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The role of tumor-infiltrating lymphocytes (TILs) is expanding in cancer care, necessitating a more involved role for pathologists to quantify immune infiltrates, K.P. Siziopikou, MD, PhD, suggested during a presentation at the 2018 Lynn Sage Breast Cancer Symposium.

Patients with HER2-positive, microsatellite instability-high (MSI-H), and <em>NTRK</em> gene fusion-positive breast cancer likely benefit more than others from molecular profiling. In a presentation at the 2018 Lynn Sage Breast Cancer Symposium in Chicago, Illinois,&nbsp;Sledge discussed the growing use of molecular profiling, especially for metastatic cancers, as well said the decreasing cost of sequencing.

Only 1 treatment option is currently&nbsp;available for treating&nbsp;patients with metastatic germline&nbsp;<em>BRCA</em>-mutated triple-negative&nbsp;breast cancer, but research&nbsp;into novel therapies, including PI3K/conjugates could soon result in a host of new therapies for this hard-to-treat disease.

The primary endpoint for the&nbsp;phase III SOLAR-1 trial has been met, with&nbsp;improved progression-free survival seen with the&nbsp;combination of&nbsp;alpelisib and&nbsp;fulvestrant compared with&nbsp;fulvestrant alone in postmenopausal women and men with HR-positive, HER2-negative,&nbsp;<em>PIK3CA</em>-mutant advanced or metastatic breast cancer that had progressed after aromatase inhibitor treatment with or without a CDK4/6 inhibitor.