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Definition and Impact of Pathologic Complete Response on Prognosis After Neoadjuvant Chemotherapy in Various Intrinsic Breast Cancer Subtypes

Journal of Clinical Oncology · 2012 · Vol. 30(15) · pp. 1796–1804
Gϋnter von MinckwitzMichael UntchJens‐Uwe BlohmerSerban Dan CostaHolger EidtmannPeter A. FaschingBernd GerberW. EiermannJ. HilfrichJens HuoberChristian JackischManfred KaufmannGottfried E. KonecnyCarsten DenkertValentina NekljudovaKeyur MehtaSibylle Loibl

Abstract

pCR defined as no invasive and no in situ residuals in breast and nodes can best discriminate between patients with favorable and unfavorable outcomes. Patients with noninvasive or focal-invasive residues or involved lymph nodes should not be considered as having achieved pCR. pCR is a suitable surrogate end point for patients with luminal B/HER2-negative, HER2-positive (nonluminal), and triple-negative disease but not for those with luminal B/HER2-positive or luminal A tumors.

Breast Cancer Treatment StudiesBreast Lesions and CarcinomasHER2/EGFR in Cancer ResearchMedicineBreast cancerOncologyAnthracyclineTaxaneInternal medicineTrastuzumabDuctal carcinomaHazard ratioChemotherapy

MeSH terms

AdultAgedAged, 80 and overAntineoplastic Combined Chemotherapy ProtocolsBreast NeoplasmsCarcinoma in SituFemaleHumansMastectomyMiddle AgedNeoplasm InvasivenessTime FactorsBiomarkers, TumorChi-Square DistributionProportional Hazards Models
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