Review
. 2006 Mar;4 Suppl 1().

NCCN Task Force Report: Adjuvant Therapy for Breast Cancer

Robert W Carlson 1 Elizabeth Brown  Harold J Burstein  William J Gradishar  Clifford A Hudis  Charles Loprinzi  Eleftherios Paul Mamounas  Edith A Perez  Kathleen Pritchard  Peter Ravdin  Abram Recht  George Somlo  Richard L Theriault  Eric P Winer  Antonio C Wolff  National Comprehensive Cancer Network  
Affiliations
  • PMID: 16507275
  •     35 citations

Abstract

The National Comprehensive Cancer Network (NCCN) first published the NCCN Breast Cancer Treatment Guidelines in 1996. The Guidelines address the treatment of all stages of breast cancer across the spectrum of patient care and have been updated yearly. Adjuvant therapy for breast cancer has undergone an especially rapid evolution over the past few years. Therefore, the NCCN Breast Cancer Guidelines Panel was supplemented by additional experts to form the Adjuvant Therapy Task Force to provide a forum for an extended discussion and expanded input to the adjuvant therapy recommendations for the Breast Cancer Treatment Guidelines. Issues discussed included methods of risk-stratification for recurrence; how biologic markers such as HER2 status, quantitative estrogen receptor, or genetic markers can be incorporated as prognostic or predictive factors; and how age, menopausal status, and estrogen receptor levels impact benefits from chemotherapy and endocrine therapy. Additionally, the task force discussed the strategies for use of aromatase inhibitors in postmenopausal women and the potential incorporation of trastuzumab into adjuvant therapy of women with HER2/neu positive breast cancer. This supplement summarizes the background data and ensuing discussion from the Adjuvant Task Force meeting.

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