Original Investigation

Extended Endocrine Therapy and Survival for Breast Cancer Subtypes in Premenopausal Patients

JAMA Network Open 10.1001/jamanetworkopen.2026.10427

May 04, 2026 at 11:00 AM EDT

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Are there differences in the risks of invasive and distant recurrence across all surrogate breast cancer subtypes among patients with node-positive, hormone receptor–positive breast cancer who remain premenopausal after completing 5 years of adjuvant therapy with a luteinizing hormone–releasing hormone agonist and received or did not receive extended endocrine therapy (EET)?In this cohort study that included 487 patients, EET had a lower risk estimate than no EET for invasive breast cancer–free survival among patients with luminal A–like, luminal B–like, or -positive disease.A lower estimated risk with EET was observed across all surrogate breast cancer subtypes.

Corresponding Author: Giuseppe Curigliano, MD, PhD, Division of New Drugs and Early Drug Development for Innovative Therapies, European Institute of Oncology, IRCCS, Via Ripamonti 435, Milan 20141, Italy (giuseppe.curigliano@ieo.it).

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