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Sökning: WFRF:(Carey S. K.) > (2015-2019) > De-escalating and e...

LIBRIS Formathandbok  (Information om MARC21)
FältnamnIndikatorerMetadata
00005483naa a2200961 4500
001oai:gup.ub.gu.se/256677
003SwePub
008240528s2017 | |||||||||||000 ||eng|
009oai:prod.swepub.kib.ki.se:136351658
024a https://gup.ub.gu.se/publication/2566772 URI
024a https://doi.org/10.1093/annonc/mdx3082 DOI
024a http://kipublications.ki.se/Default.aspx?queryparsed=id:1363516582 URI
040 a (SwePub)gud (SwePub)ki
041 a eng
042 9 SwePub
072 7a ref2 swepub-contenttype
072 7a art2 swepub-publicationtype
100a Curigliano, G4 aut
2451 0a De-escalating and escalating treatments for early-stage breast cancer: the St. Gallen International Expert Consensus Conference on the Primary Therapy of Early Breast Cancer 2017.
264 1b Elsevier BV,c 2017
520 a The 15th St. Gallen International Breast Cancer Conference 2017 in Vienna, Austria reviewed substantial new evidence on loco-regional and systemic therapies for early breast cancer. Treatments were assessed in light of their intensity, duration and side-effects, seeking where appropriate to escalate or de-escalate therapies based on likely benefits as predicted by tumor stage and tumor biology. The Panel favored several interventions that may reduce surgical morbidity, including acceptance of 2mm margins for DCIS, the resection of residual cancer (but not baseline extent of cancer) in women undergoing neoadjuvant therapy, acceptance of sentinel node biopsy following neoadjuvant treatment of many patients, and the preference for neoadjuvant therapy in HER2 positive and triple-negative, stage II and III breast cancer. The Panel favored escalating radiation therapy with regional nodal irradiation in high-risk patients, while encouraging omission of boost in low-risk patients. The Panel endorsed gene expression signatures that permit avoidance of chemotherapy in many patients with ER positive breast cancer. For women with higher risk tumors, the Panel escalated recommendations for adjuvant endocrine treatment to include ovarian suppression in premenopausal women, and extended therapy for postmenopausal women. However, low-risk patients can avoid these treatments. Finally, the Panel recommended bisphosphonate use in postmenopausal women to prevent breast cancer recurrence. The Panel recognized that recommendations are not intended for all patients, but rather to address the clinical needs of the majority of common presentations. Individualization of adjuvant therapy means adjusting to the tumor characteristics, patient comorbidities and preferences, and managing constraints of treatment cost and access that may affect care in both the developed and developing world.
650 7a MEDICIN OCH HÄLSOVETENSKAPx Klinisk medicinx Cancer och onkologi0 (SwePub)302032 hsv//swe
650 7a MEDICAL AND HEALTH SCIENCESx Clinical Medicinex Cancer and Oncology0 (SwePub)302032 hsv//eng
700a Burstein, H J4 aut
700a P Winer, E4 aut
700a Gnant, M4 aut
700a Dubsky, P4 aut
700a Loibl, S4 aut
700a Colleoni, M4 aut
700a Regan, M M4 aut
700a Piccart-Gebhart, M4 aut
700a Senn, H-J4 aut
700a Thürlimann, B4 aut
700a André, F4 aut
700a Baselga, J4 aut
700a Bergh, Ju Karolinska Institutet4 aut
700a Bonnefoi, H4 aut
700a Y Brucker, S4 aut
700a Cardoso, F4 aut
700a Carey, L4 aut
700a Ciruelos, E4 aut
700a Cuzick, J4 aut
700a Denkert, C4 aut
700a Di Leo, A4 aut
700a Ejlertsen, B4 aut
700a Francis, P4 aut
700a Galimberti, V4 aut
700a Garber, J4 aut
700a Gulluoglu, B4 aut
700a Goodwin, P4 aut
700a Harbeck, N4 aut
700a Hayes, D F4 aut
700a Huang, C-S4 aut
700a Huober, J4 aut
700a Hussein, K4 aut
700a Jassem, J4 aut
700a Jiang, Z4 aut
700a Karlsson, Per,d 1963u Gothenburg University,Göteborgs universitet,Institutionen för kliniska vetenskaper, Avdelningen för onkologi,Institute of Clinical Sciences, Department of Oncology4 aut0 (Swepub:gu)xkperd
700a Morrow, M4 aut
700a Orecchia, R4 aut
700a Osborne, K C4 aut
700a Pagani, O4 aut
700a Partridge, A H4 aut
700a Pritchard, K4 aut
700a Ro, J4 aut
700a Rutgers, E J T4 aut
700a Sedlmayer, F4 aut
700a Semiglazov, V4 aut
700a Shao, Z4 aut
700a Smith, I4 aut
700a Toi, M4 aut
700a Tutt, A4 aut
700a Viale, G4 aut
700a Watanabe, T4 aut
700a Whelan, T J4 aut
700a Xu, B4 aut
710a Karolinska Institutetb Institutionen för kliniska vetenskaper, Avdelningen för onkologi4 org
773t Annals of oncology : official journal of the European Society for Medical Oncologyd : Elsevier BVg 28:8, s. 1700-1712q 28:8<1700-1712x 1569-8041
773t Annals of Oncologyd : Elsevier BVg 28:8, s. 1700-1712q 28:8<1700-1712x 0923-7534
856u https://doi.org/10.1093/annonc/mdx308
8564 8u https://gup.ub.gu.se/publication/256677
8564 8u https://doi.org/10.1093/annonc/mdx308
8564 8u http://kipublications.ki.se/Default.aspx?queryparsed=id:136351658

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