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breast cancer patients with positive nodes. Researchers analyzed tumor
samples from patients in the SWOG/Breast Cancer Intergroup of North
America trial that evaluated postmenopausal patients with node
positive, hormone receptor-positive breast cancer who were treated with
chemohormonal therapy (cyclophosphamide, doxorubicin, 5-fluorouracil,
followed by tamoxifen) vs. tamoxifen alone. Chemotherapy did not
appear to benefit those with low Oncotype DX Recurrence Score results,
despite the presence of positive nodes. Conversely, a large benefit was
observed with the addition of chemotherapy in patients with high
Oncotype DX Recurrence Score results. These results join a suite of
studies that consistently demonstrate the value of the Oncotype DX
Recurrence Score result for individualized treatment planning, and show
that Oncotype DX may be clinically useful in some patients with hormone
receptor positive, node-positive breast cancer.
Oncotype DX Changes Treatment Decisions
Three studies assessing the impact of Oncotype DX on treatment
decisions concluded that use of the test resulted in less recommendation
for and use of chemotherapy. Collectively, these studies demonstrate the
actionable nature of Oncotype DX in its ability to help reduce unnecessary
use of chemotherapy, lowering both adverse effects and cost for these
patients, while increasing patient confidence in their treatment selection.
* A prospective, multi-institutional study presented Thursday, December
13 by Loyola University Chicago Stritch School of Medicine evaluated 89
patients to determine the psychological impact of Oncotype DX
Recurrence Score results on patients' treatment decision-making and
anxiety. Use of Oncotype DX changed both physician and patient
decisions on adjuvant therapy select
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