Extended Adjuvant Endocrine Treatment in Luminal Breast Cancers in the Era of Genomic Tests

Author:

Saponaro Mariarosaria,Annunziata Luigi,Turla Antonella,Viganò Ilaria,De Laurentiis MicheleORCID,Giuliano Mario,Del Mastro LuciaORCID,Montemurro FilippoORCID,Puglisi FabioORCID,De Angelis Carmine,Buono Giuseppe,Schettini FrancescoORCID,Arpino Grazia

Abstract

In patients with early-stage endocrine receptor-positive (ER+) breast cancer (BC), adjuvant endocrine therapy (ET) for 5 years is the standard of care. However, for some patients, the risk of recurrence remain high for up to 15 years after diagnosis and extended ET beyond 5 years may be a reasonable option. Nevertheless, this strategy significantly increases the occurrence of side effects. Here we summarize the available evidence from randomized clinical trials on the efficacy and safety profile of extended ET and discuss available clinical and genomic tools helpful to select eligible patients in daily clinical practice.

Publisher

MDPI AG

Subject

Inorganic Chemistry,Organic Chemistry,Physical and Theoretical Chemistry,Computer Science Applications,Spectroscopy,Molecular Biology,General Medicine,Catalysis

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