Skip to main content
Top
Published in: Annals of Surgical Oncology 9/2021

01-09-2021 | Breast Cancer | ASO Author Reflections

ASO Author Reflections: Postmastectomy Radiotherapy for Breast Cancer Patients After Neoadjuvant Chemotherapy, by Molecular Subtype

Authors: Jia-Chun Ma, MB, Xiao-Rong Zhong, MD, Ting Luo, MD, Lei Liu, MD

Published in: Annals of Surgical Oncology | Issue 9/2021

Login to get access

Excerpt

According to the National Comprehensive Cancer Network (NCCN) guidelines, postmastectomy radiotherapy (PMRT) for breast cancer patients after neoadjuvant chemotherapy (NAC) should be based on maximal stage from pre-chemotherapy tumor characteristics and/or pathological stage.1 Retrospective analyses provided evidence for benefit of PMRT only for selected patients (patients presenting with clinical stage III disease and with four or more positive nodes) after NAC;2 however, no data from randomized prospective trials are available to investigate which breast cancer patients need PMRT after NAC. There are great controversies surrounding this question. Nevertheless, molecular subtypes may influence the benefits of PMRT.3 Is molecular subtype a key predictive factor for locoregional recurrence (LRR) in patients receiving PMRT after NAC? …
Literature
1.
go back to reference Gradishar WJ, Anderson BO, Abraham J, et al. Breast cancer, Version 3.2020, NCCN clinical practice guidelines in oncology. J Natl Compr Canc Netw. 2020;18(4):452–78.CrossRef Gradishar WJ, Anderson BO, Abraham J, et al. Breast cancer, Version 3.2020, NCCN clinical practice guidelines in oncology. J Natl Compr Canc Netw. 2020;18(4):452–78.CrossRef
2.
go back to reference Huang EH, Tucker SL, Strom EA, et al. Postmastectomy radiation improves local-regional control and survival for selected patients with locally advanced breast cancer treated with neoadjuvant chemotherapy and mastectomy. J Clin Oncol. 2004;22(23):4691–9.CrossRef Huang EH, Tucker SL, Strom EA, et al. Postmastectomy radiation improves local-regional control and survival for selected patients with locally advanced breast cancer treated with neoadjuvant chemotherapy and mastectomy. J Clin Oncol. 2004;22(23):4691–9.CrossRef
3.
go back to reference Scheer AS, Zih FS, Maki E, Koch CA, McCready DR. Post-mastectomy radiation: should subtype factor into the decision? Ann Surg Oncol. 2016;23(8):2462–70.CrossRef Scheer AS, Zih FS, Maki E, Koch CA, McCready DR. Post-mastectomy radiation: should subtype factor into the decision? Ann Surg Oncol. 2016;23(8):2462–70.CrossRef
5.
go back to reference Goodman CR, Seagle BL, Kocherginsky M, Donnelly ED, Shahabi S, Strauss JB. 21-Gene recurrence score assay predicts benefit of post-mastectomy radiotherapy in T1–2 N1 breast cancer. Clin Cancer Res. 2018;24(16):3878–87.CrossRef Goodman CR, Seagle BL, Kocherginsky M, Donnelly ED, Shahabi S, Strauss JB. 21-Gene recurrence score assay predicts benefit of post-mastectomy radiotherapy in T1–2 N1 breast cancer. Clin Cancer Res. 2018;24(16):3878–87.CrossRef
Metadata
Title
ASO Author Reflections: Postmastectomy Radiotherapy for Breast Cancer Patients After Neoadjuvant Chemotherapy, by Molecular Subtype
Authors
Jia-Chun Ma, MB
Xiao-Rong Zhong, MD
Ting Luo, MD
Lei Liu, MD
Publication date
01-09-2021
Publisher
Springer International Publishing
Published in
Annals of Surgical Oncology / Issue 9/2021
Print ISSN: 1068-9265
Electronic ISSN: 1534-4681
DOI
https://doi.org/10.1245/s10434-020-09555-7

Other articles of this Issue 9/2021

Annals of Surgical Oncology 9/2021 Go to the issue