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.