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Neoadjuvant chemotherapy for triple-negative breast cancer: a meta-analysis with 7168 cases
基金项目:grants,from,the,Liaoning,Province,Science&Technol-ogy,Development,Funds(项目编号:2012225019)the,Sub-topics,of,Major,Drug,Discovery,Platform,in,the,Twelfth-Five,Year,Research,of,China(项目编号:2012ZX09303016-002)
摘    要:


Neoadjuvant chemotherapy for triple-negative breast cancer:a meta-analysis with 7168 cases
Authors:Guojing Zhang  Wanqing Xie Co-first author  Chao Lin  Zhaozhe Liu  Long Xu  Guanzhong Zhang  Fang Guo  Yaling Han  Hongxin Zheng  Xiaodong Xie
Institution:Guojing Zhang(Department of 0ncology, The General Hospital of Shenyang Military Region, Shenyang 110840, China);Wanqing Xie Co-first author(Molecular Biology Laboratory of Traditional Chinese Medicine, The Basic Medical College of Liaoning University of Traditional Chinese Medicine, Shengyang 110032, China);Chao Lin(Department of Gynaecology and 0bstetrics, Zhejiang Chinese Medical University Affiliated Hospital of Wenzhou Traditional Chinese Medicine, Wenzhou 325000, China);Zhaozhe Liu(Department of 0ncology, The General Hospital of Shenyang Military Region, Shenyang 110840, China);Long Xu(Department of 0ncology, The General Hospital of Shenyang Military Region, Shenyang 110840, China);Guanzhong Zhang(Department of 0ncology, The General Hospital of Shenyang Military Region, Shenyang 110840, China);Fang Guo(Department of 0ncology, The General Hospital of Shenyang Military Region, Shenyang 110840, China);Yaling Han(Cardiovascular Disease Institute, General Hospital of Shenyang Military Region, Shenyang 110840, China);Hongxin Zheng(Molecular Biology Laboratory of Traditional Chinese Medicine, The Basic Medical College of Liaoning University of Traditional Chinese Medicine, Shengyang 110032, China);Xiaodong Xie(Department of 0ncology, The General Hospital of Shenyang Military Region, Shenyang 110840, China);
Abstract:Objective:The pathological complete response (pCR) rates of neoadjuvant chemotherapy (NAC) in triple-nega-tive breast cancer (TNBC) was reported higher than that in non-TNBC but ranged from 12%to 48%. pCR was reported to be a predictor of long overal survival and exact pCR rate of NAC in TNBC would give us some hints on how to improve outcomes of TNBC patients. The meta-analysis was conducted to estimate the pCR rate of NAC for TNBC through contrasting the pCR rates of TNBC and non-TNBC tumors in NAC. Methods:Studies were selected from the PubMed database and Cochrane Col aboration Library. pCR rates were col ected in groups of TNBC and non-TNBC tumors. Review Manager 4.2 was used to perform forest plots and funnel plots. Results:The analysis included 22 studies with 7168 patients, the aggregate pCR rate was 29.5%in TNBC group, which was 17.7%higher than non-TNBC. The summary relative risk (RR) for pCR rate of TNBC group with that of non-TNBC group was 2.55. No obvious statistical heterogeneity and publication bias was detected. Conclu-sion:This meta-analysis demonstrated that NAC showed a higher pCR rate in TNBC than non-TNBC.
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