Triple negative   

Questions discussed in this category


(For instance, TCx4 instead of ddAC->T for smaller tumors?)Does this affect your decision about treating with neoadjuvant versus adjuvant chemother...

What would be your approach to a patient who went straight to surgery due to HR+ biopsy, but found to be triple negative on surgical pathology? 

Following SRS to the brain lesions, is it safe to closely follow the patient for recurrence?

If yes, how do you assess the tumor response and how frequently while on neoadjuvant chemoimmunotherapy?

In which scenarios would you consider a parp inhibitor as the first line treatment of choice? 

Received neoadjuvant ddAC/T followed by adjuvant capecitabine for residual disease and found to have metastatic pulmonary nodules within months of sur...

The results presented by Sudeep Gupta (from the Tata Memorial Breast Group at 2022 San Antonio Breast Cancer Symposium #GS5-01) showed no benefit (pCR...

In patients with prior perioperative immunotherapy with early relapse, would re-introduction of immunotherapy be reasonable with high TMB? 

Would you consider definitive local therapy (surgery, radiation?) if she achieved a good response to initial systemic therapy?

If said patient was known to be gBRCA mutated, would you use neoadjuvant chemotherapy to enable adjuvant olaparib for those that did not have a pCR? &...

In subset analyses of OlympiA there seems to be smaller magnitude of benefit among HR+ patients. In your opinion, should adjuvant olabarib be offered ...

Patient has already received neo/adjuvant treatment with AC, paclitaxel, capecitabine, docetaxel, and carboplatin.

Patient previously received neoadjuvant ddAC-T with residual disease at surgery, followed by adjuvant capecitabine which was completed 2 months prior ...

Given seemingly improved efficacy in ASCENT patients who had less prior treatment, would you consider use after only one prior agent rather than two? ...

Are there specific patient cohorts in whom you will more preferentially use sacituzumab govitecan? Can data from ASCENT be applied to patients with C...

To what degree do you factor in patient preference when choosing among available treatments? Are there features of each regimen that you emphasize in ...

The patient was started on chemoimmunotherapy 3 years ago. Recent scans show small treated brain metastases (s/p RT several years ago) and no disease ...

Patient with T2N1 disease and isolated liver metastases. Axilla and liver completely responded to chemo + IO, but limited residual breast enhancement ...

Given that olaparib was given within 12 weeks of completion of standard adjuvant therapy on the trial, will you still offer it to patients outside tha...

In patients who have completed all adjuvant therapy. Similar test to what is available for stage 2 and 3 colon cancer patients by Natera.

Presuming that imaging does not show distant metastatic disease, what would you offer? What about if the patient were PD-L1 negative?

Do you have any experience with intra-pericardial chemotherapy administration, and if so, in what cases?

Does tumor size impact your recommendation? High grade? Young patient age?

Would it affect your decision whether original primary tumor and treatment was hormone positive or negative?

Options: 1) ddAC-T- surgery- adjuvant capecitabine if residual disease 2) weekly taxol/carbo x 12 followed by dd AC x 4 3) Keynote 522- pembro/taxo...

Would you consider use of immunotherapy with checking PDL1? What chemotherapy agents would you consider along with mastectomy/radiation?

Is there any evidence for sacituzumab govitecan (IMMU-132) in this situation with progressive systemic disease after prior anthracycline and taxane?

Would you consider still immunotherapy even if aggressive disease vs single agent chemotherapy?

Does the SYSUCC-001 trial presented at ASCO 2020 change your practice?

Patient previously received neoadjuvant carboplatin, anthracycline and taxane regimen and is BRCA negative.

Does the results of the tnAcity trial influence your decision in choosing a 1st line option?

Why do the NCCN guidelines suggest using neoadjuvant therapy only for patients with T2 or greater tumors?

What are your thoughts with the new KEYNOTE-522 regimen? Would you just use carbo/paclitaxel/pembro part of the regimen or give as much doxorubicin as...

Are you using post-neoadjuvant Xeloda based on preliminary data from the CREATE-X trial? Does BRCA mutation influence your decision?

In a patient with isolated leptomeningeal disease (no systemic disease), would you still recommend systemic therapy?


Papers discussed in this category


ESMO Open, 2016-01-01

Journal of clinical oncology : official journal of the American Society of Clinical Oncology, 2003-03-15

Journal of clinical oncology : official journal of the American Society of Clinical Oncology, 2009-03-10

Journal of clinical oncology : official journal of the American Society of Clinical Oncology, 2017-08-10

Journal of clinical oncology : official journal of the American Society of Clinical Oncology, 2015-02-01

Journal of the National Cancer Institute, 2024 Sep 30

Journal of clinical neuroscience : official journal of the Neurosurgical Society of Australasia, 2015-04

Am J Case Rep, 2017-02-28

N. Engl. J. Med.,

Journal of clinical oncology : official journal of the American Society of Clinical Oncology, 2015-01-01

Breast Cancer Res. Treat., 2014-09-01

Journal of clinical oncology : official journal of the American Society of Clinical Oncology, 2015-06-10

Lancet Oncol., 2014-06-01

Journal of clinical oncology : official journal of the American Society of Clinical Oncology, 2017-04-01

Cancer, 2004-10-15

JAMA Oncol, 2020 Aug 13

Lancet Oncol., 2013 Dec 19

J Natl Cancer Inst, 2018 Jun 1

Oncology reviews, 2017-03-03

Journal of clinical oncology : official journal of the American Society of Clinical Oncology, 2009-10-01

N. Engl. J. Med., 2017 Jun 04

Clinical cancer research : an official journal of the American Association for Cancer Research, 2017-02-01

British journal of cancer, 2012-08-21

Int J Radiat Oncol Biol Phys,

JAMA Oncol,

PLoS ONE, 2016 Oct 14

Sci Eng Ethics, 2017 Sep 15

Lancet, 2015 Mar 02

International journal of radiation oncology, biology, physics, 2007-07-15

Journal of clinical oncology : official journal of the American Society of Clinical Oncology, 2004-12-01

Journal of clinical oncology : official journal of the American Society of Clinical Oncology, 2013-07-01

Lancet Oncol., 2015-03-01

Ann. Surg. Oncol., 2013 Nov 23

NPJ Breast Cancer, 2016 Nov 16

N Engl J Med, 2018 Oct 20

N. Engl. J. Med.,

Annals of oncology : official journal of the European Society for Medical Oncology, 2018-08-01

Ann. Oncol., 2010 Jan 29

The New England journal of medicine, 2016-07-07

The Lancet. Oncology, 2018-04

J Clin Oncol. , 2019 Sep 1

Breast cancer research and treatment, 2012-11

Breast Cancer Res Treat, 2014 Apr 12

J. Clin. Oncol., 2019 Dec 05

The New England journal of medicine, 2018-08-23

Journal of clinical oncology : official journal of the American Society of Clinical Oncology, 2009-05-20

Journal of clinical oncology : official journal of the American Society of Clinical Oncology, 2018-04-10

Chest,

Interact Cardiovasc Thorac Surg, 2014 Aug 20

Clinical cancer research : an official journal of the American Association for Cancer Research, 2018-12-01

N Engl J Med,

JAMA Oncol, 2016 Mar

J. Clin. Oncol., 2016 Jan 19

Lancet, 2020 Sep 20

NPJ breast cancer, 2017

JAMA Oncol,

J Clin Oncol, 2020 Jan 13

Cancer, 2017-10-01

Clinical breast cancer, 2008-06

Breast Cancer Res, 2020 Nov 04

Breast Cancer Res Treat, 2011 Jul 27

Clin Breast Cancer, 2019 May 24

Annals of oncology : official journal of the European Society for Medical Oncology, 2019-04-01

N Engl J Med, 2021 Jun 03

BMC Cancer, 2018 Mar 07

N Engl J Med,

JCO Oncol Pract, 2022 Jan 07

JAMA Oncol,

Ann Oncol,

J Clin Oncol, 2021 Jun 06

Lancet Oncol, 2020 Aug 06

JAMA Oncol,

Am J Surg Pathol, 2021 Jun 10

Mol Cell Endocrinol, 2021 Jan 26

Cancer Discov, 2021 Aug 17

Ann Oncol, 2021 Mar 16

Annals of oncology : official journal of the European Society for Medical Oncology, 2001-09

N Engl J Med, 2021 Apr 22

Cochrane Database Syst Rev, 2021 May 26

Radiother Oncol, 2011-08-01

Journal of clinical oncology : official journal of the American Society of Clinical Oncology, 2011-07-20

International journal of radiation oncology, biology, physics, 2012-11-01

Annals of surgical oncology, 2013-10

Lancet, 2019 Dec 14

Lancet Reg Health West Pac, 2021 May 13

J Clin Oncol, 2021 Jan 28

J Clin Oncol, 2017 Jun 29

J Clin Oncol, 2022 Jan 19

N Engl J Med, 2015 Jan 8

J Clin Oncol, 2022 Jan 07

Oncotarget,

J Clin Oncol, 2019 Nov 04

Cancer Discov, 2020 Nov 02

N Engl J Med, 2022 Jun 05

Ann Oncol, 2021 Jul 01

The New England journal of medicine, 1987-12-10

Korean J Intern Med, 2020 Feb 28

Clin Cancer Res, 2020 Nov 18

Int J Cancer, 2021 Oct 07

Annals of oncology : official journal of the European Society for Medical Oncology, 2022 Oct 10

Clinical breast cancer, 2022 May 05

Journal of clinical medicine, 2022 Mar 14

Breast (Edinburgh, Scotland), 2020 Jul 24