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  • Lumpie
    Lumpie Member Posts: 1,650
    edited November 2018

    Combating Cancer: How AI Will Revolutionize Healthcare

    Applying AI {artificial intelligence} to image analysis is just one way the technology could revolutionize healthcare. "Traditionally it would take 10 to 30 minutes for a radiologist to assess a CT scan when screening for cancerous nodules. With AI it could take seconds," Rui says.

    The more AI is applied to image analysis, the more accurate it will become, as all AI feeds on data. In some cases, AI is already more accurate in detecting abnormalities from CT scans than its human counterparts.

    "Now we can use AI to test known cancer patients," Song says. "In the future we hope to have screened enough people to uncover new biomarkers that can help us predict cancer before it develops."

    http://fortune.com/2018/11/30/combating-cancer-how...

  • Lumpie
    Lumpie Member Posts: 1,650
    edited November 2018

    Trebananib/Paclitaxel/Trastuzumab in Patients With HER2-Positive Locally Recurrent or Metastatic Breast Cancer

    Clinical Breast Cancer
    In this open-label, phase Ib study, 40 women with EGFR-positive breast cancer were given weekly paclitaxel, trastuzumab, and intravenous trebananib to evaluate safety and preliminary tumor response. Of these women, 2 experienced dose-limiting toxicities. The most common treatment-emergent adverse events were peripheral edema, diarrhea, alopecia, nausea, and fatigue. Overall, 31 patients exhibited confirmed objective responses. Of patients who received 10 mg/kg trebananib, 80% achieved partial responses, with no patients achieving complete responses. Of the patients who received 30 mg/kg trebananib, 71% achieved partial response and 18% achieved complete responses.These findings demonstrate that trebananib was well-tolerated at doses up to 30 mg/kg weekly, with promising antitumor activity.
  • Lumpie
    Lumpie Member Posts: 1,650
    edited November 2018

    Takotsubo Cardiomyopathy During Anti-HER2 Therapy for Metastatic Breast Cancer

    The Oncologist
    In this report, the authors describe a 63-year-old woman who presented with progressive dyspnea following her third cycle of pertuzumab plus trastuzumab combined with nab-paclitaxel chemotherapy.The authors note that this is the first reported case of Takotsubo cardiomyopathy associated with the combination regimen of pertuzumab plus trastuzumab.Human epidermal growth factor receptor 2 (HER2)-targeted antibodies, including pertuzumab and trastuzumab, improve overall survival and progression-free survival among women with HER2-positive metastatic breast cancer, but grade ≥3 cardiotoxicity occurs in approximately 8% of cases. Here we report a case of Takotsubo cardiomyopathy associated with the use of dual anti-HER2 therapy in a 63-year-old woman who presented to the emergency department with an 8- to 10-hour history of progressive dyspnea after completing her third cycle of pertuzumab plus trastuzumab in addition to nab-paclitaxel chemotherapy. To our knowledge, this patient represents the first reported case of Takotsubo cardiomyopathy associated with pertuzumab plus trastuzumab combination therapy in the literature.
    https://www.practiceupdate.com/c/76113/67/13/?elsc...

    http://theoncologist.alphamedpress.org/content/ear...
    doi:10.1634/theoncologist.2018-0285

  • Lumpie
    Lumpie Member Posts: 1,650
    edited December 2018

    Concomitant Medications Impact the Risk of Chemotherapy-Induced Peripheral Neuropathy

    The Oncologist
    Data on patients with breast or ovarian cancer treated with paclitaxel were analyzed to evaluate risk factors for paclitaxel-induced peripheral neuropathy. Age was associated with neuropathy risk, with a 5% increase in the risk of grade 3 neuropathy with each 1-year increase in age. Patients taking cardiovascular drugs, particularly beta-adrenergic antagonists, were at increased risk of paclitaxel dose reductions. Each concomitant medication was associated with an odds ratio of 1.25 for the risk of dose modification. These factors could be used in a predictive model to accurately predict the risk of dose modification.Patient characteristics, especially age and use of concomitant medications, may be used to assess the risk of paclitaxel-induced peripheral neuropathy and allow for individualized therapy.
    doi:10.1634/theoncologist.2018-0418

  • Lumpie
    Lumpie Member Posts: 1,650
    edited December 2018

    Nanoscale blood test could speed cancer detection

    British researchers have developed a new technique using nanoscale blood testing to gain more information on patients' cancer by injecting and extracting liposomes and then assessing the biomolecules on the surface. "We hope this technique could be a springboard for further research, from monitoring disease progression or recurrence to identifying which treatment is best for each patient and potentially finding new biomarkers for early diagnosis," said lead author Kostas Kostarelos.

    https://www.medicaldevice-network.com/news/blood-t...


  • Traveltext
    Traveltext Member Posts: 2,089
    edited December 2018

    Lumpie, you and other people posting here are doing a great job bringing research articles into the light.

    Have you heard of the Project LEAD training course for BC patient advocates? Applications for next year's course are now open and you can apply for need-based scholarships to assist with lodging and travel expenses. I got one of these for this year's event, and it was basically a six-day boot camp where expert lecturers imparted medical knowledge about all aspects of our disease. While, it's held at a classy resort in beautiful La Jolla, the course is full on (around 40 attendees) and you will get to meet the nicest people. I was one of two guys invited.

    Anyone wanting more info is welcome to post here or PM me.

    2019 Project LEAD®Institute

    We are happy to announce that we are now accepting applications for the 2019 Project LEAD® Institute, to be held on July 14-19, 2019 in La Jolla, CA.

    http://www.breastcancerdeadline2020.org/…/project-lead-inst…

    If YOU or a FRIEND/COLLEAGUE have a serious interest in the scientific study of breast cancer and in preparing yourself for advocacy related to the policy-setting and decision-making around breast cancer research, don't miss this opportunity for outstanding training through NBCC's 2019 Project LEAD® Institute. We also encourage you to share this opportunity with your networks.

    Project LEAD Institute, a key component of the National Breast Cancer Coalition's Center for Advocacy Training, has been training breast cancer activists for nearly 25 years. This intensive six-day course, together with supplemental NBCC continuing education for LEAD graduates, provides breast cancer advocates with the education and training they need to understand the language and concepts of biology, genetics, epidemiology, immunology, study design, clinical trials, and the unique role advocates play in influencing the research agenda.

    Acceptance to the Project LEAD® Institute is a competitive application process so we encourage you to apply now! This is the only time in 2019 that the course will be offered. The application deadline for the course is April 19, 2019 at 5 PM EST. Tuition is free and includes all Institute materials and meals. Applicants must be a member of NBCC. Become an NBCC member now. Applicants can also apply for need-based scholarships to assist with lodging and travel expenses. http://www.breastcancerdeadline2020.org/dona…/join-nbcc.html

    We look forward to receiving your application and thank you for your interest in the Project LEAD® Institute!
    http://www.breastcancerdeadline2020.org/…/project-lead-inst…


  • Lumpie
    Lumpie Member Posts: 1,650
    edited December 2018

    Traveltext: Thank you so much for your message! I am aware of this program and am signed up to get information about it. Good to know that you have attended and found it worthwhile. I have not applied because it's so hard for me to arrrange for time off work. I gather that there is a while before the 2019 application deadline so I still hope I may be able to figure work related issues before the application deadline. Thank you so much for sharing this information. There may be others who will be interested to see this information and consider applying. We need all the advocacy leadership we can get!

  • Lumpie
    Lumpie Member Posts: 1,650
    edited December 2018

    Inflammation Markers and Cognitive Performance in Breast Cancer Survivors 20 Years After Completion of Chemotherapy

    Breast Cancer Research
    This study investigated levels of blood cell–based inflammatory markers for approximately 20 years in 166 breast cancer survivors after receiving postsurgical radiotherapy and six cycles of adjuvant cyclophosphamide, methotrexate, and fluorouracil (CMF) chemotherapy. The study further explored the relationship between these markers and global cognitive performance. Breast cancer survivors had a lower general cognitive factor and higher levels of inflammatory markers than did non-exposed individuals in the comparator group.The study authors conclude that additional prospective studies are needed to explore the relationship between inflammation and long-term cognitive sequelae in treated cancer survivors.

  • Lumpie
    Lumpie Member Posts: 1,650
    edited December 2018

    TAILORx Trial

    This study investigated the predictive value of the 21-gene Oncotype genomic expression profile to determine whether or not adjuvant chemotherapy improved outcomes when added to endocrine therapy in hormone receptor–positive early-stage breast cancer. Patients were stratified based on their 21-gene assay score; those with a recurrence score <11 received endocrine therapy only, and those with a score of ≥26 received both chemotherapy and endocrine therapy. These patients were randomized to either receive chemotherapy or not prior to endocrine therapy.

    Outcomes were also excellent among patients with recurrence scores of 11 to 25, with an overall distance recurrence rate of 5%. There <1% difference for all endpoints whether or not the patient received chemotherapy, confirming the absence of benefit from adding chemotherapy in these patients with intermediate-risk recurrence scores who do perfectly well with endocrine therapy alone. Subgroup analysis suggested that patients younger than 50 years with high intermediate recurrence score (21–25) might benefit from chemotherapy added to endocrine therapy.

    These results definitively support the use of the 21-gene assay to help make decisions regarding the need for chemotherapy in the large majority of patients with early-stage breast cancer who are hormone receptor–positive. At Long last, we can be confident that genomic expression profiling is not only prognostic for outcome in early-stage breast cancer, but also predictive. It should be used routinely to make treatment decisions.

    https://www.practiceupdate.com/C/76799/56?elsca1=e...



  • Lumpie
    Lumpie Member Posts: 1,650
    edited December 2018

    Trump Administration: Ease Scope of Practice Laws

    Also takes aim at "certificate of need" regulations

    3 Dec 2018

    Easing scope-of-practice laws and streamlining graduate medical education (GME) funding would make U.S. healthcare more competitive and efficient, the Trump administration said Monday.... "easing the licensing pathway for highly qualified, foreign-trained doctors is one step that could be taken in the short run to expand the supply of medical practitioners..." The authors attack state "certificate of need" (CON) laws, which require healthcare providers to seek approval before opening certain types of facilities.

    https://www.medpagetoday.com/publichealthpolicy/he...

    https://www.hhs.gov/sites/default/files/Reforming-...

    {Posted because this may impact the availability of care in our communities - at least in the long run.}

  • Lumpie
    Lumpie Member Posts: 1,650
    edited December 2018

    Stromal Characteristics Are Adequate Prognosticators for Recurrence Risk in DCIS of the Breast

    European Journal of Surgical Oncology - Nov 2018
    This study investigated the prognostic potential of stromal characteristics from 211 DCIS patients. High nuclear grade, myxoid stromal architecture, and moderate to extensive stromal inflammation were significantly associated with decreased recurrence-free survival, independent of radiotherapy.Based on these features, a combined risk score (CRS) was calculated, ranging from 0 to 3. A high CRS of 3 was associated with significantly shorter recurrence-free survival.We were able to validate our previously reported findings regarding the prognostic potential of myxoid periductal stroma in an independent DCIS patient cohort. A CRS based on nuclear grade, myxoid stromal architecture and stromal inflammation might facilitate discrimination of low risk from high risk patients. Consequently, the CRS may tailor adjuvant therapy. Future research should investigate whether radiotherapy can be safely omitted in patients with a low CRS.
  • Lumpie
    Lumpie Member Posts: 1,650
    edited December 2018

    2018 Top Stories in Oncology: The Rising Tide of Precision Medicine in Metastatic Breast Cancer

    Written by Reshma L. Mahtani DO

    "The concept of targeted therapies for the treatment of cancer started with the approval of tamoxifen for ER+ breast cancer. Since then, it has served as a catalyst for the development of a multitude of targeted therapies in various tumor types and has ushered in the era of precision medicine. This is an emerging approach that incorporates individual genomic alterations to develop a personalized treatment plan. This year marks a significant step forward in the quest for the development of personalized treatment approaches in metastatic breast cancer (MBC), given the approval of new therapies and the reporting of several key data sets...."

    https://www.practiceupdate.com/C/76798/56?elsca1=e...

    {Good op ed on advances in precision treatment of MBC. A quick overview of many highlights.}

  • thecargirl
    thecargirl Member Posts: 94
    edited December 2018

    The 21-gene Oncotype predictive value is very good for most tumors. The testing was mostly done on the most common kinds of breast cancer. The rarer tumors do not necessarily respond the same to the testing. In mucinous breast cancer there was no survival difference across the RS groups suggesting that RS might not be prognostic in IMC.

  • marijen
    marijen Member Posts: 3,731
    edited December 2018

    HER3-Targeting Antibody-Drug Conjugate Shows Encouraging Activity in Advanced Breast Cancer

    U3-1402, an investigational antibody-drug conjugate targeting HER3, induced objective responses in more than 40% of heavily pretreated patients with HER3-expressing breast cancer.

    Myelopreservation Possible With CDK4/6 Inhibitor Trilaciclib in TNBC

    A longer duration of chemotherapy exposure was possible in patients with metastatic triple-negative breast cancer who received trilaciclib, an investigational CDK4/6 inhibitor, in addition to gemcitabine and carboplatin compared with GC alone.

    Extended PFS Observed in Alpelisib Combo for PIK3CA-Mutant Breast Cancer

    Additional analyses from the SOLAR-1 study showed that alpelisib, an investigational alpha-specific PI3K inhibitor, combined with fulvestrant extended progression-free survival compared with fulvestrant alone in patients with PIK3CA-mutant advanced breast cancer regardless of line of therapy or prior CDK4/6 inhibitor treatment.

    PD-L1 Immune Cell Expression Critical to Atezolizumab Efficacy in TNBC

    Improvements observed in progression-free survival and overall survival with the addition of first-line atezolizumab to nab-paclitaxel in patients with metastatic triple negative breast cancer or inoperable locally advanced TNBC are exclusive to those patients with PD-L1 expression ≥1% in immune cells.

    Axillary Radiotherapy Alternative to Lymph Node Dissection in Early-Stage Breast Cancer

    Axillary radiotherapy was associated with locoregional control comparable to that with axillary lymph node dissection in patients with early-stage breast cancer who had a positive sentinel lymph node biopsy.

    Lower-Dose Tamoxifen Reduces Recurrence Risk, Toxicity Incidence in Breast Cancer

    The use of low-dose tamoxifen was shown to significantly reduce the risk of new and recurrent disease following surgery in women diagnosed with breast intraepithelial neoplasia but it did not cause more serious adverse events compared with placebo.

    CTC Counts Demonstrate Selection Value in Metastatic Breast Cancer

    The use of circulating tumor cell counts demonstrated strong value for selecting endocrine therapy versus chemotherapy for patients with estrogen receptor–positive, HER2-negative metastatic breast cancer.

    Accelerated PBI Not Equal to WBI in Ipsilateral Breast Tumor Recurrence

    Accelerated partial breast irradiation following lumpectomy was marginally not found to be equivalent to whole breast irradiation to control ipsilateral breast tumor recurrence.

  • marijen
    marijen Member Posts: 3,731
    edited December 2018

    CAR T-Cell Therapy Shows Early Potential in TNBC

    Chimeric antigen receptor T cells targeting the tyrosine kinase receptor ROR1 can be transferred into breast cancer patients safely and the cells expand in vivo.

    Venetoclax Has Impressive Activity in ER+ and BCL-2+ Breast Cancer

    Combining the BCL-2 inhibitor venetoclax with endocrine therapy elicited notable activity with a tolerable safety profile in patients with estrogen receptor–positive and BCL-2–positive metastatic breast cancer.

    Durvalumab/Olaparib Combo Is Active in BRCA-Mutated Metastatic Breast Cancer

    The combination of olaparib and durvalumab in patients with HER2-negative metastatic breast cancer with germline BRCA mutations is well tolerated and has promising activity, especially in earlier settings.

    Palbociclib Combo Active in HER2+ Breast Cancer

    The combination of palbociclib and trastuzumab demonstrated safety and efficacy in patients with advanced estrogen receptor–positive/HER2-positive breast cancer.

    Oxybutynin Decreases Hot Flashes, Improves Quality of Life in Breast Cancer Survivors

    Oxybutynin helped to reduce the frequency and intensity of hot flashes among women who could not take hormone replacement therapy in survivorship.

    Telephone-Based Lifestyle Interventions Improved Breast Cancer Outcomes

    Early-stage breast cancer survivors who completed a telephone-based lifestyle intervention program lost weight and tended to have higher rates of disease-free survival.

    Breast Cancer Surgery Choice May Affect Quality of Life in Younger Patients

    Younger patients with breast cancer who underwent lumpectomy had better quality of life than women who had a mastectomy.

    Exercise Helps Women Maintain Cardiovascular Function During Adjuvant Breast Cancer Treatment

    Women who took part in a supervised exercise program during adjuvant treatment for breast cancer had better cardiovascular function than women who did not participate in the program.

  • Spoonie77
    Spoonie77 Member Posts: 925
    edited December 2018

    A blood test may be here or be much nearer to use than it was just months ago!



    Detection and localization of surgically resectable cancers with a multi-analyte blood test


    http://science.sciencemag.org/content/early/2018/01/17/science.aar3247


    "Abstract

    Earlier detection is key to reducing cancer deaths. Here we describe a blood test that can detect eight common cancer types through assessment of the levels of circulating proteins and mutations in cell-free DNA. We applied this test, called CancerSEEK, to 1,005 patients with non-metastatic, clinically detected cancers of the ovary, liver, stomach, pancreas, esophagus, colorectum, lung, or breast. CancerSEEK tests were positive in a median of 70% of the eight cancer types. The sensitivities ranged from 69% to 98% for the detection of five cancer types (ovary, liver, stomach, pancreas, and esophagus) for which there are no screening tests available for average-risk individuals. The specificity of CancerSEEK was > 99%: only 7 of 812 healthy controls scored positive. In addition, CancerSEEK localized the cancer to a small number of anatomic sites in a median of 83% of the patients."

    --- in language a person whom is not a dr can understand on CNN

    https://edition.cnn.com/2018/12/05/health/10-minute-cancer-test-intl/index.html?utm_content=2018-12-09T05%3A01%3A06&utm_medium=social&utm_source=twCNN&utm_term=link

    "The 10-minute test developed in Australia is yet to be used on humans, and large clinical trials are needed before it can be used on prospective patients. But the signs are positive.

    Tests on more than 200 tissue and blood samples detected cancerous cells with 90% accuracy, the researchers said.

    It's been used only to detect breast, prostate, bowel and lymphoma cancers, but they're confident the results can be replicated with other types of the disease."


    https://www.cnn.com/2018/01/19/health/cancer-blood-test-study/index.html

    ""We were pleasantly surprised that we could detect the amount of cancers that we were able to detect," Papadopoulos said. "We were even more pleasantly surprised that not only we detected cancers, but with some degree of certainty, we were able to localize it to at least two sites as to where these cancers might be."

    The study had some limitations, including that the patients in the study already had been diagnosed with cancer, mostly based on symptoms. So patients in a real-life screening likely would have less advanced disease and might be more difficult to test.

    Also, in a real-life scenario, even healthy patients who would be tested could have inflammatory or other diseases that could skew test results, which wasn't seen among the healthy patients in the study.

    The researchers have moved forward with a follow-up, five-year study to further evaluate the blood test,"

  • marijen
    marijen Member Posts: 3,731
    edited December 2018

    Study shows novel strategy to reduce breast cancer bone metastasis


    https://www.news-medical.net/news/20181112/Study-s...


  • Lumpie
    Lumpie Member Posts: 1,650
    edited December 2018

    Prophylaxis May Cut Cardiotoxicity Risk in HER+ Breast Cancer

    Clear benefit for anthracycline treatment, not trastuzumab

    The frequency of cardiotoxicity declined significantly with prophylactic antihypertensive medication for patients with early HER2-positive breast cancer treated with anthracycline-containing chemotherapy, but not trastuzumab (Herceptin), a randomized trial showed.

    https://www.medpagetoday.com/meetingcoverage/sabcs...

    https://www.medpagetoday.com/meetingcoverage/acc/7...

  • Lumpie
    Lumpie Member Posts: 1,650
    edited December 2018

    Patients Say Quality of Life Suffered With Mastectomy for Early Breast Cancer

    Breast-conservation options were associated with better sexual, psychosocial outcomes

    Women who opted for mastectomy rather than breast-conserving surgery for early breast cancer had worse quality of life regarding their psychosocial and sexual well-being, according to survey results reported here.

    https://www.medpagetoday.com/meetingcoverage/sabcs...

    Primary Source

    San Antonio Breast Cancer Symposium

    Source Reference: Dominici L, et al "Local therapy and quality of life outcomes in young women with breast cancer" SABCS 2018; Abstract GS6-01.

  • Lumpie
    Lumpie Member Posts: 1,650
    edited December 2018

    End-of-life Surrogates Often Overconfident

    Most are less prepared than they think to make necessary decisions

    Patients' end-of-life surrogates are overly confident in their readiness to make crucial decisions for their loved ones, recent research found.

    "Respecting Choices is an intensive program utilizing a specially trained facilitator to conduct conversations with patients and their surrogates. Because it requires the commitment of resources, it is probably best suited for patients with advanced illness and a high likelihood of needing a surrogate decision maker in the near future,"

    https://www.medpagetoday.com/publichealthpolicy/ge...

    Primary Source

    JAMA Internal Medicine

    Source Reference: Fried TR, et al "Assessment of Surrogates' Knowledge of Patients' Treatment Goals and Confidence in Their Ability to Make Surrogate Treatment Decisions" JAMA Intern Med 2018; DOI: 10.1001/jamainternmed.2018.5299.

  • KBeee
    KBeee Member Posts: 5,109
    edited December 2018

    This seems to indicate that 17% of breast cancer patients will have a second (non BC) cancer diagnosis within 5 years. This is scary.....and seems awfully high to me. It was a large study, with over 87,000 participants.

    https://www.practiceupdate.com/c/76907/2/1/?elsca1=emc_enews_daily-digest&elsca2=email&elsca3=practiceupdate_onc&elsca4=oncology&elsca5=newsletter&rid=MTMwMzczODQ4NTI3S0&lid=10332481

  • Lumpie
    Lumpie Member Posts: 1,650
    edited December 2018

    KBeee: I think that is correct. I tend to think that the risk of recurrence and spread is downplayed (pink-washed?). I posted on another forum that I had been reading studies (a lot) and doing some mental math which stopped me in my tracks: the stats I was reading said that about 20% of women would be diagnosed stage IV de novo and that 30% with early stage breast cancer would become stage IV at some point. Those who progress to stage IV are front-loaded, that is, the risk is higher in the first 5 years following the early stage diagnosis. So 17% within 5 years does not surprise me at all. What did surprise me was if you add 20% diagnosed as stage IV de novo and 30% will eventually "convert," you are in the neighborhood of 50%. That seems high. And scary.

  • santabarbarian
    santabarbarian Member Posts: 3,085
    edited December 2018

    I would imagine some people could have "cancer friendly" levels of metabolic disease? Or genetic mutations?


  • marijen
    marijen Member Posts: 3,731
    edited December 2018

    Lumpie, do you have a link for the “ frontloading”?


  • Lumpie
    Lumpie Member Posts: 1,650
    edited December 2018

    SABCS: Axillary RT as Good as Surgery in Breast Cancer

    Radiation non-inferior to surgery after positive sentinel node

    https://www.medpagetoday.com/meetingcoverage/sabcs...

    The 10-year follow-up of the controversial AMAROS study appeared to confirm that irradiating the axilla after a positive sentinel node diagnosis is as good in preventing breast cancer recurrence as lymph node dissection, and reduced the risk of lymphedema by 50%, researchers reported here.

    After 10 years, 7 of 744 women who underwent lymph node dissection experienced a recurrence in the axilla compared with 11 of 681 women who underwent radiotherapy (P=0.37), according to Emiel Rutgers, MD, PhD, of the Netherlands Cancer Institute in Amsterdam.

    Primary Source

    San Antonio Breast Cancer Symposium

    Source Reference: Rutgers E, et al "Radiotherapy or surgery of the axilla after a positive sentinel node in breast cancer patients: 10 year follow up results of the EORTC AMAROS trial (EORTC 10981/22023)," SABCS 2018; Abstract GS4-01.

  • Lumpie
    Lumpie Member Posts: 1,650
    edited December 2018

    Rules Needed for Better Patient Record Access, Say Experts

    It won't happen unless it's required

    Making health data easier for patients to access and use won't happen nationwide until regulations require it, experts said here Wednesday.

    "EMR [electronic medical record] vendors do respond to customers, but they [seem to] respond more efficiently to regulation and incentives,"

    https://www.medpagetoday.com/practicemanagement/in...


  • KBeee
    KBeee Member Posts: 5,109
    edited December 2018

    Originally I understood it to be cancers other than breast cancer (referring to the post I made earlier), but I dug in to the original study and they include breast cancer in that, so the number do indeed make sense. There is a big difference in individuals who have a first degree relative who's had cancer, which is frustrating that there is zero screening afterwards (and I have extensive family history).

  • nanette7fl
    nanette7fl Member Posts: 469
    edited December 2018

    Hello, I saw this in our local TV news and I wanted to share it with all of you. I don't know if my MO submitted my stuff for genetic testing because I am the first woman in either side of my family to have BC and I guess that's why I found this article so interesting and valuable.

    Breast cancer testing guidelines out of date, study says

    https://www.news4jax.com/health/breast-cancer-testing-guidelines-out-of-date-study-says

  • Lumpie
    Lumpie Member Posts: 1,650
    edited December 2018

    Marijen, Here is one graphic showing much higher recurrence at < 50 months.

    https://openi.nlm.nih.gov/detailedresult.php?img=P...

    I have looked at so many statistics and graphics over the years! In reviewing data, i found that many illustrate *survival* at intervals (including 5 years) which is slightly different from recurrence. I also pulled up the Predict tool on the NHS site. I couldn't recall whether it showed recurrence or survival stats. It shows survival. If I find others, I will post them.

  • marijen
    marijen Member Posts: 3,731
    edited December 2018

    Thank you Lumpie. I guess this explains why the first five years are crucial. But you would think they would be screening us for metastasis at 24 months instead of just the mammograms. Correct?


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