Preoperative Systemic Therapy for Breast Cancer

Surg Clin North Am. 2023 Feb;103(1):201-217. doi: 10.1016/j.suc.2022.08.017. Epub 2022 Oct 18.

Abstract

The indications for preoperative/neoadjuvant systemic therapy in breast cancer have changed over the past few years. In this article, the authors review the current data for use of neoadjuvant therapy in inoperable and operable settings. The evolution of various neoadjuvant regimens used in triple-negative breast cancer, human epidermal growth factor receptor 2 (HER2) overexpressing/gene-amplified (HER2+) tumors, and hormone receptor positive breast cancer is discussed as well as the role of neoadjuvant chemotherapy in tailoring adjuvant treatment.

Keywords: HER2 positive breast cancer; Hormone receptor–positive breast cancer; Neoadjuvant therapy; Preoperative therapy; TNBC.

Publication types

  • Review

MeSH terms

  • Humans
  • Immunotherapy
  • Neoadjuvant Therapy*
  • Triple Negative Breast Neoplasms* / drug therapy
  • Triple Negative Breast Neoplasms* / surgery