학술논문

Approaching Neoadjuvant Therapy in the Management of Early-Stage Breast Cancer
Document Type
Report
Source
Breast Cancer: Targets and Therapy. March 31, 2021, Vol. 13, p199, 13 p.
Subject
Cancer -- Adjuvant treatment
Lumpectomy
Antineoplastic agents
Neoadjuvant therapy
Breast cancer -- Development and progression -- Care and treatment
Antimitotic agents
Language
English
ISSN
1179-1314
Abstract
Neoadjuvant therapy is integral to the treatment of early-stage breast cancer. Goals of treatment include surgical downstaging of the tumor, rendering inoperable tumors resectable, and de-escalating axillary surgery in those with clinically positive nodes. Additionally, response to treatment provides important prognostic information regarding risk of recurrence and guides future adjuvant treatment. Although chemotherapy serves as the backbone of neoadjuvant treatment, an increased understanding of the tumor's clinical course as well as its molecular and genetic make-up aids in individualizing treatment and developing novel agents. This review summarizes current clinical approaches and the future direction to the management of breast cancer patients in the neoadjuvant setting. Keywords: neoadjuvant chemotherapy, neoadjuvant endocrine therapy, pCR, breast-conserving surgery
Introduction Breast cancer is the most frequently diagnosed cancer and the leading cause of cancer-related death in women globally. (1) Treatment decisions are tailored based on the size of breast [...]