Omission of breast surgery after PST
•
“Neoadjuvant Chemotherapy Followed by RT Alone in BC Patients”
•
Study from Brazil: NCT03213925, phase 2 study
•
If cCR on MRI: Only RT breast with boost
•
Inclusion 2017 - 2020; Number of patients not given.
•
Primary endpoint: IBTR at 5 yrs.
•
NOSTRA trial UK
•
RCT for ER negative Her2 positive patients with pCR:
•
RT alone vs surgery with RT.
•
First pilot aimed at
staging:
breast biopsies followed by surgery (Francis
et al, abstract Cancer Research 2017)




