10y results of FAST FORWARD (adjuvant #breastcancer RT) trial presented at #ESTRO25 by AM Brunt.
Compared to 40Gy/15, 26Gy/5:
1. Non inf for IBR (even superior?)
2. Similar recurrence free interval, breast cancer interval, OS
3. No diff in PRO or toxicity
Clearly 26/5 SOC for
Most viewed in the last 7 days from @JAMAOnc:
Do young breast cancer survivors have a high risk of developing a second primary breast cancer?
https://t.co/skty5R4T8c
@AnnSurgOncol@therealmiral@SocSurgOnc Interesting data, but a 44% complication rate for Oncoplastic surgery seems outrageously high. Also why delay OPBS 10-14d post-BCS. Why not do it all at once?Multiple studies- including our own- show these can be done by a single team all at once, with a complication rate of <9%
@DrTedJames@RICKLIN4TH Agree - ALND is overtreatment in these patients who convert to ypN0. This approach is the Z1071 subgroup analysis of clipping biopsied nodes pre-NAC and - if normal nodes identified on post-NAC axillary US - then tAD can be performed demonstrating a low FNR of <5%.
@GlassmanDS@MelissaLHTan Choosing Wisely contingent on patients taking full course of endocrine treatment. Data suggests only 60% of patients compliant with endo. Also in the SLNB arm of SOUND 14% were pN1. Omitting SLNB means this group loses out on valuable locoregional RT / endo and ⬆️LR failure
Very humbled and proud to be the new lead for the Comprehensive Breast Care Program in #Edmonton. The CBCP is a strong driver for research, innovation and patient-centred care. I look forward to helping it grow and serve our patients diagnosed with #breastcancer#Yeg@CovenantCA
As breast fellowship matches are celebrated today, review this article from @AnnSurgOncol PUBLISHED: Comparing Methods for #TargetedAxillaryDissection in #BreastCancer Patients: A Nationwide, Retrospective Study.
https://t.co/AnmM0yWr7Q
Breast conservation is an appropriate option for women with 2-3 foci of breast cancer in their breast. Primary endpoint of Alliance Z11102 clinical trial reported in JCO. @ALLIANCE_org @MayoCancerCare @MayoClinicSurg https://t.co/BL34Jq5TyA
@Conjure_pup@ThanksCancer Thanks for asking. I’m not a surgeon, but you can hear @Oncoplasticsurg, Dr Lashan Peiris, talk about modern Breast surgery options in this free @CanadaSBI webinar. #breastcancer
Lots of great questions answered at the end of his session, too!
The first of its kind, inspiring, innovative and inclusive Breast cancer meeting. Great debate, minds and collaborative thoughts all in one space. Makes me excited to be a breast surgeon. #TBCC2022@endomag
Excited to be heading to the inaugural Transatlantic Breast Cancer Collaborative - 70 of the best breast surgeons from across the world in one place to discuss, debate, and define the future of breast cancer treatment.
#TBCC2022#DiscussDebateDefine#BreastCancer#Magteam
@Abhishe19365903 @AnnSurgOncol Sadly - although interesting - I feel that this is the main drawback of these 2 cohort studies. There will always be a selection bias with earlier stage cancers over-represented in the BCT group. Only way to know for sure is with prospective RCTs emulating those of the 1990s.