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Curr Breast Cancer Rep (2017) 9:202–209 https://doi.org/10.1007/s12609-017-0255-6 SYSTEMIC THERAPIES (M LIU AND T HADDAD, SECTION EDITORS) 1 1 2 1 Laura M. Arthur & Arran K. Turnbull & Lucy R. Khan & J. Michael Dixon Published online: 27 October 2017 The Author(s) 2017. This article is an open access publication . . . Abstract Keywords Breast cancer Neoadjuvant Endocrine therapy . . Purpose of Review Pre-operative endocrine therapy can be Aromatase inhibitor Pre-operative Tamoxifen used to down-stage large or locally advanced breast cancers in ER+ disease. In the last four decades, it has evolved from a treatment perceived as an alternative to surgery for those too Introduction unfit to undergo surgery or chemotherapy, to the present day where it is a valuable and valid option in the treatment of Approximately 75% of all invasive breast cancers express postmenopausal women with ER-rich (Allred score 7–8, or oestrogen receptor alpha (ER+), a favourable prognostic > 50% staining for ER) breast cancer. factor and a strong predictor of response to endocrine Recent Findings Emerging data from the metastatic setting is therapies. In early breast cancer, treatment usually in- translating into neoadjuvant trials, utilising dual endocrine cludes surgery, followed by adjuvant (post-operative) targeting
Current Breast Cancer Reports – Springer Journals
Published: Oct 27, 2017
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