Is breast surgery necessary for breast carcinoma in complete remission following neoadjuvant chemotherapy?

• Verfasst von: Richter, Hannah [VerfasserIn]
• Verfasst von: Hennigs, André [VerfasserIn]
• Verfasst von: Schäfgen, Benedikt [VerfasserIn]
• Verfasst von: Sohn, Christof [VerfasserIn]
• Verfasst von: Golatta, Michael [VerfasserIn]
• Verfasst von: Heil, Jörg [VerfasserIn]
• Titel: Is breast surgery necessary for breast carcinoma in complete remission following neoadjuvant chemotherapy?
• Verf.angabe: Hannah Richter, André Hennigs, Benedikt Schaefgen, Markus Hahn, Jens Uwe Blohmer, Sherko Kümmel, Thorsten Kühn, Marc Thill, Kay Friedrichs, Christof Sohn, Michael Golatta, Jörg Heil
• E-Jahr: 2018
• Jahr: 22 Januar 2018
• Umfang: 6 S.
• Fussnoten: Gesehen am 04.02.2020
• Titel Quelle: Enthalten in: Geburtshilfe und Frauenheilkunde
• Ort Quelle: Stuttgart : Thieme, 1980
• Jahr Quelle: 2018
• Band/Heft Quelle: 78(2018), 01, Seite 48-53
• ISSN Quelle: 1438-8804
• DOI: doi:10.1055/s-0043-124082
• Datenträger: Online-Ressource
• Sprache: eng
• Bibliogr. Hinweis: Übersetzt als Richter, Hannah, 1989 - : Ist eine Operation der Brust bei Komplettremission nach neoadjuvanter Chemotherapie des Mammakarzinoms notwendig?
• K10plus-PPN: 1689249722

Abstract

<p>The likelihood of pathological complete remission (pCR) of breast cancer following neoadjuvant chemotherapy (NACT) is increasing; most of all in the triple negative and HER2 positive tumour subgroups. The question thus arises whether or not breast surgery is necessary when there is complete remission after NACT, and whether it provides any improvement of the oncological treatment result when tumour is no longer detectable. Avoiding surgery and possibly even radiotherapy would only be conceivable on the basis of a reliable diagnosis of pCR without operating. Current imaging does not achieve the necessary sensitivity and specificity to assure the diagnosis of pathological complete remission. Further studies are therefore required to determine which methods are best able to evaluate tumour response to NACT. Studies on image-guided, minimally invasive biopsies after NACT have delivered first promising results towards diagnosing pCR before surgery and could provide the basis for further studies on the possibility of avoiding surgery in this specific patient collective.</p>