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Lineberger Comprehensive Cancer Center

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Advancements in Breast Cancer Research Unveiled at SABCS 2024

• The PATINA trial suggests palbociclib with anti-HER2 and endocrine therapy may become a new standard for HR+, HER2+ metastatic breast cancer. • COMET trial indicates active monitoring is comparable to surgery for low-risk DCIS, offering a potential alternative management option. • OlympiA trial's long-term results reinforce olaparib's role in preventing recurrence and highlight the importance of BRCA testing for early-stage breast cancer.

Tamoxifen Reduces Long-Term Recurrence Risk in Good-Risk DCIS Without Radiation

• Adjuvant tamoxifen significantly reduces the 15-year risk of ipsilateral breast cancer recurrence in patients with good-risk DCIS who forgo radiation therapy. • Tamoxifen notably decreases the risk of invasive ipsilateral breast cancer recurrence but does not significantly impact ipsilateral DCIS or contralateral breast cancer. • The findings support tamoxifen as a reasonable option for good-risk DCIS patients post-surgery, aiding in informed decisions between endocrine and radiation therapies. • The study underscores the importance of evaluating endocrine therapy's impact in patients with good-risk DCIS who do not receive radiation therapy.
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