» Articles » PMID: 38652425

Navigating Breast Cancer Oligometastasis and Oligoprogression: Current Landscape and Future Directions

Overview
Journal Curr Oncol Rep
Publisher Current Science
Specialty Oncology
Date 2024 Apr 23
PMID 38652425
Authors
Affiliations
Soon will be listed here.
Abstract

Purpose: We examine the potential for curative approaches among metastatic breast cancer (MBC) patients by exploring the recent literature on local ablative therapies like surgery and stereotactic body radiation therapy (SBRT) in patients with oligometastatic (OM) breast cancer. We also cover therapies for MBC patients with oligoprogressive (OP) disease.

Key Findings: Surgery and SBRT have been studied for OM and OP breast cancer, mainly in retrospective or non-randomized trials. While many studies demonstrated favorable results, a cooperative study and single-institution trial found no support for surgery/SBRT in OM and OP cases, respectively.

Conclusion: While there is interest in applying local therapies to OM and OP breast cancer, the current randomized data does not back the routine use of surgery or SBRT, particularly when considering the potential for treatment-related toxicities. Future research should refine patient selection through advanced imaging and possibly explore these therapies specifically in patients with hormone receptor-positive or HER2-positive disease.

Citing Articles

The heterogeneity in oligoprogression and stereotactic body radiation therapy.

Hayashi T, Takigawa N Transl Cancer Res. 2025; 14(1):1-6.

PMID: 39974422 PMC: 11833369. DOI: 10.21037/tcr-24-1737.


Impact of HER2-targeting antibody drug conjugates in treatment strategies for patients with breast cancer.

Ma H, Li J Heliyon. 2025; 11(3):e41590.

PMID: 39916839 PMC: 11799954. DOI: 10.1016/j.heliyon.2024.e41590.

References
1.
Halsted C, Benson J, Jatoi I . A historical account of breast cancer surgery: beware of local recurrence but be not radical. Future Oncol. 2014; 10(9):1649-57. DOI: 10.2217/fon.14.98. View

2.
Fisher B, RAVDIN R, AUSMAN R, Slack N, Moore G, NOER R . Surgical adjuvant chemotherapy in cancer of the breast: results of a decade of cooperative investigation. Ann Surg. 1968; 168(3):337-56. PMC: 1387335. DOI: 10.1097/00000658-196809000-00004. View

3.
Hellman S, Weichselbaum R . Oligometastases. J Clin Oncol. 1995; 13(1):8-10. DOI: 10.1200/JCO.1995.13.1.8. View

4.
Palma D, Olson R, Harrow S, Gaede S, Louie A, Haasbeek C . Stereotactic ablative radiotherapy versus standard of care palliative treatment in patients with oligometastatic cancers (SABR-COMET): a randomised, phase 2, open-label trial. Lancet. 2019; 393(10185):2051-2058. DOI: 10.1016/S0140-6736(18)32487-5. View

5.
Gomez D, Tang C, Zhang J, Blumenschein Jr G, Hernandez M, Lee J . Local Consolidative Therapy Vs. Maintenance Therapy or Observation for Patients With Oligometastatic Non-Small-Cell Lung Cancer: Long-Term Results of a Multi-Institutional, Phase II, Randomized Study. J Clin Oncol. 2019; 37(18):1558-1565. PMC: 6599408. DOI: 10.1200/JCO.19.00201. View