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Overview of Breast Cancer Therapy - PubMed

Review

Overview of Breast Cancer Therapy

Tracy-Ann Moo et al. PET Clin. 2018 Jul.

Abstract

Breast cancer treatment is multidisciplinary. Most women with early stage breast cancer are candidates for breast-conserving surgery with radiotherapy or mastectomy. The risk of local recurrence and the chance of survival does not differ with these approaches. Sentinel node biopsy is used for axillary staging, and individualized approaches are minimizing the need for axillary dissection in women with positive sentinel nodes. Adjuvant systemic therapy is used in most women based on proven survival benefit, and molecular profiling to individualize treatment based on risk is now a clinical reality for patients with hormone receptor-positive cancers.

Keywords: Adjuvant therapy; Breast cancer surveillance; Breast cancer therapy; Breast-conserving therapy; Endocrine therapy; Local therapy; Mastectomy; Neoadjuvant chemotherapy.

Copyright © 2018 Elsevier Inc. All rights reserved.

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Figures

Figure 1
Figure 1. Invasive breast cancer: Algorithm for local therapy

SLNB, sentinel lymph node biopsy; BCT, breast-conserving therapy; ALND, axillary lymph node dissection; XRT, breast radiation; SLN, sentinel lymph node; PMRT, postmastectomy radiation therapy

Figure 2
Figure 2. TAILORx for node-negative, hormone receptor-positive and HER2-negative breast cancer

RS: recurrence score

Figure 3
Figure 3. RxPONDER for node-positive, hormone receptor-positive and HER2-negative breast cancer

RS: recurrence score

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