EDU 03 - Nonoperative and Preoperative Local Management of Breast Cancer: From Data to Shared Decisions
MODERATOR(S)
Sachin Jhawar, MD, MS - The Ohio State University James Cancer Hospital
session DESCRIPTION
This session will explore emerging strategies for preoperative and nonoperative local management of breast cancer, focusing on when and how radiotherapy or ablative techniques might safely substitute for or reshape surgery in select patients. Topics will include: (1) current evidence and ongoing trials of preoperative partial breast RT/SBRT, including immune effects and implications for pathologic response; (2) nonsurgical management after neoadjuvant systemic therapy in patients with image guided biopsy-confirmed exceptional response, and frameworks for considering omission of surgery; and (3) definitive nonsurgical local options for inoperable patients or those who decline surgery, including SBRT and cryoablation. Case based discussion will highlight real world implementation, shared decision making, and communication of uncertainty with patients considering nonoperative pathways.
learning objectives
- Describe current evidence and key ongoing trials evaluating preoperative partial breast RT/SBRT and their implications for pathologic response and treatment volumes.
- contribute to nonoperative management decisions with patient values and equity considerations.
- Compare nonsurgical local options such as SBRT and cryoablation for patients who are medically inoperable or decline surgery, including expected local control, toxicities and patient reported outcomes.
Credits
| AMA PRA Category 1 Credits: | 1.00 |
Presentations
-
03:00pm - 03:02pm ETSpeaker: Sachin Jhawar, MD, MS - The Ohio State University James Cancer Hospital, Columbus
-
03:02pm - 03:17pm ET
Nonoperative Management after Neoadjuvant Systemic Therapy: Image Guided Biopsy Strategies, Omission of Surgery, and Patient Reported Outcomes
Speaker: Henry Mark Kuerer, MD PhD - MD Anderson Cancer Center, Houston -
03:17pm - 03:32pm ET
Definitive SBRT for Primary Breast Cancer in Non Surgical Candidates: Patient Selection, Planning, and Outcomes
Speaker: Asal Rahimi, MD, MS - University of Texas Southwestern Medical Center at Dallas, Dallas -
03:32pm - 03:47pm ET
Cryoablation as a Nonsurgical Alternative in Early Breast Cancer: Trial Data, Patient Selection, and Integration with RT and Systemic Therapy
Speaker: Richard Fine, MD - Margaret West Comprehensive Breast Center, Germantown -
03:47pm - 04:00pm ETSpeaker: Sachin Jhawar, MD, MS - The Ohio State University James Cancer Hospital, Columbus