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Would OncotypeDx impact your decision to provide adjuvant chemotherapy for node-negative HR+ breast cancer with dermis or chest wall involvement?

Would you recommend adjuvant chemotherapy for pT4 disease regardless of Oncotype score?
1 Answer
Mednet Member
Mednet MemberInvited Expert
Medical Oncology · University of North Carolina
Answered on

While I'm tempted to use Oncotype or other genomic assays to omit chemotherapy as much as possible (and TBH, Oncotype may be more of a prognostic than predictive assay except at the very upper range - see Mitch Dowsett's examination of these assays, Buus et al., PMID 33108242), the prospective trial...

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