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FAQ: Are Breast Cancer Survival Rates Measured from Diagnosis or the End of Treatment?

Breast cancer survival rates are measured from the date of diagnosis. Research has shown that the risk of recurrence for triple-negative breast cancer is highest up to three years after diagnosis; at that point, it drops significantly.
In one study, published in Clinical Cancer Research, researchers followed 1,601 women for up to 8.1 years. 180 of these women (11.2%) had triple-negative breast cancer.

Compared with other women with breast cancer, those with triple-negative breast cancer had an increased likelihood of distant recurrence…within 5 years of diagnosis but not thereafter. The pattern of recurrence was also qualitatively different; among the triple-negative group, the risk of distant recurrence peaked at 3 years and declined rapidly thereafter.

And according to the National Cancer Institute, survival rates are measured from time of diagnosis. Some definitions:
Cancer-specific Survival: The period from diagnosis until death from the same cancer, whether the original lesion or to a second primary, same cancer or related causes. (Adapted from DJA Punt et. al., 2007)

Disease Free Survival, Disease Free Interval
:The period from date of diagnosis until date of first recurrence, loco-regional or systemic. (RTOG)

Overall Survival
:The period from date of diagnosis until death from any cause. (RTOG)

Progression Free Survival, Progression Free Interval
: The period during and after treatment in which a participant is living with a disease that does not get worse. Typically it is the period from date of diagnosis until 1) loco-regional or systemic recurrence, 2) second malignancy, or 3) death from any cause; late deaths not related to cancer or its treatment are excluded. (RTOG)
Read more about TNBC in my book, Surviving Triple-Negative Breast Cancer.

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