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Patterns of recurrence of early breast cancer according to estrogen receptor status: a therapeutic target for a quarter of a century
by
Price, Karen N
, Thürlimann, Beat
, Lindtner, Jurij
, Collins, John
, Coates, Alan S
, Castiglione-Gertsch, Monica
, Gelber, Richard D
, Holmberg, Stig B
, Fey, Martin F
, Goldhirsch, Aron
, Pagani, Olivia
in
Aged
/ Aged, 80 and over
/ Antineoplastic Agents, Hormonal - therapeutic use
/ Biological and medical sciences
/ Breast cancer
/ Breast Neoplasms - drug therapy
/ Breast Neoplasms - metabolism
/ Breast Neoplasms - pathology
/ Cancer and Oncology
/ Cancer och onkologi
/ Cancer research
/ Cancer therapies
/ Chemotherapy, Adjuvant
/ Clinical Trial
/ Clinical trials
/ Disease-Free Survival
/ Estrogens
/ Female
/ Gynecology. Andrology. Obstetrics
/ Humans
/ Kaplan-Meier Estimate
/ Mammary gland diseases
/ Medical sciences
/ Medicine
/ Medicine & Public Health
/ Neoplasm Recurrence, Local - drug therapy
/ Neoplasm Recurrence, Local - metabolism
/ Neoplasm Recurrence, Local - pathology
/ Oncology
/ Proteins
/ Randomized Controlled Trials as Topic
/ Receptors, Estrogen - biosynthesis
/ Treatment Outcome
/ Tumors
2009
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Patterns of recurrence of early breast cancer according to estrogen receptor status: a therapeutic target for a quarter of a century
by
Price, Karen N
, Thürlimann, Beat
, Lindtner, Jurij
, Collins, John
, Coates, Alan S
, Castiglione-Gertsch, Monica
, Gelber, Richard D
, Holmberg, Stig B
, Fey, Martin F
, Goldhirsch, Aron
, Pagani, Olivia
in
Aged
/ Aged, 80 and over
/ Antineoplastic Agents, Hormonal - therapeutic use
/ Biological and medical sciences
/ Breast cancer
/ Breast Neoplasms - drug therapy
/ Breast Neoplasms - metabolism
/ Breast Neoplasms - pathology
/ Cancer and Oncology
/ Cancer och onkologi
/ Cancer research
/ Cancer therapies
/ Chemotherapy, Adjuvant
/ Clinical Trial
/ Clinical trials
/ Disease-Free Survival
/ Estrogens
/ Female
/ Gynecology. Andrology. Obstetrics
/ Humans
/ Kaplan-Meier Estimate
/ Mammary gland diseases
/ Medical sciences
/ Medicine
/ Medicine & Public Health
/ Neoplasm Recurrence, Local - drug therapy
/ Neoplasm Recurrence, Local - metabolism
/ Neoplasm Recurrence, Local - pathology
/ Oncology
/ Proteins
/ Randomized Controlled Trials as Topic
/ Receptors, Estrogen - biosynthesis
/ Treatment Outcome
/ Tumors
2009
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Patterns of recurrence of early breast cancer according to estrogen receptor status: a therapeutic target for a quarter of a century
by
Price, Karen N
, Thürlimann, Beat
, Lindtner, Jurij
, Collins, John
, Coates, Alan S
, Castiglione-Gertsch, Monica
, Gelber, Richard D
, Holmberg, Stig B
, Fey, Martin F
, Goldhirsch, Aron
, Pagani, Olivia
in
Aged
/ Aged, 80 and over
/ Antineoplastic Agents, Hormonal - therapeutic use
/ Biological and medical sciences
/ Breast cancer
/ Breast Neoplasms - drug therapy
/ Breast Neoplasms - metabolism
/ Breast Neoplasms - pathology
/ Cancer and Oncology
/ Cancer och onkologi
/ Cancer research
/ Cancer therapies
/ Chemotherapy, Adjuvant
/ Clinical Trial
/ Clinical trials
/ Disease-Free Survival
/ Estrogens
/ Female
/ Gynecology. Andrology. Obstetrics
/ Humans
/ Kaplan-Meier Estimate
/ Mammary gland diseases
/ Medical sciences
/ Medicine
/ Medicine & Public Health
/ Neoplasm Recurrence, Local - drug therapy
/ Neoplasm Recurrence, Local - metabolism
/ Neoplasm Recurrence, Local - pathology
/ Oncology
/ Proteins
/ Randomized Controlled Trials as Topic
/ Receptors, Estrogen - biosynthesis
/ Treatment Outcome
/ Tumors
2009
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Patterns of recurrence of early breast cancer according to estrogen receptor status: a therapeutic target for a quarter of a century
Journal Article
Patterns of recurrence of early breast cancer according to estrogen receptor status: a therapeutic target for a quarter of a century
2009
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Overview
The current therapeutic strategy in breast cancer is to identify a target, such as estrogen receptor (ER) status, for tailoring treatments. We investigated the patterns of recurrence with respect to ER status for patients treated in two randomized trials with 25 years' median follow-up. In the ER-negative subpopulations most breast cancer events occurred within the first 5-7 years after randomization, while in the ER-positive subpopulations breast cancer events were spread through 10 years. In the ER-positive subpopulation, 1 year endocrine treatment alone significantly prolonged disease-free survival (DFS) with no additional benefit observed by adding 1 year of chemotherapy. In the small ER-negative subpopulation chemo-endocrine therapy had a significantly better DFS than endocrine alone or no treatment. Despite small numbers of patients, “old-fashioned” treatments, and competing causes of treatment failure, the value of ER status as a target for response to adjuvant treatment is evident through prolonged follow-up.
Publisher
Boston : Springer US,Springer US,Springer,Springer Nature B.V
Subject
/ Antineoplastic Agents, Hormonal - therapeutic use
/ Biological and medical sciences
/ Breast Neoplasms - drug therapy
/ Breast Neoplasms - metabolism
/ Breast Neoplasms - pathology
/ Female
/ Gynecology. Andrology. Obstetrics
/ Humans
/ Medicine
/ Neoplasm Recurrence, Local - drug therapy
/ Neoplasm Recurrence, Local - metabolism
/ Neoplasm Recurrence, Local - pathology
/ Oncology
/ Proteins
/ Randomized Controlled Trials as Topic
/ Receptors, Estrogen - biosynthesis
/ Tumors
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