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    The New York Times‏Verified account @nytimes Jun 4

    Many women with early-stage breast cancer who would receive chemotherapy under current standards do not actually need it, according to a major international studyhttps://nyti.ms/2LmpUu6 

    2:45 AM - 4 Jun 2018
    • 187 Retweets
    • 309 Likes
    • Denise Medeiros Talib hussain Umbereen Nehal Vickie Roberts-Ratlf Ying Kuan Adnan Nazir Mariana Henry Hafeez Abbasi Nicole Kuderer
    15 replies 187 retweets 309 likes
      1. New conversation
      2. Natan Schleider MD‏ @DrSchleider Jun 4
        Replying to @nytimes

        While chemo has notorious long time side effects like nerve pain, note that hormone treatments can be used instead of chemo is some low risk cases. I bet my malpractice carrier would be upset if I did not offer chemo to a woman with breast cancer.

        1 reply 0 retweets 1 like
      3. Michael Alvarado‏ @mdAlvaradoMD Jun 4
        Replying to @DrSchleider @nytimes

        Women with ER+ Her2- Breast cancers that are node negative. If their physician chooses NOT to order the 21 gene RS and just give chemo, or gives chemo with low score?? That would be big time malpractice #TAILORx #ASCO2018 #breastcancer

        2 replies 0 retweets 0 likes
      4. Dees‏ @caseofdees Jun 4
        Replying to @mdAlvaradoMD @DrSchleider @nytimes

        Too easy. Look at age, lymphatic infiltration, ki67, angio-invasion too

        2 replies 0 retweets 1 like
      5. Michael Alvarado‏ @mdAlvaradoMD Jun 4
        Replying to @caseofdees @DrSchleider @nytimes

        More than a third of tumors with ki67 up to 30 are low recurrence score. There’s a reason why it isn’t recognized as a standard

        1 reply 0 retweets 1 like
      6. Dees‏ @caseofdees Jun 4
        Replying to @mdAlvaradoMD @DrSchleider @nytimes

        You have to look at the combination of all. Pathology is not just an algorithm..... Oncology is not a one trick pony....

        3 replies 0 retweets 1 like
      7. Dees‏ @caseofdees Jun 4
        Replying to @caseofdees @mdAlvaradoMD and

        Disease free Survival is not what we are looking for. We want Overall Survival......

        2 replies 0 retweets 1 like
      8. Natan Schleider MD‏ @DrSchleider Jun 5
        Replying to @caseofdees @mdAlvaradoMD @nytimes

        Valid points, thank you for your input and opinions!

        0 replies 0 retweets 2 likes
      9. End of conversation
      1. Natan Schleider MD‏ @DrSchleider Jun 4
        Replying to @nytimes

        Another study showing less is more in treating breast cancer: 5/31/18 Effect of Adjuvant Trastuzumab for a Duration of 9 Weeks vs 1 Year With Concomitant Chemotherapy for Early Human Epidermal Growth Factor Receptor 2–Positive Breast CancerThe SOLD Randomized Clinical Trial.

        0 replies 0 retweets 2 likes
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      1. Mulled Wine SocialJusticeRoadWarrior‏ @SJRoadW Jun 4
        Replying to @nytimes

        goddamnit these headlines. make it clear that this means for women who have already undergone *surgery and radiation* and whose tumors were genetically tested please, otherwise you give ammo to antiscience quacks.

        0 replies 0 retweets 2 likes
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      1. DISCOVER THE BEAUTY WITHIN YOU: ESTETIC SURGERY‏ @oscarmendozamd1 Jun 4
        Replying to @nytimes @BiancaJagger

        US THIS BASED IN REAL RESEARCH OR IT USTI SAVE $$$ to the I surance Companies?😳😳😳‼️😡😡😏😏😳

        0 replies 0 retweets 1 like
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      1. violetta‏ @violett09614565 Jun 4
        Replying to @nytimes

        la vérité tout simplement, la chimio c'est du poison, moi je l'ai refusé

        0 replies 0 retweets 1 like
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      1. CLGlassman‏ @glasscl2 Jun 4
        Replying to @nytimes @NEJM

        Hey all this info now think -- radiation has always been first line of treatment unless node positive

        0 replies 0 retweets 0 likes
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      1. Cosmas Opio‏ @opiocosmas1 Jun 4
        Replying to @nytimes

        i love that country girl picture

        0 replies 0 retweets 0 likes
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      1. iamtheMAGAbot‏ @iamtheMAGAbot Jun 4
        Replying to @nytimes

        #MAGA womenful with early-stageful breastful cancerful who would receivewise chemotherapyful under standardsful do ne…ful

        0 replies 0 retweets 0 likes
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