- New
- Research Article
- 10.1016/j.seminoncol.2026.152466
- 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
- Apr 1, 2026
- Seminars in oncology
- Otília Menyhart + 2 more
- New
- Discussion
- 10.1016/j.seminoncol.2025.152456
- Apr 1, 2026
- Seminars in oncology
- Sarita Kumari + 2 more
- Research Article
- 10.1016/j.seminoncol.2026.152484
- Mar 11, 2026
- Seminars in oncology
- Ahmed Dahshan + 4 more
- Research Article
- 10.1016/j.seminoncol.2026.152483
- Mar 10, 2026
- Seminars in oncology
- Yi Liu + 5 more
- Research Article
- 10.1016/j.seminoncol.2026.152485
- Mar 1, 2026
- Seminars in Oncology
- Fatimah Abdulazim Altuhaifa + 4 more
- Research Article
- 10.1016/j.seminoncol.2025.152434
- Feb 1, 2026
- Seminars in oncology
- Ali G Alkhathami + 9 more
- Research Article
- 10.1053/s0093-7754(26)00004-7
- Feb 1, 2026
- Seminars in Oncology
- Research Article
1
- 10.1016/j.seminoncol.2025.152427
- Feb 1, 2026
- Seminars in oncology
- Abbas Rahdar + 8 more
- Research Article
- 10.1016/j.seminoncol.2025.152435
- Feb 1, 2026
- Seminars in oncology
- Hamza Abu Owida + 9 more