Invasive Breast Cancer Adjuvant Therapy

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Final prep.
Sam Adeyiga
Flashcards by Sam Adeyiga, updated more than 1 year ago
Sam Adeyiga
Created by Sam Adeyiga about 4 years ago
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Adjuvant drug for Stage 1A Cancer ER(+), PR(+) Endocrine therapy
Adjuvant drug for Stage 1A Cancer ER(-), PR(-) +/- Chemotherapy
Adjuvant drug for Stage IB - III Cancer ER(+), PR(+), HER2(+) Chemotherapy + Trastuzumab + Endocrine therapy +/- pan-EGFR
Adjuvant drug for Stage IB - III Cancer ER(+), PR(+), HER2(-) Chemotherapy + Endocrine therapy
Adjuvant drug for Stage IB - III Cancer ER(-), PR(-), HER2(+) Chemotherapy + Trastuzumab +/- pan-EGFR
Adjuvant drug for Stage IB - III Cancer ER(-), PR(-), HER2(-) Chemotherapy
Adjuvant drug for IV Cancer ER(+), PR(+), HER2(+) Chemotherapy + Trastuzumab/Lapatinib + Endocrine therapy
Adjuvant drug for IV Cancer ER(+), PR(+), HER2(-) Chemotherapy + Endocrine therapy +/- CDK4/6 inhibitor
Adjuvant drug for IV Cancer ER(-), PR(-), HER2(+) Chemotherapy + Trastuzumab/lapatinib
Adjuvant drug for IV Cancer ER(-), PR(-), HER2(-) Chemotherapy
Premenopausal women with hormone receptor–positive [ER (+), PR(+)] tumors, treat w/ .... tamoxifen for 5 to 10 years
Women who are known to be in menopause at any age, and who have hormone receptor–positive [ER (+), PR (+)] tumors, treat w/ ... 1. initial trt = 5 yrs of aromatase inhibitors (AIs) +/- tamoxifen 2. AIs are known to increase PFS (not OS)
If a woman on tamoxifen becomes post-menopausal within 5 years of starting tamoxifen (either naturally or due to oopherectomy), what do you do? switch from tamoxifen to an aromatase inhibitor
Preferred Single Agents for stage IV chemotherapy (Anthracyclines) 1. Doxorubicin 2. Epirubicin 3. Pegylated liposomal doxorubicin
Preferred Single Agents for stage IV chemotherapy (Taxanes) 1. Paclitaxel +/- Bevacizumab 2. Docetaxel 3. Albumin-bound paclitaxel
Preferred Single Agents for stage IV chemotherapy (Antimetabolites) 1. Gemcitabine 2. Capecitabine
Preferred Single Agents for stage IV chemotherapy (Microtubule inhibitors) 1. Vinorelbine 2. Eribulin 3. Ixabepilone (taxane & anthracycline failures)
Preferred Combination Regimens for stage IV chemotherapy (1) 1. cyclophosphamide/doxorubicin/fluorouracil (CAF/FAC) 2. fluorouracil/epirubicin/cyclophosphamide (FEC or CEF) 3. doxorubicin/cyclophosphamide (AC or CA) 4. epirubicin/cyclophosphamide (EC or CE)
Preferred Combination Regimens for stage IV chemotherapy (2) 1. doxorubicin/docetaxel or doxorubicin/paclitaxel (AT) 2. cyclophosphamide/methotrexate/fluorouril (CMF) 3. gemcitabine/paclitaxel (GT) 4. docetaxel/capecitabine
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