Twenty-year results of the Naples GUN randomized trial: predictive factors of adjuvant tamoxifen efficacy in early breast cancer.

Author: BiancoAngelo Raffaele, CarlomagnoChiara, De LaurentiisMichelino, De PlacidoSabino, GalloCiro, MarinelliAlfredo, PagliaruloClorindo, PanicoLuigi, PepeStefano, PerroneFranco, PetrellaGiuseppe, PettinatoGuido, RuggieroAngela

Paper Details 
Original Abstract of the Article :
PURPOSE: Tamoxifen (TAM) is increasingly administered to new early breast cancer patients. Because it is not devoid of toxic effects, we studied factors potentially predictive of its efficacy. EXPERIMENTAL DESIGN: From 1978 to 1983, 433 patients were enrolled in the GUN randomized trial: 206 were a...See full text at original site
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引用元:
https://pubmed.ncbi.nlm.nih.gov/12631604

データ提供:米国国立医学図書館(NLM)

Tamoxifen Efficacy in Early Breast Cancer: A Twenty-Year Perspective

Breast cancer is a formidable adversary, and researchers are constantly seeking new ways to combat this disease. This study examines the efficacy of tamoxifen (TAM) as an adjuvant therapy for early breast cancer, based on data from a twenty-year randomized trial. The researchers investigated various factors that could potentially predict the effectiveness of TAM in different patient groups. The results shed light on the complex interplay between genetic markers and treatment response, providing valuable insights into personalized medicine.

HER2: A Key Factor in Tamoxifen Efficacy

The study found that while several biological markers like estrogen and progesterone receptors did not significantly influence TAM efficacy, HER2 overexpression emerged as a strong predictor of response. In other words, HER2-negative tumors seem to benefit more from TAM therapy compared to HER2-positive tumors. This discovery is significant because it can help guide treatment strategies for individual patients. Think of it as a desert traveler choosing the right camel for the journey: a sturdy camel is best for a rough terrain, while a lighter camel may be more suitable for smooth sand dunes. This knowledge can help clinicians make informed decisions about the most appropriate treatment for each patient.

Personalized Medicine: A Guiding Star in Cancer Treatment

The findings underscore the importance of personalized medicine, tailoring treatments to individual patient characteristics. This approach has the potential to improve treatment outcomes and minimize side effects. It's like a caravan navigating a vast desert, choosing the path that best suits the unique strengths and weaknesses of each camel in the group. This research provides a valuable roadmap for future research in the field of breast cancer, paving the way for more targeted and effective therapies.

Dr.Camel's Conclusion

This twenty-year study on tamoxifen efficacy highlights the importance of individualizing cancer treatments, taking into account specific genetic markers like HER2. It's like choosing the right tools for a journey across a desert. By understanding the unique characteristics of the terrain, we can make more informed decisions about the best route to take. This research emphasizes the need for a personalized approach to breast cancer treatment, ultimately leading to better outcomes for patients.

Date :
  1. Date Completed 2003-10-03
  2. Date Revised 2018-11-30
Further Info :

Pubmed ID

12631604

DOI: Digital Object Identifier

12631604

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