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Are you more inclined to use neoadjuvant endocrine therapy over neoadjuvant chemotherapy or upfront surgery for your ER+HER2- breast cancer patients during the COVID19 pandemic?

Personally, my practice is to guide patients directly to surgery or to do neoadjuvant chemotherapy rather than to do neoadjuvant endocrine therapy, but I can't guarantee medical services such as staging, OR time, or months of chemotherapy when the support staff are self-quarantining or staying home to care for their children because the schools and daycares are closed.
1 Answer
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Medical Oncology · H Lee Moffitt Cancer Center, University of South Florida
Answered on

For clinically low risk early stage node negative tumors that are strongly ER/PR+ HER2-, neoadjuvant endocrine therapy with follow up is reasonable during this phase of the pandemic. ASCO has released some guidance to help with these questions. Ultimately, we will need to work together to conserve m...

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