Neoadjuvant Chemotherapy in Breast Cancer: Evaluation of the Impact on Surgical Outcomes and Prognosis

Author:

Chiappa Corrado1ORCID,Greta Maltecca1,Miriam Leoni1,Ietto Giuseppe2ORCID,Inversini Davide2,Ballabio Andrea2,Bonetti Alice1,Mangano Alberto3,Gueli Rossana4ORCID,Carcano Giulio2ORCID,Rovera Francesca Angela1

Affiliation:

1. Senology Research Center, Department of Medicine and Innovation Technology (DiMIT), University of Insubria, 21100 Varese, Italy

2. Department of Medicine and Innovation Technology (DiMIT), University of Insubria, 21100 Varese, Italy

3. Division of General, Minimally Invasive and Robotic Surgery, University of Illinois at Chicago, 840 S Wood Street, Suite 435 E, Clinical Sciences Building, Chicago, IL 60612, USA

4. Oncology Unit, ASST-Sette Laghi, 21100 Varese, Italy

Abstract

The correlation between TNM staging and histology variations in a sample of patients who underwent neoadjuvant chemotherapy demonstrates a positive impact on both increasing conservative surgery and achieving pCR, resulting in better outcomes in terms of disease-free survival (DFS) and the risk of relapse. Benefits have also been highlighted in terms of cosmetic outcomes, postoperative complications, and psychological benefits. However, the overall outcomes must be evaluated according to the subtype and individual characteristics of the patients.

Publisher

MDPI AG

Reference29 articles.

1. Adjuvant Capecitabine for Breast Cancer after Preoperative Chemotherapy;Masuda;N. Engl. J. Med.,2017

2. Use of neoadjuvant chemotherapy for patients with stage I to III breast cancer in the United States;Mougalian;Cancer,2015

3. Neoadjuvant Chemotherapy, Endocrine Therapy, and Targeted Therapy for Breast Cancer: ASCO Guideline;Korde;J. Clin. Oncol. Off. J. Am. Soc. Clin. Oncol.,2021

4. Breast conservation after neoadjuvant chemotherapy for triple-negative breast cancer: Surgical results from the BrighTNess randomized clinical trial;Golshan;JAMA Surg,2020

5. (2023, August 19). Early Breast Cancer: ESMO Clinical Practice Guidelines for Diagnosis, Treatment and Follow-Up. PubMed, Available online: https://pubmed.ncbi.nlm.nih.gov/31161190/.

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