1. ASCO Highlights of the Day<br />Breast Cancer Local/Regional/Adjuvant
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2. Highlights
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3. LUMINA: A Prospective Trial Omitting Radiotherapy following Breast Conserving Surgery in T1N0 Luminal A Breast Cancer
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4. Slide 4
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5. Central Ki67 Testing
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6. Slide 6
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7. Slide 7
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8. Conclusions
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9. Is 5 years enough follow up?
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10. Are low ki67 patients low-risk or delayed risk?
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11. “Low risk” by Multi-gene Assay Associated with Low LRR after Lumpectomy and WBI
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12. Can a Multi Gene Assay Define Breast Conservation Without RT?<br />Multiple Ongoing Clinical Trials
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13. NRG BR007 Schema
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14. Slide 14
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15. Post-lumpectomy DCIS +/- Tamoxifen, <br />NSABP B-24
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16. 7-gene DCIS Biosignature Score
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17. SweDCIS: Interaction analysis between DS and radiation therapy
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18. Study Population
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19. Patient distribution by 7-gene Biosignature Risk groups (3)
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20. Adjuvant Radiation Therapy benefit within Biosignature Risk groups
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21. Adjuvant Endocrine Therapy effect within Biosignature Risk groups
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22. Conclusions
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23. Final results from a phase III randomized clinical trial<br />of adjuvant endocrine therapy ± chemotherapy<br />in women ≥ 70 years old with ER+ HER2- breast cancer and a high
genomic grade index:<br />the Unicancer ASTER 70s trial
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24. Genomic Tools for BC and Older Patients
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25. ASTER 70s Study Design<br />Adjuvant systemic treatment for ER+ HER2- BC in women over 70 according to GGI<br />Hypothesis: 4-year OS with CT ET > 4-year OS with ET only if
high GGI
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27. Treatment Realization in Randomized Patients
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28. OS: ET ── vs CT ET ── (ITT)
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29. OS: ET ── vs CT ET ── (per protocol)
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30. Conclusions
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31. Event-free Survival by Residual Cancer Burden After Neoadjuvant Pembrolizumab + Chemotherapy vs Placebo + Chemotherapy for Early-Stage TNBC: Exploratory Analysis From
KEYNOTE-522
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32. KEYNOTE-522 Study Design (NCT03036488)
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33. EFS Analysis by RCB Category
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34. EFS in RCB-2
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35. Summary and Conclusions
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36. Thank You!
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