep learning sharpens nano diagnostics for elusive pancreatic cancer.
  • Feb 1, 2026
  • Seminars in oncology
  • Abbas Rahdar + 8 more

  • Research Article
  • 10.1016/j.seminoncol.2025.152435
The role of circular RNAs in driving cancer advancement in low-oxygen conditions.
  • Feb 1, 2026
  • Seminars in oncology
  • Hamza Abu Owida + 9 more