Health Care

No chemo? Triangle doctors excited by new findings for breast cancer patients

No chemo? Triangle doctors excited by new findings for breast cancer patients

The study found that for women with hormone receptor (HR)-positive, HER2-negative, axillary lymph node-negative breast cancer, treatment with chemotherapy and hormone therapy after surgery is not more beneficial than treatment with hormone therapy alone.

For a while, doctors have suspected that not all patients needed to undergo chemotherapy treatments, but they were lacking the evidence to back up their claims.

"Chemotherapy is not without its side effects, but it's still a discussion that a woman has to have with her physician", said Dr. Stephanie Bernik, chief of surgical oncology at Lenox Hill Hospital.

The study, led by the Albert Einstein Cancer Center in NY, is a rare cancer breakthrough as it can save money and instantly change practice. Fleener says it's all part of the ongoing project to treat and cure breast cancer. In contrast, for patients with a low recurrence score (0-10), the benefits of chemotherapy are unlikely to outweigh the risks and toxicity.

A low test score means patients can forgo the treatment, as well as its toxic side effects, while a high score means women would greatly benefit.

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But that would be tame considering how some at his work place have dealt with his affinity for (mostly) LeBron James and the Cavs. Kevin Love added 20 points for the Cavs, who have fallen into a hole in which no team has ever emerged.

The study was funded by the National Cancer Institute, some foundations and proceeds from the USA breast cancer postage stamp. The trial enrolled 10,273 women with this type of breast cancer at 1,182 sites in the United States, Australia, Canada, Ireland, New Zealand, and Peru.

While Nelson said she had a common form of breast cancer, her disease required chemotherapy. Similar tests including one called MammaPrint also are widely used.

Dr. Lisa Carey, a breast specialist at the University of North Carolina's Lineberger Comprehensive Cancer Center, said she would be very comfortable advising patients to skip chemo if they were like those in the study who did not benefit from it. "There are some people who say, 'I don't care what you say, I'm never going to do chemo, '" and won't even have the gene test, she said.

"This study is an example of how treatments can be refined in an attempt to work better for patients", said ASCO expert Dr. Andrew Epstein. Other folks need chemo for the tiniest possibility of advantage.

"Testing solved a large issue of figuring out that desires chemo, said Lots of women believe" if I do not get chemotherapy I will die, and when I get chemo I'm likely to be treated", but the results show there is a sliding scale of advantage and sometimes not one, " he explained. "I'm a firm believer in medical research".


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