Benefit of  single-injection Depot Progesterone before surgery in node positive breast cancer patients

 

This is the first randomized evidence suggesting benefit of short-term peri-operative hormone therapy (progesterone) in DFS and OS in node positive breast cancer. The results not only suggest an easily implementable cost-effective intervention in routine clinical practice but also offers some biological insights about when does metastases set in? and how modulation of events at the time of surgery affects a chronic disease?. In absence of side effects and low cost of intervention this would be the most effective intervention for the developing world as well as cash strapped health care systems globally. The results need to be reproduced in other parts of the world.
 

 

Bibliographic Reference:

Badwe R et al.: "Single-Injection Depot Progesterone Before Surgery and Survival in Women With Operable Breast Cancer: A Randomized Controlled Trial", J Clin Oncol. 2011 Jun 13. [Epub ahead of print]

 

 

Raj Badwe

Tata Memorial Hospital, Mumbai, India