Slide1
Adjuvant Chemotherapy
Slide2
A 77-year-old woman in good health with an ER-negative, PR-negative, HER2-negative tumor and three positive nodes wishes to receive chemotherapy. What would you likely recommend?
Slide3
What is the age of the oldest breast cancer patient you have treated with adjuvant chemotherapy?
Slide4
A 60-year-old woman has well-controlled hypertension. What would you tell her is the risk of heart failure for four courses of AC (240 mg/m2)?
Slide5
How would you compare docetaxel/
cyclophosphamide (TC) to AC?
Slide6
How would you compare docetaxel/
cyclophosphamide (TC) to AC?
Slide7
How would you compare docetaxel/
cyclophosphamide (TC) to AC?
Slide8
All other factors being the same and with the same risk of relapse, I am less likely to use adjuvant chemotherapy for women with ER-positive tumors than for women with ER-negative tumors.
Slide9
You estimate a 10 percent risk of recurrence for a 65-year-old woman with an ER-negative, HER2-negative tumor. How likely would you be to recommend chemotherapy for this patient?
Slide10
You estimate a 10 percent residual risk of recurrence for a 65-year-old woman with an ER-positive, HER2-negative tumor after receiving adjuvant hormonal therapy. How likely would you be to recommend chemotherapy for this patient?
Slide11
There is essentially no role for the Oncotype DXTM assay in the management of HER2-positive tumors.
Slide12
Assays like Oncotype DX will eventually replace IHC and FISH for evaluating HER2 and ER.
Slide13
The way I integrate Oncotype DX into my practice is cost effective for the healthcare system.
Slide14
How useful is the Oncotype DX assay for a patient with a node-negative, ER-positive tumor which is:
Slide15
How useful is the Oncotype DX assay for a patient with a node-negative, ER-positive tumor which is:
Slide16
How useful is the Oncotype DX assay for a patient with a node-negative, ER-positive tumor which is:
Slide17
With regard to the TAILORx trial, how comfortable are you with the major paths of the three study groups?
Slide18
With regard to the TAILORx trial, how comfortable are you with the major paths of the three study groups?
Slide19
With regard to the TAILORx trial, how comfortable are you with the major paths of the three study groups?