Wednesday, July 26, 2023

Oncotype discussion

 Ref: NCCN

If RS>26 --> chemo in all comers

Premenopausal women

1.  If node neg and RS < 15--> no chemo per TAILOR X

2. If node neg and RS 16-25--> some chemo benefit but possibly due to OFS in women less than 50 yr

3. If node positive and RS < 26--> some chemo benefit per PONDERRX


Post menopausal women 

If RS< 26, even with 1-3 LN, ok to omit chemo.

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