Are you recommending aspirin in breast cancer survivors?

I do not recommend aspirin in breast cancer survivors routinely. The role of aspirin in terms of improving survival is not clear yet- with some observational studies showing a benefit but no prospective high level evidence. There are a couple of large studies looking at this. There are various intriguing mechanisms by which aspirin is postulated to have a beneficial effect in preclinical models but this needs to be validated further. (Curr Oncol Rep. 2017 Jul;19(7):48)