Elghazaly Hesham, Rugo Hope S, Azim Hamdy A, Swain Sandra M, Arun Banu, Aapro Matti, Perez Edith A, Anderson Benjamin O, Penault-Llorca Frederique, Conte Pierfranco, El Saghir Nagi S, Yip Cheng-Har, Ghosn Marwan, Poortmans Philip, Shehata Mohamed A, Giuliano Armando E, Leung Jessica W T, Guarneri Valentina, Gligorov Joseph, Gulluoglu Bahadir M, Abdel Aziz Hany, Frolova Mona, Sabry Mohamed, Balch Charles M, Orecchia Roberto, El-Zawahry Heba M, Al-Sukhun Sana, Abdel Karim Khaled, Kandil Alaa, Paltuev Ruslan M, Foheidi Meteb, El-Shinawi Mohamed, ElMahdy Manal, Abulkhair Omalkhair, Yang Wentao, Aref Adel T, Bakkach Joaira, Bahie Eldin Nermean, Elghazawy Hagar
Clinical Oncology Department, Faculty of Medicine, Ain Shams University, Cairo 11566, Egypt.
Department of Medicine, University of California San Francisco Comprehensive Cancer Center, San Francisco, CA 94158, USA.
Cancers (Basel). 2021 May 8;13(9):2262. doi: 10.3390/cancers13092262.
: The management of patients with triple-negative breast cancer (TNBC) is challenging with several controversies and unmet needs. During the 12th Breast-Gynaecological & Immuno-oncology International Cancer Conference (BGICC) Egypt, 2020, a panel of 35 breast cancer experts from 13 countries voted on consensus guidelines for the clinical management of TNBC. The consensus was subsequently updated based on the most recent data evolved lately. : A consensus conference approach adapted from the American Society of Clinical Oncology (ASCO) was utilized. The panellists voted anonymously on each question, and a consensus was achieved when ≥75% of voters selected an answer. The final consensus was later circulated to the panellists for critical revision of important intellectual content. : These recommendations represent the available clinical evidence and expert opinion when evidence is scarce. The percentage of the consensus votes, levels of evidence and grades of recommendation are presented for each statement. The consensus covered all the aspects of TNBC management starting from defining TNBC to the management of metastatic disease and highlighted the rapidly evolving landscape in this field. Consensus was reached in 70% of the statements (35/50). In addition, areas of warranted research were identified to guide future prospective clinical trials.
三阴性乳腺癌(TNBC)患者的管理颇具挑战性,存在诸多争议且有未满足的需求。在2020年埃及举行的第12届乳腺癌 - 妇科与免疫肿瘤国际癌症会议(BGICC)期间,来自13个国家的35位乳腺癌专家组成的小组对TNBC临床管理的共识指南进行了投票。随后根据最近产生的最新数据对共识进行了更新。采用了一种借鉴美国临床肿瘤学会(ASCO)的共识会议方法。小组成员对每个问题进行匿名投票,当≥75%的投票者选择一个答案时达成共识。最终共识随后分发给小组成员,以便对重要的知识内容进行批判性修订。这些建议代表了证据稀缺时现有的临床证据和专家意见。为每个陈述列出了共识投票的百分比、证据水平和推荐等级。该共识涵盖了TNBC管理的各个方面,从TNBC的定义到转移性疾病的管理,并突出了该领域迅速发展的态势。70%的陈述(35/50)达成了共识。此外,还确定了有必要进行研究的领域,以指导未来的前瞻性临床试验。