Oligometastatic breast cancer and metastasis-directed treatment: an aggressive multimodal approach to reach the cure

Bibliographic Details
Title: Oligometastatic breast cancer and metastasis-directed treatment: an aggressive multimodal approach to reach the cure
Authors: Filippo Merloni, Michela Palleschi, Chiara Casadei, Antonino Romeo, Annalisa Curcio, Roberto Casadei, Franco Stella, Giorgio Ercolani, Caterina Gianni, Marianna Sirico, Simona Cima, Samanta Sarti, Lorenzo Cecconetto, Giandomenico Di Menna, Ugo De Giorgi
Source: Therapeutic Advances in Medical Oncology, Vol 15 (2023)
Publisher Information: SAGE Publishing, 2023.
Publication Year: 2023
Collection: LCC:Neoplasms. Tumors. Oncology. Including cancer and carcinogens
Subject Terms: Neoplasms. Tumors. Oncology. Including cancer and carcinogens, RC254-282
More Details: Metastatic breast cancer (BC) is considered an incurable disease and is usually treated with palliative intent. However, about 50% of metastatic BCs present with only a few metastatic lesions and are characterized by longer overall survival. These patients, defined as oligometastatic, could benefit from a multimodal approach, which combines systemic therapy with metastasis-directed treatment (stereotactic ablative therapy or surgery). The current definition of oligometastatic seems incomplete since it is based only on imaging findings and does not include biological features, and the majority of relevant data supporting this strategy comes from retrospective or non-randomized studies. However, the chance of reaching long-term complete remission or even a cure has led to the development of randomized trials investigating the impact of combined treatment in oligometastatic BC (OMBC). The SABR-COMET trial, the first randomized study to include BC patients, showed promising results from a combination of stereotactic ablative radiotherapy and systemic therapy. Considering the randomized trial’s results, multidisciplinary teams should be set up to select OMBC patients who could achieve long-term survival with aggressive multimodal treatment.
Document Type: article
File Description: electronic resource
Language: English
ISSN: 1758-8359
17588359
Relation: https://doaj.org/toc/1758-8359
DOI: 10.1177/17588359231161412
Access URL: https://doaj.org/article/9fc335db8ad74ad6bf9f267bc48f1aa1
Accession Number: edsdoj.9fc335db8ad74ad6bf9f267bc48f1aa1
Database: Directory of Open Access Journals
More Details
ISSN:17588359
DOI:10.1177/17588359231161412
Published in:Therapeutic Advances in Medical Oncology
Language:English