Key Points
- Premenopausal women with HR-positive early breast cancer benefit from exemestane plus OFS versus tamoxifen with or without OFS.
- Results of SOFT and TEXT support the addition of OFS to exemestane or tamoxifen in premenopausal women whose risk of recurrence warrants (neo)adjuvant chemotherapy.
- Women with low-risk early breast cancer derive minimal benefit from the addition of OFS.
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