Cancer du sein de stade précoce : la désescalade thérapeutique sélective [Selective therapeutic de-escalation in early stage breast cancer]

Détails

ID Serval
serval:BIB_7A29F888A008
Type
Article: article d'un périodique ou d'un magazine.
Sous-type
Synthèse (review): revue aussi complète que possible des connaissances sur un sujet, rédigée à partir de l'analyse exhaustive des travaux publiés.
Collection
Publications
Titre
Cancer du sein de stade précoce : la désescalade thérapeutique sélective [Selective therapeutic de-escalation in early stage breast cancer]
Périodique
Revue medicale suisse
Auteur(s)
Liapi A., Sarivalasis A., Jeanneret Sozzi W., Lelièvre L., Zaman K.
ISSN
1660-9379 (Print)
ISSN-L
1660-9379
Statut éditorial
Publié
Date de publication
17/05/2017
Peer-reviewed
Oui
Volume
13
Numéro
563
Pages
1035-1038
Langue
français
Notes
Publication types: Journal Article ; Review
Publication Status: ppublish
Résumé
The survival of patients with breast cancer has improved considerably thanks to adjuvant radiotherapy and systemic treatments. Due to the potential adverse events associated with these treatments, a de-escalation effort was undertaken concerning surgery and more recently the adjuvant treatments. Conservative breast surgery and the avoidance of axillary dissection were possible for the majority of the patients without detrimental effect on survival. New radiotherapy techniques and the consideration of cancer biology allowed to better protect the peripheral organs and even to avoid treatment in certain low-risk patients. The refinement of prognostic and predictive criteria helped reducing the use of chemotherapy and adapting the duration of endocrine therapy to the risk.
Mots-clé
Breast Neoplasms/diagnosis, Breast Neoplasms/pathology, Breast Neoplasms/therapy, Conservative Treatment/methods, Female, Humans, Medical Futility, Neoplasm Staging, Patient Selection, Prognosis
Pubmed
Création de la notice
22/06/2017 21:16
Dernière modification de la notice
31/05/2018 19:22
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