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Conundrum of PST: current evidence

Mamounas E, et al. JCO 2012;30:3960-6.

Combined analysis of NSABP B18 and B27

Limitations:

Patients with T4 and N2 disease were not eligible

>85% patients diagnosed by FNA

Unknown ER, PR, HER2 receptor status

Non-contemporary systemic treatment:

Tamoxifen given on the basis of age (>50years) not ER

Chemotherapy schedules (AC*4 and AC*4-D*4)

No trastuzumab

Predictors of LRR after primary chemotherapy