The approach to clinical conundrums by an expert clinician is revealed through presentation of an actual patient's case in an approach typical of morning report. Similar to patient care, sequential pieces of information are provided to the clinician who is unfamiliar with the case. The focus is on t
Adjuvant aromatase inhibitors : Are we there yet?
β Scribed by Gini F. Fleming
- Publisher
- John Wiley and Sons
- Year
- 2003
- Tongue
- English
- Weight
- 50 KB
- Volume
- 98
- Category
- Article
- ISSN
- 0008-543X
No coin nor oath required. For personal study only.
β¦ Synopsis
The current issue contains an update on the results of the ATAC (Arimidex, Tamoxifen Alone or in Combination) trial. After a median followβup period of 47 months, there remains an advantage in terms of diseaseβfree survival (DFS) for patients treated with anastrozole compared with patients treated with tamoxifen for breast malignancies. Is it necessary to wait for a difference in overall survival to emerge before recommending anastrozole over tamoxifen, the current standard therapeutic agent? In previous trials involving tamoxifen, early benefits in terms of DFS translated into later benefits in terms of overall survival. Nonetheless, given the long natural history of breast cancer and the uncertainties regarding the duration of anastrozole's effects, a change in the standard of care is not yet warranted. See pages 1802β10.
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