Id |
Subject |
Object |
Predicate |
Lexical cue |
T70 |
0-18 |
Sentence |
denotes |
Treatment Approach |
T71 |
19-163 |
Sentence |
denotes |
Many guidelines have common points in approaching breast cancer treatment, but patients are recommended to be evaluated on a case-by-case basis. |
T72 |
164-376 |
Sentence |
denotes |
Unless a complication, such as an abscess, infection, requires urgent treatment, surgery should be postponed for at least three months due to atypia, prophylactic/risk-reducing surgery, and benign breast disease. |
T73 |
377-505 |
Sentence |
denotes |
ER expressing types of atypical hyperplasia and lobular carcinoma in situ can be treated with tamoxifen or aromatase inhibitors. |
T74 |
506-699 |
Sentence |
denotes |
Although the main treatment of DCIS is breast-conserving surgery with or without whole breast radiation therapy, or alternatively, mastectomy, treatment management has changed due to pandemics. |
T75 |
700-843 |
Sentence |
denotes |
In this pandemic period, it is important to specify the hormone receptor status in DCIS-compliant core biopsies taken in the treatment of DCIS. |
T76 |
844-969 |
Sentence |
denotes |
ER + DCIS patients should be treated with endocrine therapy primarily and they should be checked via telehealth periodically. |
T77 |
970-1084 |
Sentence |
denotes |
ER- DCIS patients with low volume and low risk of invasive disease can be followed periodically without treatment. |
T78 |
1085-1207 |
Sentence |
denotes |
If ER- DCIS is high grade, large volume or palpable, reassessments of patients using telemedicine should be more frequent. |
T79 |
1208-1385 |
Sentence |
denotes |
In DCIS with microinvasion, the treatment approach, such as ER + invasive cancers is shown in ER + DCIS patients, while patients with ER- are treated like ER- DCIS patients.[12] |
T80 |
1386-1532 |
Sentence |
denotes |
Generally, patients with early-stage breast cancer undergo primary surgery (breast-conserving surgery or mastectomy) with or without radiotherapy. |
T81 |
1533-1746 |
Sentence |
denotes |
Following local treatment, adjuvant systemic therapy may be recommended based on primary tumor characteristics, such as tumor size, stage, lymph node involvement, ER/PR status, and expression of the HER2 receptor. |
T82 |
1747-1857 |
Sentence |
denotes |
However, in the pandemic period, some priorities have also changed in the treatment of invasive breast cancer. |
T83 |
1858-1977 |
Sentence |
denotes |
ER+ early breast cancer patients should have neoadjuvant endocrine therapy before surgery during the COVID-19 pandemic. |
T84 |
1978-2130 |
Sentence |
denotes |
The decision of selection between Tamoxifen and aromatase inhibitors depends on patients’ premenopausal or postmenopausal situation and hormonal status. |
T85 |
2131-2272 |
Sentence |
denotes |
If the patient is not postmenopausal, sequential evaluation of hormonal status is recommended to consider an alternative endocrine agent.[12] |
T86 |
2273-2474 |
Sentence |
denotes |
The rate of pathologic complete response (pCR) is higher in HER2 overexpressing (HER2+) and triple-negative (TN) breast cancers, and less frequent in the more common hormone- receptor-positive cancers. |
T87 |
2475-2709 |
Sentence |
denotes |
As a result, TN and Her2 + breast cancer patients with T2 or larger tumor or LN involvement are candidates for neoadjuvant therapy, and there was no significant difference in the approach in these patients during the pandemic process. |
T88 |
2710-2815 |
Sentence |
denotes |
Patients with T1N0M0 disease also encouraged to have NAC before surgery during the COVID-19 pandemic.[12] |
T89 |
2816-2918 |
Sentence |
denotes |
Patients who are having NAC are at increased risk for COVID-19 infection because of immune deficiency. |
T90 |
2919-3017 |
Sentence |
denotes |
For the most part, symptoms of COVID-19 are the same in cancer patients as the general population. |
T91 |
3018-3200 |
Sentence |
denotes |
Medications in breast cancer patients receiving NAC can suppress the development of a fever or other symptoms, and COVID-19 disease may remain asymptomatic until they develop sepsis. |
T92 |
3201-3335 |
Sentence |
denotes |
If the patient tests positive for COVID-19 while receiving cancer treatment, we need to stop treatment until the patient recovers.[13] |