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Challenges in Optimal Endocrine therapy

• Predictive markers beyond ER,PR

• Understanding pathways of resistance

• Optimizing host environment (BMI?)

• Monitoring long term benefit & toxicity

• Compliance of patient

• Dissemination of endocrine prevention strategies for high

risk women

• New treatment combinations targeting both ER and

growth factor receptor signaling to block the crosstalk

between these pathways and eliminate escape routes

19-9-2017