Neoadjuvant Therapy in the Treatment of Breast Cancer

被引:116
作者
Teshome, Mediget [1 ]
Hunt, Kelly K. [1 ]
机构
[1] Univ Texas MD Anderson Canc Ctr, Dept Surg Oncol, Houston, TX 77030 USA
关键词
Breast cancer; Neoadjuvant chemotherapy; Preoperative chemotherapy; Pathologic complete response; PATHOLOGICAL COMPLETE RESPONSE; CHEMOTHERAPY PLUS TRASTUZUMAB; LOCAL-REGIONAL RECURRENCE; III RANDOMIZED GEPARTRIO; HORMONE-RECEPTOR STATUS; LYMPH-NODE SURGERY; PREOPERATIVE CHEMOTHERAPY; PHASE-II; PROGNOSTIC VALUE; PRIMARY TUMOR;
D O I
10.1016/j.soc.2014.03.006
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Neoadjuvant systemic therapy in breast cancer treatment was initially utilized for inoperable disease. However, several randomized prospective studies have demonstrated comparable survival with adjuvant chemotherapy in early-stage, operable breast cancer while also decreasing tumor size facilitating breast conservation without significant increases in local recurrence. Response to therapy can predict outcome, with improved survival associated with pathologic complete response (pCR). Triple negative and HER2-positive subtypes show increased pCR rates. A multidisciplinary approach is necessary with neoadjuvant treatment. This can improve rates of breast conservation, provide insights into tumor biology and predict patient outcomes.
引用
收藏
页码:505 / +
页数:21
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