Locoregional Management of Patients with Early-Stage Breast Cancer

Locoregional management strategies have evolved over the years. Several randomized studies have identified patients that do not need axillary lymph node dissection (ALND). Despite this, a survey of surgeons has revealed the potential for overtreatment of many patients and the need for education in this area. Considerable progress has been made in understanding which patients will benefit from radiation therapy and ways to administer treatment that maximizes clinical benefit while minimizing toxicity. However, many controversies exist as well. In order to define clinical situations that require appropriate locoregional therapies and use the right approach, clinicians need to stay current on the updates and controversies.

Target Audience

This educational program is designed to meet the educational needs of physicians/oncologists, nurse practitioners, nurses, physician assistants, pharmacists, and other health care professionals who manage patients with cancer.

Learning Objectives

Following this program, participants should be able to:

  • Individualize surgical management recommendations based on patient and tumor characteristics.
  • Develop evidence-based approaches for the surgical management of the axilla in patients with early stage breast cancer.
  • Discuss new and emerging data in the treatment of patients with early-stage breast cancer and integrate key findings into clinical practice.
  • Individualize radiation therapy recommendations based on patient and tumor characteristics.
  • Discuss optimal timing of radiation therapy for those receiving systemic adjuvant therapy.
  • Describe new and emerging radiation treatment modalities for patients with early-stage breast cancer.
Additional information
Supporters: 

This activity is supported by educational grants from:

  • Abbott Molecular
  • Astellas and Seagen Inc.
  • AstraZeneca
  • BeiGene
  • Coherus BioSciences
  • Daiichi Sankyo
  • Eisai
  • Exact Sciences
  • Genentech, a member of the Roche Group
  • Genmab, US Inc.
  • Gilead Sciences, Inc. and Kite, A Gilead Company
  • GlaxoSmithKline
  • GRAIL, LLC
  • Kadmon Corporation, LLC.
  • Lantheus Medical Imaging Inc.
  • Lilly
  • Menarini-Stemline
  • Novartis
  • NOVOCURE
  • Olympus Corporation of the Americas
  • Pfizer Inc.
  • Pharmacyclics LLC, an AbbVie Company and Janssen Biotech, Inc., administered by Janssen Scientific Affairs, LLC
  • Puma Biotechnology
  • SpringWorks
  • Taiho Oncology, Inc.

This activity is supported by an independent educational grant from:

  • AbbVie
  • Bristol Myers Squibb
  • Incyte
  • Merck & Co., Inc.

This activity is supported by educational funding provided by Amgen.

This activity has been supported by an unrestricted educational grant from GE Healthcare, Pharmaceutical Diagnostics.

This educational activity is supported by an independent medical education grant from Illumina, Inc.

This educational activity is supported by a medical education grant from Karyopharm Therapeutics.

This project has been made possible in part by a grant from Varian Medical Systems, a Siemens Healthineers company/Global Medical Education Grant Program.

Course summary
Available credit: 
  • 0.75 AAPA Category 1 CME credit
  • 0.75 ACPE contact hours
  • 0.75 AMA PRA Category 1 Credit™
  • 0.75 ANCC contact hours
    • 0.75 ANCC Pharmacology Contact Hours
  • 0.75 Participation
Course opens: 
06/01/2022
Course expires: 
03/01/2023
Cost:
$0.00

A. Marilyn Leitch, MD
UT Southwestern Simmons Comprehensive Cancer Center

Meena S. Moran, MD
Yale Cancer Center/Smilow Cancer Hospital

 

NCCN Continuing Education Disclosure Policy

It is the policy of NCCN that all planners, faculty, moderators, authors, reviewers and anyone involved in the planning and delivery of NCCN continuing education activities are expected to disclose ALL financial relationships they have had in the past 24 months with ineligible companies. The ACCME Standards for Integrity and Independence require that individuals who refuse to provide this information will be disqualified from involvement in the planning and implementation of accredited continuing education presented by NCCN. NCCN identifies, mitigates, and discloses to learners all relevant financial relationships.

In addition, all content has been reviewed to ensure education promotes safe, effective patient care and does not promote the products or services of an ineligible company. Content, including any presentation of therapeutic options, is fair, balanced, evidence-based, scientifically accurate, and free of commercial bias and marketing. 

Definitions 

Ineligible Company: An ineligible company is any entity whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients. 

Relevant Financial Relationships: Financial relationships of any dollar amount occurring within the past 24 months are defined as relevant if the educational content an individual can control is related to the business lines or products of an ineligible company. There is no minimum financial threshold. We ask for disclosure of ALL financial relationships with ineligible companies, regardless of the amount and regardless of the potential relevance of each relationship to the education.

Faculty Disclaimers

All faculty for this continuing education activity are competent in the subject matter and qualified by experience, training, and/or preparation for the tasks and methods of delivery.

Faculty presentations may include discussion of off-label use. Faculty will disclose that the use in question is not currently approved by the FDA per the product labeling or marketing.

Faculty Disclosures

Presenting Faculty

The faculty listed below have no relevant financial relationship(s) with ineligible companies to disclose.

Meena S. Moran, MD

The faculty listed below have the following relevant financial relationship(s) with ineligible companies to disclose. All of the relevant financial relationships listed for these individuals have been mitigated.

A. Marilyn Leitch, MD
AstraZeneca Pharmaceuticals LP: Consulting Fee
Puma Biotechnology: Consulting Fee

Moderator

The faculty listed below have no relevant financial relationship(s) with ineligible companies to disclose.

Rebecca Aft, MD, PhD

NCCN Staff Disclosures

The planners listed below have the following relevant financial relationship(s) with ineligible companies to disclose. All of the relevant financial relationships listed for these individuals have been mitigated.

Crystal Denlinger, MD, FACP
Agios, Inc.: Grant/Research Support
Amgen Inc.: Grant/Research Support
Astellas Pharma US, Inc.: Scientific Advisor
AstraZeneca Pharmaceuticals LP: Grant/Research Support
BeiGene: Scientific Advisor; Grant/Research Support
Bristol-Myers Squibb Company: Scientific Advisor; Grant/Research Support
Eli Lilly and Company: Grant/Research Support
Exelixis Inc.: Scientific Advisor; Grant/Research Support
Genmab: Grant/Research Support
MacroGenics: Grant/Research Support
MedImmune Inc: Grant/Research Support
Merck & Co., Inc.: Scientific Advisor
sanofi-aventis U.S.: Grant/Research Support
Taiho Pharmaceutials Co., Ltd.: Scientific Advisor
Zymeworks: Scientific Advisor; Grant/Research Support

Samantha L. Tamburro, RN, BSN, CPON
Flatiron Health, Inc.: Salary

None of the other planners for this educational activity have relevant financial relationship(s) to disclose with ineligible companies whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients.

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In support of improving patient care, National Comprehensive Cancer Network (NCCN) is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

Physicians
NCCN designates this enduring material for a maximum of 0.75 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Nurses
NCCN designates this educational activity for a maximum of 0.75 contact hour, 0.75 of which are pharmacotherapeutic contact hours.

Pharmacists
NCCN designates this knowledge-based continuing education activity for 0.75 contact hour (0.075 CEUs) of continuing education credit. UAN: JA4008196-0000-22-047-H01-P

Physician Assistants 
NCCN has been authorized by the American Academy of PAs (AAPA) to award AAPA Category 1 CME credit for activities planned in accordance with AAPA CME Criteria. This activity is designated for 0.75 AAPA Category 1 CME credit. Approval is valid until March 1, 2023. PAs should only claim credit commensurate with the extent of their participation.

Available Credit

  • 0.75 AAPA Category 1 CME credit
  • 0.75 ACPE contact hours
  • 0.75 AMA PRA Category 1 Credit™
  • 0.75 ANCC contact hours
    • 0.75 ANCC Pharmacology Contact Hours
  • 0.75 Participation

Price

Cost:
$0.00
Please login or register to take this course.

Required Hardware/software

To complete this activity, users will need:

  • A device with an Internet connection and sound playback capability
    • One of the two latest versions of Google Chrome, Mozilla Firefox, or Safari
    • Internet Explorer is no longer supported
  • Adobe Reader or other PDF reader software for certificate viewing/printing