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L’association aux traitements systémiques

Center, RILA, Adjuvant CT, Boost

CO HO RT phase II study

Breast-conserving surgery, HR+, post-menopause

Arm A

Radiation-induced lymphocyte apoptosis (RILA) test

No adjuvant CT

Adjuvant CT

2

nd

RILA test

Stratification

Adjuvant RT

Randomization

Arm B

Letrozole 2.5 mg/day

5 years

Adjuvant RT

Letrozole 2.5 mg/day

5 years

Azria et al. Lancet Oncol 2010