International expert consensus on primary systemic therapy in the management of early breast cancer: highlights of the Fourth Symposium on Primary Systemic Therapy in the Management of Operable Breast Cancer, Cremona, Italy (2010).

A panel of international breast cancer experts formulated a declaration of consensus regarding many key issues in the use of primary systemic therapy (PST) either in clinical routine or research practice. The attainment of pathological complete response (pCR), defined as no residual invasive tumor i...

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Main Authors: Berruti, A, Generali, D, Kaufmann, M, Puztai, L, Curigliano, G, Aglietta, M, Gianni, L, Miller, W, Untch, M, Sotiriou, C, Daidone, M, Conte, P, Kennedy, D, Damia, G, Petronini, P, Di Cosimo, S, Bruzzi, P, Dowsett, M, Desmedt, C, Mansel, R, Olivetti, L, Tondini, C, Sapino, A, Fenaroli, P, Tortora, G
Format: Journal article
Language:English
Published: 2011
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author Berruti, A
Generali, D
Kaufmann, M
Puztai, L
Curigliano, G
Aglietta, M
Gianni, L
Miller, W
Untch, M
Sotiriou, C
Daidone, M
Conte, P
Kennedy, D
Damia, G
Petronini, P
Di Cosimo, S
Bruzzi, P
Dowsett, M
Desmedt, C
Mansel, R
Olivetti, L
Tondini, C
Sapino, A
Fenaroli, P
Tortora, G
author_facet Berruti, A
Generali, D
Kaufmann, M
Puztai, L
Curigliano, G
Aglietta, M
Gianni, L
Miller, W
Untch, M
Sotiriou, C
Daidone, M
Conte, P
Kennedy, D
Damia, G
Petronini, P
Di Cosimo, S
Bruzzi, P
Dowsett, M
Desmedt, C
Mansel, R
Olivetti, L
Tondini, C
Sapino, A
Fenaroli, P
Tortora, G
author_sort Berruti, A
collection OXFORD
description A panel of international breast cancer experts formulated a declaration of consensus regarding many key issues in the use of primary systemic therapy (PST) either in clinical routine or research practice. The attainment of pathological complete response (pCR), defined as no residual invasive tumor in the surgical specimens both in breast and in axillary nodes, is one of the main goals of PST, and pCR can be used as the primary objective in prospective clinical trials. However, pCR is not a reliable endpoint with all treatment approaches, and alternatives such as Ki67 index of the residual invasive disease or after 2 weeks of PST are also potential endpoints. PST has several advantages: breast conservation and the unique opportunity to obtain information on the interaction between treatment and tumor biology. Changes in tumor biology after PST are an early phenomenon; so, an additional core biopsy performed after 14 days from treatment start should be considered in clinical trials.
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spelling oxford-uuid:d0ca9259-45e5-4d49-8943-b22ad8f8974e2022-03-27T07:52:36ZInternational expert consensus on primary systemic therapy in the management of early breast cancer: highlights of the Fourth Symposium on Primary Systemic Therapy in the Management of Operable Breast Cancer, Cremona, Italy (2010).Journal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:d0ca9259-45e5-4d49-8943-b22ad8f8974eEnglishSymplectic Elements at Oxford2011Berruti, AGenerali, DKaufmann, MPuztai, LCurigliano, GAglietta, MGianni, LMiller, WUntch, MSotiriou, CDaidone, MConte, PKennedy, DDamia, GPetronini, PDi Cosimo, SBruzzi, PDowsett, MDesmedt, CMansel, ROlivetti, LTondini, CSapino, AFenaroli, PTortora, GA panel of international breast cancer experts formulated a declaration of consensus regarding many key issues in the use of primary systemic therapy (PST) either in clinical routine or research practice. The attainment of pathological complete response (pCR), defined as no residual invasive tumor in the surgical specimens both in breast and in axillary nodes, is one of the main goals of PST, and pCR can be used as the primary objective in prospective clinical trials. However, pCR is not a reliable endpoint with all treatment approaches, and alternatives such as Ki67 index of the residual invasive disease or after 2 weeks of PST are also potential endpoints. PST has several advantages: breast conservation and the unique opportunity to obtain information on the interaction between treatment and tumor biology. Changes in tumor biology after PST are an early phenomenon; so, an additional core biopsy performed after 14 days from treatment start should be considered in clinical trials.
spellingShingle Berruti, A
Generali, D
Kaufmann, M
Puztai, L
Curigliano, G
Aglietta, M
Gianni, L
Miller, W
Untch, M
Sotiriou, C
Daidone, M
Conte, P
Kennedy, D
Damia, G
Petronini, P
Di Cosimo, S
Bruzzi, P
Dowsett, M
Desmedt, C
Mansel, R
Olivetti, L
Tondini, C
Sapino, A
Fenaroli, P
Tortora, G
International expert consensus on primary systemic therapy in the management of early breast cancer: highlights of the Fourth Symposium on Primary Systemic Therapy in the Management of Operable Breast Cancer, Cremona, Italy (2010).
title International expert consensus on primary systemic therapy in the management of early breast cancer: highlights of the Fourth Symposium on Primary Systemic Therapy in the Management of Operable Breast Cancer, Cremona, Italy (2010).
title_full International expert consensus on primary systemic therapy in the management of early breast cancer: highlights of the Fourth Symposium on Primary Systemic Therapy in the Management of Operable Breast Cancer, Cremona, Italy (2010).
title_fullStr International expert consensus on primary systemic therapy in the management of early breast cancer: highlights of the Fourth Symposium on Primary Systemic Therapy in the Management of Operable Breast Cancer, Cremona, Italy (2010).
title_full_unstemmed International expert consensus on primary systemic therapy in the management of early breast cancer: highlights of the Fourth Symposium on Primary Systemic Therapy in the Management of Operable Breast Cancer, Cremona, Italy (2010).
title_short International expert consensus on primary systemic therapy in the management of early breast cancer: highlights of the Fourth Symposium on Primary Systemic Therapy in the Management of Operable Breast Cancer, Cremona, Italy (2010).
title_sort international expert consensus on primary systemic therapy in the management of early breast cancer highlights of the fourth symposium on primary systemic therapy in the management of operable breast cancer cremona italy 2010
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