Neoadjuvant Endocrine Therapy in Breast Cancer Management: State of the Art

Endocrine therapy is the mainstay of treatment in HR+/HER2- breast cancers, which represent about 70% of all breast cancers. Neoadjuvant therapy has been developed since the 1990s to address several issues, including breast-conserving surgery (BCS) and improvement of survival rates. For a long time,...

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Main Authors: Florence Lerebours, Luc Cabel, Jean-Yves Pierga
Format: Article
Language:English
Published: MDPI AG 2021-02-01
Series:Cancers
Subjects:
Online Access:https://www.mdpi.com/2072-6694/13/4/902
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author Florence Lerebours
Luc Cabel
Jean-Yves Pierga
author_facet Florence Lerebours
Luc Cabel
Jean-Yves Pierga
author_sort Florence Lerebours
collection DOAJ
description Endocrine therapy is the mainstay of treatment in HR+/HER2- breast cancers, which represent about 70% of all breast cancers. Neoadjuvant therapy has been developed since the 1990s to address several issues, including breast-conserving surgery (BCS) and improvement of survival rates. For a long time, neoadjuvant endocrine therapy (NET) was confined to frail patients in order to improve surgery outcome. Since the 2000s, NET now plays a central role as a research tool for predictive endocrine sensitivity biomarkers and targeted therapies. One of the major issues in early HR+/HER2- breast cancer is to identify patients in whom chemotherapy can be safely withheld. In vivo assessment of response to NET might be the best treatment strategy to address this issue.
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spelling doaj.art-7327dcfc4268415495e979c46cfdad5b2023-12-11T17:53:47ZengMDPI AGCancers2072-66942021-02-0113490210.3390/cancers13040902Neoadjuvant Endocrine Therapy in Breast Cancer Management: State of the ArtFlorence Lerebours0Luc Cabel1Jean-Yves Pierga2Medical Oncology Department, Institut Curie, 92210 Saint-Cloud, FranceMedical Oncology Department, Institut Curie, 92210 Saint-Cloud, FranceMedical Oncology Department, Institut Curie, 92210 Saint-Cloud, FranceEndocrine therapy is the mainstay of treatment in HR+/HER2- breast cancers, which represent about 70% of all breast cancers. Neoadjuvant therapy has been developed since the 1990s to address several issues, including breast-conserving surgery (BCS) and improvement of survival rates. For a long time, neoadjuvant endocrine therapy (NET) was confined to frail patients in order to improve surgery outcome. Since the 2000s, NET now plays a central role as a research tool for predictive endocrine sensitivity biomarkers and targeted therapies. One of the major issues in early HR+/HER2- breast cancer is to identify patients in whom chemotherapy can be safely withheld. In vivo assessment of response to NET might be the best treatment strategy to address this issue.https://www.mdpi.com/2072-6694/13/4/902breast cancerneoadjuvantendocrine therapyprognosis
spellingShingle Florence Lerebours
Luc Cabel
Jean-Yves Pierga
Neoadjuvant Endocrine Therapy in Breast Cancer Management: State of the Art
Cancers
breast cancer
neoadjuvant
endocrine therapy
prognosis
title Neoadjuvant Endocrine Therapy in Breast Cancer Management: State of the Art
title_full Neoadjuvant Endocrine Therapy in Breast Cancer Management: State of the Art
title_fullStr Neoadjuvant Endocrine Therapy in Breast Cancer Management: State of the Art
title_full_unstemmed Neoadjuvant Endocrine Therapy in Breast Cancer Management: State of the Art
title_short Neoadjuvant Endocrine Therapy in Breast Cancer Management: State of the Art
title_sort neoadjuvant endocrine therapy in breast cancer management state of the art
topic breast cancer
neoadjuvant
endocrine therapy
prognosis
url https://www.mdpi.com/2072-6694/13/4/902
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