Local Treatment of Triple-Negative Breast Cancer

Melanie Machiels, Orit Kaidar-Person, Isabel T. Rubio, Philip Poortmans

Research output: Contribution to journalReview articlepeer-review


Triple-negative breast cancer, compared with other molecular subtypes, poses particular challenges for optimizing the timing and the extent of locoregional treatments. In the past, the combination of increased rates of both locoregional and distant recurrences led to a preference of radical surgery and extensive radiation therapy; however, since the introduction of more effective chemotherapy, a sharp de-escalation in the extent of locoregional treatments followed. Current evidence confirms that less aggressive surgery in combination with tailored radiation therapy offers improved oncological outcomes combined with better quality of life. However, further research is required to optimize locoregional treatments, considering the significant heterogeneity in biological behavior and tumor response to systemic treatments.

Original languageEnglish
Pages (from-to)32-40
Number of pages9
JournalCancer journal (Sudbury, Mass.)
Issue number1
StatePublished - 2021
Externally publishedYes


  • Breast cancer
  • breast-conserving surgery
  • local control
  • mastectomy
  • radiation therapy
  • recurrence
  • triple-negative


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