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. 2022 Aug 15;12(8):3512–3531.

Table 2.

Studies on radiotherapy alone instead of breast surgery after neoadjuvant chemotherapy

Study Period Type n Treatment Follow-up OS or DFS LRR
Daveau [70] 1985-1989 retrospective 165 cCR 65 Surgery 12 years RT vs Surgery RT vs Surgery
100 RT 5-year 91% vs 82% 31% vs 17%
10-year 77% vs 79%
L.Mauriac [68] 1985-1989 retrospective 272 A: 138 initial surgery 124 months NS in DFS and RFS 22.5% BCS+RT,
44 cCR B: 134 NAC: 22.4% Mastectomy
40 BCS+RT, 34% RT
49 mastectomy
44 RT
Ring [67] 1986-1999 retrospective 453, 69 RT RT vs Surgery RT vs Surgery RT vs Surgery
136 cCR 47 Surgery 87 months vs 67 months DFS and OS. 21% vs 10%
5-year 76% vs 74%
10-year 70% vs 60%
Perloff [92] 1978-1983 retrospective 87 43 Surgery 39 months RT vs Surgery RT vs Surgery
44 RT 63% vs 50% 27% vs 19%
Scholl [69] 1986-1990 retrospective 200 36 mastectomy ± RT, 66 months - -
62 BCS+RT
102 RT
Clouth [71] 2000-2005 retrospective 101, 16 RT 33.5 months NS in DFS or OS. 9.5% surgery;
16 pCR 84 surgery 12.5% non-surgery.

Abbreviations: OS, overall survival; DFS, disease-free survival; LRR, locoregional recurrence rate; NAC, neoadjuvant chemotherapy; pCR, pathological complete response; cCR, clinical complete response; RT, radiotherapy treatment; BCS, breast-conserving surgery; NS, no significant.