Neoadjuvant chemotherapy for triple-negative breast cancer: a meta-analysis with 7168 cases.pdfVIP

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Neoadjuvant chemotherapy for triple-negative breast cancer: a meta-analysis with 7168 cases.pdf

Neoadjuvant chemotherapy for triple-negative breast cancer: a meta-analysis with 7168 cases.pdf

Neoadjuvantchemotherapyfortriple—-negative GuojingZhang,WanqingXie(Co—firstauthor),ChaoLin。,ZhaozheLiu,LongXu,GuanzhongZhang, FangGuo,YalingHan,HongxinZheng,XiaodongXie DepartmentofOncology,TheGeneralHospitalofShenyangMilitaryRegion,Shenyang110840,China MolecularBiologyLaboratory ofTraditionalChineseMedicine,TheBasicMedicalCollegeofLiaoningUniversityof TraditionalChineseMedicine,Shenygang110032,China 0DepartmentofGynaecologyandObstetrics,ZhejiangChineseMedicalUniversityAffiliatedHospitalofWenzhou TraditionalChineseMedicine,W enzhou325000,China CardiovascularDiseaseInstitute,GeneralHospitalofShenyangMilitary Region,Shenyang110840,China Received:4November2013/Revised:25November2013/Accepted:15December2013 @HuazhongUniversityofScienceandTechnology2014 Abstract Objective:Thepathologicalcompleteresponse(pCR)ratesofneoadjuvantchemotherapy(NAC)inlriple.nega. rivebreastcancer(TNBC)wasreportedhigherthanthatinnon-TNBCbutrangedfrom12%l048%.pCRwasreportedtobe apredictorofIongoverallsurvivaIandexactpCRrateofNACinTNBCwouldgiveussomehintsonhowloireproveoutcomes ofTNBCpatients.Themeta.analysiswasconductedloestimatelhepCRrateofNACforTNBCthroughcontrastinglhepCR ratesofTNBCandnon—TNBClumorsinNAC.Methods:Studieswereselectedfr0mlhePubMeddatabaseandCochrane CollaborationLibrary.pCRrateswerecollectedingroupsofTNBCandnon.TNBClumors.ReviewManager4.2wasusedlo perf_ormforeslplotsandfunneIplots.Results:Theanalysisincluded22studieswith7168patients,IheaggregatepCRrate was29.5%inTNBCgroup,whichwas17.7%higherlhannon-TNBC.Thesummaryrelativerisk(RR)forpCRrateofTNBC groupwithlhalofnon.TNBCgroupwas2.55.NoobviousstatisticaIheterogeneityandpublicationbiaswasdetected.Conclu- sio,IThismeta.analysisdemonstratedlhalNACshowedahigherpCRrateinTNBClhannon.TNBC. Keywords neoadjuvantchemotherapy(NAC);triple-negativebreastcancer(T

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