2011, Number 2
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Evid Med Invest Salud 2011; 4 (2)
Neoadjuvant chemotherapy in breast cancer
Hernández-Hernández CA, Reyes-Contreras JG, Kuri-Exsome R, Matadamas-Zarate C, Valencia-Mijares NM
Language: Spanish
References: 44
Page: 54-64
PDF size: 263.29 Kb.
ABSTRACT
Breast cancer is the leading malignancy worldwide. Mexico, is no exception and since 2006, breast cancer
ranks as the leading cause of death in women under 50 years. In this year 4,451 Mexican women died.
Of the newly diagnosed patients, 50% of cases are in stages III and IV; their treatments are long, complex,
costly and less effective. The goals of treatment with neoadjuvant chemotherapy are to increase the breast
conserving surgery, determine response to neoadjuvant treatment in vivo, and increase disease-free survival.
The main comparative studies with neoadjuvant chemotherapy using anthracyclines and taxanes
either concomitantly or sequentially. The pathologic complete response is the main predictor survival. Her2
positive patients are considered for neoadjuvant chemotherapy plus trastuzumab. However, there are few
comparative studies in locally advanced and/or inflammatory breast cancer, this gives an opportunity for
research.
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