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Locally Ablative Therapies in Oligometastatic Breast Cancer - PubMed

12 hours ago
  • #Ablative Therapy
  • #Oligometastatic
  • #Breast Cancer
  • The study evaluates the impact of locally ablative therapies (surgery or ablation) on overall survival (OS) in patients with single-site oligometastatic de novo metastatic breast cancer (dnMBC).
  • Retrospective analysis of 22,433 patients from the National Cancer Database (2010-2020) showed bone-only metastases were most common (68.8%).
  • Locally ablative therapies were uncommon: BR+MT (6.4%), MT (10.6%), BR (15.3%) vs. no locally ablative therapy (NLT, 67.7%).
  • Older age (>70 years) and higher comorbidity scores were associated with receiving NLT.
  • BR (HR, 0.62) and BR+MT (HR, 0.60) were associated with improved OS compared to NLT, while MT alone (HR, 1.22) was linked to worse OS.
  • The study suggests that resection of the primary breast tumor (BR) may be beneficial for patients with single-site dnMBC.