Clinical Trials That Have Informed the Modern Management of Breast Cancer

Surg Oncol Clin N Am. 2023 Jan;32(1):27-46. doi: 10.1016/j.soc.2022.07.004. Epub 2022 Nov 3.

Abstract

Randomized controlled trials have informed the historical evolution of breast cancer management, distilling operative and nonoperative treatments to achieve disease control and improve survival while maximizing quality of life and minimizing complications. The authors describe landmark trials investigating and influencing the following aspects of breast cancer care: extent of breast surgery; axillary management; neoadjuvant and adjuvant therapies; and selection of chemotherapy versus endocrine therapy via application of genomic assays.

Keywords: Adjuvant; Axilla; Breast cancer; Chemotherapy; Clinical trials; Endocrine; Neoadjuvant.

Publication types

  • Review
  • Research Support, N.I.H., Extramural

MeSH terms

  • Axilla
  • Breast Neoplasms* / surgery
  • Female
  • Humans
  • Mastectomy
  • Neoadjuvant Therapy
  • Quality of Life