Annals of Oncology Advance Access originally published online on May 13, 2005
Annals of Oncology 2005 16(8):1219-1221; doi:10.1093/annonc/mdi255
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© 2005 European Society for Medical Oncology
Editorial |
Treatment of advanced breast cancer: the good, the bad and the ugly
1 Division of Medical Oncology, Department of Medicine, European Institute of Oncology, Milan, Italy2 Department of Adult Oncology, Dana-Farber Cancer Institute, Boston, MA3 Statistical Center, International Breast Cancer Study Group, Boston, MA, USA
* Email: marco.colleoni@ieo.it
| The first 10% of the full text of this article appears below. |
Every year more than 1 million women are newly diagnosed with breast cancer, and this figure will likely reach 1.5 million with the increased number of cases arising in developing countries [1
]. Many of these patients will be offered adjuvant treatment based on consideration of disease responsiveness to specific therapies [2
], and almost half eventually will have local or distant relapses.
Metastatic, or advanced, breast cancer is a chronic disease requiring specific strategies to control disease progression and related symptoms. The treatment choice is often based on evidence obtained from trials designed to investigate therapy-related issues such as whether one treatment yields better responses or longer time to progression. These trials frequently evaluate whether a given treatment is effective in a selected group of patients, usually using measurable or evaluable disease to guide patient selection and avoiding, for example, those with only
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