Review Highlights Gaps in Premenopausal Breast Cancer Treatment Strategies, Urging Individualized Care
A comprehensive review published in Annals of Oncology, authored by L. Licata and colleagues, identifies significant gaps in the management of premenopausal women with HR-positive/HER2-negative early breast cancer. The review, titled 'Navigating Uncertainties and Evidence Gaps in Adjuvant Therapy for Premenopausal Women With HR-Positive/HER2-Negative Breast Cancer,' synthesizes data from multiple studies, including SOFT, TEXT, ASTRRA, TAILORx, RxPONDER, MINDACT, and OPTIMA. It emphasizes that treatment strategies for premenopausal breast cancer cannot simply mirror those for older women due to differences in tumor biology, ovarian function, chemotherapy-induced menopause, treatment toxicity, and reproductive priorities. A key limitation noted in trials like TAILORx and RxPONDER is that only about 13% of premenopausal patients in endocrine therapy control groups received ovarian function suppression (OFS), suggesting that the observed chemotherapy benefits might partly stem from an endocrine effect rather t...