Neoadjuvant Chemo-Endocrine Therapy for Hormone Receptor Positive Breast Cancer: A Meta-Analysis

Background: Neoadjuvant chemotherapy has become the standard treatment for patients with locally advanced breast cancer. However, patients with hormone receptor positive (especially human epidermal growth receptor 2 negative) breast cancer show low response rate to neoadjuvant chemotherapy. Whether...

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Main Authors: Zhen-Yu Li, Ying-Li Dong, Xiao-Zhong Cao, Sha-Sha Ren, Zhen Zhang
Format: Article
Language:English
Published: IMR Press 2023-04-01
Series:Clinical and Experimental Obstetrics & Gynecology
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Online Access:https://www.imrpress.com/journal/CEOG/50/4/10.31083/j.ceog5004074
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author Zhen-Yu Li
Ying-Li Dong
Xiao-Zhong Cao
Sha-Sha Ren
Zhen Zhang
author_facet Zhen-Yu Li
Ying-Li Dong
Xiao-Zhong Cao
Sha-Sha Ren
Zhen Zhang
author_sort Zhen-Yu Li
collection DOAJ
description Background: Neoadjuvant chemotherapy has become the standard treatment for patients with locally advanced breast cancer. However, patients with hormone receptor positive (especially human epidermal growth receptor 2 negative) breast cancer show low response rate to neoadjuvant chemotherapy. Whether neoadjuvant chemo-endocrine therapy (NCET) can improve the pathological complete response (pCR) rate of these patients remains controversial. Methods: A systematic literature search was conducted in the PubMed, Embase, and Cochrane databases. Pooled odds ratio (OR) with 95% confidence intervals (CI) was calculated. Results: Five randomized controlled trials were included (N = 566). NCET did not significantly improve pCR (OR 1.35, 95% CI 0.77–2.38, p = 0.30). Conclusions: NCET did not to improve the pCR rates in patients with hormone receptor positive breast cancer.
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publishDate 2023-04-01
publisher IMR Press
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series Clinical and Experimental Obstetrics & Gynecology
spelling doaj-art-e149211eb6bb4752ad7d7200e7a423472025-08-20T01:55:41ZengIMR PressClinical and Experimental Obstetrics & Gynecology0390-66632023-04-015047410.31083/j.ceog5004074S0390-6663(23)02029-8Neoadjuvant Chemo-Endocrine Therapy for Hormone Receptor Positive Breast Cancer: A Meta-AnalysisZhen-Yu Li0Ying-Li Dong1Xiao-Zhong Cao2Sha-Sha Ren3Zhen Zhang4Department of Breast Surgery, Luoyang Central Hospital Affiliated to Zhengzhou University, 471000 Luoyang, Henan, ChinaDepartment of Stomatology, Luoyang Central Hospital Affiliated to Zhengzhou University, 471000 Luoyang, Henan, ChinaDepartment of Breast Surgery, Luoyang Central Hospital Affiliated to Zhengzhou University, 471000 Luoyang, Henan, ChinaDepartment of Breast Surgery, Luoyang Central Hospital Affiliated to Zhengzhou University, 471000 Luoyang, Henan, ChinaDepartment of Breast Surgery, Luoyang Central Hospital Affiliated to Zhengzhou University, 471000 Luoyang, Henan, ChinaBackground: Neoadjuvant chemotherapy has become the standard treatment for patients with locally advanced breast cancer. However, patients with hormone receptor positive (especially human epidermal growth receptor 2 negative) breast cancer show low response rate to neoadjuvant chemotherapy. Whether neoadjuvant chemo-endocrine therapy (NCET) can improve the pathological complete response (pCR) rate of these patients remains controversial. Methods: A systematic literature search was conducted in the PubMed, Embase, and Cochrane databases. Pooled odds ratio (OR) with 95% confidence intervals (CI) was calculated. Results: Five randomized controlled trials were included (N = 566). NCET did not significantly improve pCR (OR 1.35, 95% CI 0.77–2.38, p = 0.30). Conclusions: NCET did not to improve the pCR rates in patients with hormone receptor positive breast cancer.https://www.imrpress.com/journal/CEOG/50/4/10.31083/j.ceog5004074breast cancerneoadjuvant chemotherapyneoadjuvant chemo-endocrine therapypathological complete response
spellingShingle Zhen-Yu Li
Ying-Li Dong
Xiao-Zhong Cao
Sha-Sha Ren
Zhen Zhang
Neoadjuvant Chemo-Endocrine Therapy for Hormone Receptor Positive Breast Cancer: A Meta-Analysis
Clinical and Experimental Obstetrics & Gynecology
breast cancer
neoadjuvant chemotherapy
neoadjuvant chemo-endocrine therapy
pathological complete response
title Neoadjuvant Chemo-Endocrine Therapy for Hormone Receptor Positive Breast Cancer: A Meta-Analysis
title_full Neoadjuvant Chemo-Endocrine Therapy for Hormone Receptor Positive Breast Cancer: A Meta-Analysis
title_fullStr Neoadjuvant Chemo-Endocrine Therapy for Hormone Receptor Positive Breast Cancer: A Meta-Analysis
title_full_unstemmed Neoadjuvant Chemo-Endocrine Therapy for Hormone Receptor Positive Breast Cancer: A Meta-Analysis
title_short Neoadjuvant Chemo-Endocrine Therapy for Hormone Receptor Positive Breast Cancer: A Meta-Analysis
title_sort neoadjuvant chemo endocrine therapy for hormone receptor positive breast cancer a meta analysis
topic breast cancer
neoadjuvant chemotherapy
neoadjuvant chemo-endocrine therapy
pathological complete response
url https://www.imrpress.com/journal/CEOG/50/4/10.31083/j.ceog5004074
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