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Keynote Address at the ASBrS 2022 Annual Meeting Low-Risk Breast Cancer: When Is Local Therapy Enough?

Overview
Journal Ann Surg Oncol
Publisher Springer
Specialty Oncology
Date 2022 Jul 30
PMID 35907998
Authors
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Abstract

Surgery, radiation, and chemotherapy have all been used to de-escalate the treatment of breast cancer patients. Despite its impact on local recurrence, systemic endocrine therapy (ET) has yet to be de-escalated, even though it has substantial adverse effects and a lower quality of life (QoL) over 5-10 years. The 21-gene recurrence score (RS) and MammaPrint have been used to identify subgroups of younger patients whose long-term survival is unaffected by adjuvant ET. Local treatment only, with de-escalation of long-term systemic ET for patients aged 50-69 with RS < 11, appears not to impact OS and should have an anticipated improvement in QoL.

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References
1.
Blichert-Toft M, Nielsen M, During M, Moller S, Rank F, Overgaard M . Long-term results of breast conserving surgery vs. mastectomy for early stage invasive breast cancer: 20-year follow-up of the Danish randomized DBCG-82TM protocol. Acta Oncol. 2008; 47(4):672-81. DOI: 10.1080/02841860801971439. View

2.
Litiere S, Werutsky G, Fentiman I, Rutgers E, Christiaens M, Van Limbergen E . Breast conserving therapy versus mastectomy for stage I-II breast cancer: 20 year follow-up of the EORTC 10801 phase 3 randomised trial. Lancet Oncol. 2012; 13(4):412-9. DOI: 10.1016/S1470-2045(12)70042-6. View

3.
Veronesi U, Marubini E, Mariani L, Galimberti V, Luini A, Veronesi P . Radiotherapy after breast-conserving surgery in small breast carcinoma: long-term results of a randomized trial. Ann Oncol. 2001; 12(7):997-1003. DOI: 10.1023/a:1011136326943. View

4.
Barron T, Connolly R, Bennett K, Feely J, Kennedy M . Early discontinuation of tamoxifen: a lesson for oncologists. Cancer. 2007; 109(5):832-9. DOI: 10.1002/cncr.22485. View

5.
Savard M, Clemons M, Hutton B, Jemaan Alzahrani M, Caudrelier J, Vandermeer L . De-escalating adjuvant therapies in older patients with lower risk estrogen receptor-positive breast cancer treated with breast-conserving surgery: A systematic review and meta-analysis. Cancer Treat Rev. 2021; 99:102254. DOI: 10.1016/j.ctrv.2021.102254. View