Association of Various Factors in Terms of Pathological Response in Breast Cancer Patients Receiving Neoadjuvant Chemotherapy

Objective: To analyze the association of various factors in terms of pathological response among breast cancer patients. Study Design: Cross-sectional study. Place and Duration of Study: Oncology Department, Combined Military Hospital, Rawalpindi Pakistan, from Jan 2019 to Jun 2020. Method...

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Main Authors: Anum Zargham, Riaz Ahmad, Mussavir Hussain Bangash, Umair Tufail, Ibtisam ., Anil Babar
Format: Article
Language:English
Published: Army Medical College Rawalpindi 2023-05-01
Series:Pakistan Armed Forces Medical Journal
Subjects:
Online Access:https://www.pafmj.org/index.php/PAFMJ/article/view/6651
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author Anum Zargham
Riaz Ahmad
Mussavir Hussain Bangash
Umair Tufail
Ibtisam .
Anil Babar
author_facet Anum Zargham
Riaz Ahmad
Mussavir Hussain Bangash
Umair Tufail
Ibtisam .
Anil Babar
author_sort Anum Zargham
collection DOAJ
description Objective: To analyze the association of various factors in terms of pathological response among breast cancer patients. Study Design: Cross-sectional study. Place and Duration of Study: Oncology Department, Combined Military Hospital, Rawalpindi Pakistan, from Jan 2019 to Jun 2020. Methodology: This study was conducted on 82 female patients with advanced breast cancer who required neo-adjuvant chemotherapy followed by surgical tumour resection. The pathological response was classed as complete, partial, and no response based on histological findings on resected tumour sample. In addition, the age of the patient, stage of disease at presentation, intrinsic (molecular) subtypes and pathological subtype were the factors correlated with response to treatment in the target population. Results: A total of 82 female patients were included in the final analysis. The mean age of the patients was 47.421±8.857 years. 27(32.9%) had a complete pathological response, 34(41.5%) had partial, and 21(25.6%) had no response to the neoadjuvant therapy. Intrinsic subtypes of the tumour were statistically significantly associated with pathological response to neoadjuvant therapy (p-value<0.05) in our study participants. Conclusion: Considerable number of patients with advanced breast cancer showed pathological responses to neoadjuvant chemotherapy. In addition, intrinsic subtyping significantly predicted pathological response to therapy in our patients, with triple-negative patients having more chances of complete response to neoadjuvant chemotherapy.
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spelling doaj.art-441d55673d8644ac83d6cff0fa9ba9a52023-05-15T09:44:17ZengArmy Medical College RawalpindiPakistan Armed Forces Medical Journal0030-96482411-88422023-05-0173210.51253/pafmj.v73i2.6651Association of Various Factors in Terms of Pathological Response in Breast Cancer Patients Receiving Neoadjuvant ChemotherapyAnum Zargham0Riaz Ahmad1Mussavir Hussain Bangash2Umair Tufail3Ibtisam .4Anil Babar5Fauji Foundation Hospital, Rawalpindi PakistanCombined Military Hospital/National University of Medical Sciences (NUMS) Rawalpindi PakistanCombined Military Hospital, Multan/National University of Medical Sciences (NUMS) PakistanCombined Military Hospital/National University of Medical Sciences (NUMS) Rawalpindi PakistanCombined Military Hospital/National University of Medical Sciences (NUMS) Rawalpindi PakistanQueen Elizabeth Hospital, Birmingham, United Kingdom England Objective: To analyze the association of various factors in terms of pathological response among breast cancer patients. Study Design: Cross-sectional study. Place and Duration of Study: Oncology Department, Combined Military Hospital, Rawalpindi Pakistan, from Jan 2019 to Jun 2020. Methodology: This study was conducted on 82 female patients with advanced breast cancer who required neo-adjuvant chemotherapy followed by surgical tumour resection. The pathological response was classed as complete, partial, and no response based on histological findings on resected tumour sample. In addition, the age of the patient, stage of disease at presentation, intrinsic (molecular) subtypes and pathological subtype were the factors correlated with response to treatment in the target population. Results: A total of 82 female patients were included in the final analysis. The mean age of the patients was 47.421±8.857 years. 27(32.9%) had a complete pathological response, 34(41.5%) had partial, and 21(25.6%) had no response to the neoadjuvant therapy. Intrinsic subtypes of the tumour were statistically significantly associated with pathological response to neoadjuvant therapy (p-value<0.05) in our study participants. Conclusion: Considerable number of patients with advanced breast cancer showed pathological responses to neoadjuvant chemotherapy. In addition, intrinsic subtyping significantly predicted pathological response to therapy in our patients, with triple-negative patients having more chances of complete response to neoadjuvant chemotherapy. https://www.pafmj.org/index.php/PAFMJ/article/view/6651Breast cancerNeo-adjuvant chemotherapyPathological response
spellingShingle Anum Zargham
Riaz Ahmad
Mussavir Hussain Bangash
Umair Tufail
Ibtisam .
Anil Babar
Association of Various Factors in Terms of Pathological Response in Breast Cancer Patients Receiving Neoadjuvant Chemotherapy
Pakistan Armed Forces Medical Journal
Breast cancer
Neo-adjuvant chemotherapy
Pathological response
title Association of Various Factors in Terms of Pathological Response in Breast Cancer Patients Receiving Neoadjuvant Chemotherapy
title_full Association of Various Factors in Terms of Pathological Response in Breast Cancer Patients Receiving Neoadjuvant Chemotherapy
title_fullStr Association of Various Factors in Terms of Pathological Response in Breast Cancer Patients Receiving Neoadjuvant Chemotherapy
title_full_unstemmed Association of Various Factors in Terms of Pathological Response in Breast Cancer Patients Receiving Neoadjuvant Chemotherapy
title_short Association of Various Factors in Terms of Pathological Response in Breast Cancer Patients Receiving Neoadjuvant Chemotherapy
title_sort association of various factors in terms of pathological response in breast cancer patients receiving neoadjuvant chemotherapy
topic Breast cancer
Neo-adjuvant chemotherapy
Pathological response
url https://www.pafmj.org/index.php/PAFMJ/article/view/6651
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