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Review - Haymarket Media Group

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LettertoOurReaders<br />

Dear Colleague,<br />

Each year, we devote an issue to breast cancer. This month, we address several recent reports on advances in the<br />

field and in the care of patients with this disease.<br />

We are still learning how to optimally administer cytotoxic chemotherapy; the manuscript by Sparano and colleagues<br />

is critical in comparing the two principal taxanes available to us, as well as two different schedules of<br />

administration. Survival and toxicity data taken together are essential for establishing optimal taxane therapy in<br />

the adjuvant setting for both standard care and future clinical trials.<br />

Continued exploration into differences in the biologic subtypes of breast cancer determined by hormone receptor<br />

status and HER2 status is helping us to better understand the disease, and what optimal therapies will be, based<br />

on these subgroups of patients. The manuscript by Dawood and colleagues exploring HER2 status in inflammatory<br />

breast cancer and the manuscript by Nguyen and colleagues looking at biologic subtypes associated with<br />

local and distant recurrence after breast-conserving therapy are examples of these advances.<br />

Once a year, it is worthwhile to review the substantial progress we have made in our understanding of breast<br />

cancer and the treatment of this disease. Survival rates have risen dramatically over the last two decades, partly<br />

due to improved screening, but also due to better therapies for these patients.<br />

We appreciate your continued interest in The American Journal of Hematology/Oncology and trust that you will<br />

benefit from the information presented here.<br />

Sincerely,<br />

Lawrence N. Shulman, MD<br />

Editor in Chief, Medical Oncology<br />

November 2008 • Vol 7 • Supplement 5 7

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