2012
DOI: 10.6004/jnccn.2012.0086
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Metastatic Breast Cancer, Version 1.2012

Abstract: These NCCN Guidelines Insights highlight the important updates/changes specific to the management of metastatic breast cancer in the 2012 version of the NCCN Clinical Practice Guidelines in Oncology (NCCN Guidelines) for Breast Cancer. These changes/updates include the issue of retesting of biomarkers (estrogen receptor, progesterone receptor, and human epidermal growth factor receptor 2) on recurrent disease, new information regarding first-line combination endocrine therapy for metastatic disease, a new sect… Show more

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Cited by 95 publications
(36 citation statements)
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“…Improving and targeting treatment of metastatic breast cancer (MBC) has been shown to improve survival by approximately 30 % [2]. Given the efficacy and low morbidity of endocrine therapy for estrogen-receptor-expressing (ER+) tumors and the lack of efficacy of endocrine therapy in ER-negative (ER-) tumors, assay for ER expression in histologic tumor samples is critical to select treatment for MBC [35]. While ER expression is readily determined in biopsy material from primary breast tumors, biopsy of metastatic sites is more technically challenging and may be associated with higher morbidity.…”
Section: Introductionmentioning
confidence: 99%
“…Improving and targeting treatment of metastatic breast cancer (MBC) has been shown to improve survival by approximately 30 % [2]. Given the efficacy and low morbidity of endocrine therapy for estrogen-receptor-expressing (ER+) tumors and the lack of efficacy of endocrine therapy in ER-negative (ER-) tumors, assay for ER expression in histologic tumor samples is critical to select treatment for MBC [35]. While ER expression is readily determined in biopsy material from primary breast tumors, biopsy of metastatic sites is more technically challenging and may be associated with higher morbidity.…”
Section: Introductionmentioning
confidence: 99%
“…There is now an urgent need for phase III randomized clinical trials addressing this particular question. European (ESMO) and American (NCCN) recommendations propose different options in different settings according to the available data [51,52]. Anti-HER2 therapy should be the treatment of choice in all patients with HER2-positive MBC.…”
Section: Resultsmentioning
confidence: 99%
“…SLN techniques are now part of the standard treatment for breast cancer, 16 melanoma, 17 and selected cases of vulvar cancer. 18 The application of the SLN concept for malignancies of intra-abdominal organs is still under evaluation and testing.…”
Section: Discussionmentioning
confidence: 99%