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Prediction of pathological complete response after neoadjuvant treatment in triple negative breast cancer: a single center experience

Cilt: 19 Sayı: 2 13 Nisan 2026
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Prediction of pathological complete response after neoadjuvant treatment in triple negative breast cancer: a single center experience

Öz

Purpose: To identify clinicopathological factors associated with pathological complete response (pCR) after neoadjuvant chemotherapy (NAC) in patients with triple-negative breast cancer (TNBC).
Matherials and methods: A retrospective study of 51 women with stage I–III TNBC who received NAC between January 2019 and December 2024 at Antalya Training and Research Hospital. Binary logistic regression was used to determine independent predictors of pCR.
Results: The median age was 49 years (range: 28-79), and 28 patients (54.9%) achieved pCR. Patients aged ≥60 were significantly less likely to achieve pCR (OR: 0.22; 95% CI: 0.05-0.98; p=0.048*). No significant associations were found for carboplatin or pembrolizumab use.
Conclusion: This real-world cohort confirms that pCR rates are consistent with literature. Advanced age was a significant negative predictor, emphasizing the importance of personalized approaches in elderly patients.

Anahtar Kelimeler

Triple-negative breast cancer, neoadjuvant treatment, pathological complete response

Kaynakça

  1. Bianchini G, Balko JM, Mayer IA, Sanders ME, Gianni L. Triple-negative breast cancer: challenges and opportunities of a heterogeneous disease. Nat Rev Clin Oncol. 2016;13(11):674-690. doi:10.1038/nrclinonc.2016.66
  2. Denkert C, Liedtke C, Tutt A, von Minckwitz G. Molecular alterations in triple-negative breast cancer-the road to new treatment strategies. Lancet. 2017;389(10087):2430-2442. doi:10.1016/S0140-6736(16)32454-0
  3. Liedtke C, Mazouni C, Hess KR, et al. Response to neoadjuvant therapy and long-term survival in patients with triple-negative breast cancer. J Clin Oncol. 2008;26(8):1275-1281. doi:10.1200/JCO.2007.14.4147
  4. Cortazar P, Zhang L, Untch M, et al. Pathological complete response and long-term clinical benefit in breast cancer: the CTNeoBC pooled analysis [published correction appears in Lancet. 2019 Mar 9;393(10175):986. doi: 10.1016/S0140-6736(18)32772-7.]. Lancet. 2014;384(9938):164-172. doi:10.1016/S0140-6736(13)62422-8
  5. Poggio F, Bruzzone M, Ceppi M, et al. Platinum-based neoadjuvant chemotherapy in triple-negative breast cancer: a systematic review and meta-analysis. Ann Oncol. 2018;29(7):1497-1508. doi:10.1093/annonc/mdy127
  6. Schmid P, Cortes J, Dent R, et al. Event-free Survival with Pembrolizumab in Early Triple-Negative Breast Cancer. N Engl J Med. 2022;386(6):556-567. doi:10.1056/NEJMoa2112651
  7. von Minckwitz G, Untch M, Blohmer JU, et al. Definition and impact of pathologic complete response on prognosis after neoadjuvant chemotherapy in various intrinsic breast cancer subtypes. J Clin Oncol. 2012;30(15):1796-1804. doi:10.1200/JCO.2011.38.8595
  8. Gass P, Lux MP, Rauh C, et al. Prediction of pathological complete response and prognosis in patients with neoadjuvant treatment for triple-negative breast cancer. BMC Cancer. 2018;18(1):1051. doi:10.1186/s12885-018-4925-1
  9. Verdial FC, Mamtani A, Pawloski KR, et al. The Effect of Age on Outcomes After Neoadjuvant Chemotherapy for Breast Cancer. Ann Surg Oncol. 2022;29(6):3810-3819. doi:10.1245/s10434-022-11367-w
  10. Krishnan J, Patel A, Roy AM, et al. Detrimental Impact of Chemotherapy Dose Reduction or Discontinuation in Early Stage Triple-Negative Breast Cancer Treated With Pembrolizumab and Neoadjuvant Chemotherapy: A Multicenter Experience. Clin Breast Cancer. 2024;24(8):e701-e711.e2. doi:10.1016/j.clbc.2024.08.005

Kaynak Göster

APA
Ulukal Karancı, E., Güzel, H. G., & Öztürk, B. (2026). Prediction of pathological complete response after neoadjuvant treatment in triple negative breast cancer: a single center experience. Pamukkale Medical Journal, 19(2), 237-242. https://doi.org/10.31362/patd.1707522
AMA
1.Ulukal Karancı E, Güzel HG, Öztürk B. Prediction of pathological complete response after neoadjuvant treatment in triple negative breast cancer: a single center experience. Pam Tıp Derg. 2026;19(2):237-242. doi:10.31362/patd.1707522
Chicago
Ulukal Karancı, Ece, Halil Göksel Güzel, ve Banu Öztürk. 2026. “Prediction of pathological complete response after neoadjuvant treatment in triple negative breast cancer: a single center experience”. Pamukkale Medical Journal 19 (2): 237-42. https://doi.org/10.31362/patd.1707522.
EndNote
Ulukal Karancı E, Güzel HG, Öztürk B (01 Nisan 2026) Prediction of pathological complete response after neoadjuvant treatment in triple negative breast cancer: a single center experience. Pamukkale Medical Journal 19 2 237–242.
IEEE
[1]E. Ulukal Karancı, H. G. Güzel, ve B. Öztürk, “Prediction of pathological complete response after neoadjuvant treatment in triple negative breast cancer: a single center experience”, Pam Tıp Derg, c. 19, sy 2, ss. 237–242, Nis. 2026, doi: 10.31362/patd.1707522.
ISNAD
Ulukal Karancı, Ece - Güzel, Halil Göksel - Öztürk, Banu. “Prediction of pathological complete response after neoadjuvant treatment in triple negative breast cancer: a single center experience”. Pamukkale Medical Journal 19/2 (01 Nisan 2026): 237-242. https://doi.org/10.31362/patd.1707522.
JAMA
1.Ulukal Karancı E, Güzel HG, Öztürk B. Prediction of pathological complete response after neoadjuvant treatment in triple negative breast cancer: a single center experience. Pam Tıp Derg. 2026;19:237–242.
MLA
Ulukal Karancı, Ece, vd. “Prediction of pathological complete response after neoadjuvant treatment in triple negative breast cancer: a single center experience”. Pamukkale Medical Journal, c. 19, sy 2, Nisan 2026, ss. 237-42, doi:10.31362/patd.1707522.
Vancouver
1.Ece Ulukal Karancı, Halil Göksel Güzel, Banu Öztürk. Prediction of pathological complete response after neoadjuvant treatment in triple negative breast cancer: a single center experience. Pam Tıp Derg. 01 Nisan 2026;19(2):237-42. doi:10.31362/patd.1707522