PMID- 28592065 OWN - NLM STAT- MEDLINE DCOM- 20180702 LR - 20181202 IS - 0376-2491 (Print) IS - 0376-2491 (Linking) VI - 97 IP - 20 DP - 2017 May 30 TI - [Impact of adjuvant chemotherapy on the prognosis of hormone receptor negative breast cancer with residual lymph node disease after neoadjuvant chemotherapy]. PG - 1576-1579 LID - 10.3760/cma.j.issn.0376-2491.2017.20.015 [doi] AB - Objective: To explore the influence of adjuvant chemotherapy on the prognosis of hormone receptor negative breast cancer with residual lymph node disease(RLND)after neoadjuvant chemotherapy. Methods: A total of 110 hormone receptor negative breast cancer patients treated with 4-8 cycles of neoadjuvant chemotherapy were respectively analysed between 2002 and 2012. Residual lymph node disease was comfirmed by subsequent radical mastectomy. Then all these patients were classified into two groups: patients treated with adjuvant chemotherapy(group A) and patients untreated with adjuvant chemotherapy(group B). Results: All patients were female, the median age was 54.5 years old(IQR: 47-59 years). The median follow-up time was 61 months(IQR: 51-88 months). There were 82 patients (74.5%) in group A, and 28 patients (25.5%) in group B. The five-year disease-free survival (DFS) rate was 76.2% in group A and 57.6% in group B. The distant disease-free survival (DDFS) rate was 78.9% in group A and 60.4% in group B. Overall survival (OS) rate was 81.0% in group A and 60.0% in group B. Multivariate analysis showed that there were significant differences for DDFS rate (group A vs group B, P=0.033; hazard ratio [HR], 5.256; 95% confidence interval [95%CI], 1.14-24.17) and OS rates (group A vs group B, P=0.011; HR, 7.478; 95%CI, 1.58-35.30) between two groups. Conclusion: The patients who have hormone receptor negative breast cancer with RLND after neoadjuvant chemotherapy, may benefit from postoperative adjuvant chemotherapy. FAU - Wang, X AU - Wang X AD - Key Laboratory of Carcinogenesis and Translational Research (Ministry of Education), Breast Cancer Prevention and Treatment Center, Peking University Cancer Hospital & Institute, Beijing 100143, China. FAU - He, Y J AU - He YJ FAU - Li, J F AU - Li JF FAU - Xie, Y T AU - Xie YT FAU - Wang, T F AU - Wang TF FAU - Fan, Z Q AU - Fan ZQ FAU - Ouyang, T AU - Ouyang T LA - chi PT - Journal Article PL - China TA - Zhonghua Yi Xue Za Zhi JT - Zhonghua yi xue za zhi JID - 7511141 SB - IM MH - Antineoplastic Combined Chemotherapy Protocols/*therapeutic use MH - Breast Neoplasms/*drug therapy/surgery MH - *Chemotherapy, Adjuvant MH - Disease-Free Survival MH - Female MH - Humans MH - Lymph Nodes MH - Middle Aged MH - *Neoadjuvant Therapy MH - Prognosis MH - Retrospective Studies OTO - NOTNLM OT - Breast neoplasms OT - Lymph node OT - Neoadjuvant chemotherapy OT - Prognosis EDAT- 2017/06/09 06:00 MHDA- 2018/07/03 06:00 CRDT- 2017/06/09 06:00 PHST- 2017/06/09 06:00 [entrez] PHST- 2017/06/09 06:00 [pubmed] PHST- 2018/07/03 06:00 [medline] AID - 10.3760/cma.j.issn.0376-2491.2017.20.015 [doi] PST - ppublish SO - Zhonghua Yi Xue Za Zhi. 2017 May 30;97(20):1576-1579. doi: 10.3760/cma.j.issn.0376-2491.2017.20.015.