Prognostic significance of pathological complete response following neoadjuvant chemotherapy for operable breast cancer

被引:20
作者
Kawajiri, Hidemi [1 ]
Takashima, Tsutomu [1 ]
Aomatsu, Naoki [1 ]
Kashiwagi, Shinichiro [1 ]
Noda, Satoru [1 ]
Onoda, Naoyoshi [1 ]
Ishikawa, Tetsurou [1 ]
Hirakawa, Kosei [1 ]
机构
[1] Osaka City Univ, Grad Sch Med, Dept Surg Oncol, Osaka 5458585, Japan
关键词
breast cancer; pathological complete response; neoadjuvant chemotherapy; triple-negative subtype; CYCLOPHOSPHAMIDE; DOCETAXEL; THERAPY;
D O I
10.3892/ol.2014.1792
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
The aim of the present retrospective study was to ascertain the significance of pathological complete response (pCR) on overall survival (OS) and disease-free survival (DFS) in each disease subtype of operable breast cancer. Using a single-institution database, 90 patients were identified, who received neoadjuvant chemotherapy (NAC) for operable breast cancer and were eligible for the analysis. In total, 10 patients (11.1%) had succumbed to their diseases and 20 (22.2%) had succumbed to their diseases or exhibited recurrences. The OS of patients with triple-negative (TN) tumors was significantly lower than that of patients with other disease subtypes (P=0.016). The DFS of patients with luminal tumors was higher than that of patients with other subtypes. Survival was improved with pCR following NAC (P=0.044). Across all subtypes, patients who achieved pCR exhibited a higher DFS than patients who did not, but not significantly. pCR only improved OS and DFS in the TN disease subtype (P=0.022 and P=0.048, respectively). pCR following NAC may have prognostic value in TN breast cancer.
引用
收藏
页码:663 / 668
页数:6
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