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خرید پکیج
تعداد آیتم قابل مشاهده باقیمانده : 3 مورد
نسخه الکترونیک
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High-risk criteria according to the OlympiA trial[1]

High-risk criteria according to the OlympiA trial[1]
Triple-negative breast cancer (82% of patients):
  • If treated with adjuvant chemotherapy, were required to have axillary node-positive disease or an invasive primary tumor measuring at least 2 cm on pathologic analysis.
  • If treated with neoadjuvant chemotherapy, were required to have residual invasive breast cancer in the breast or resected lymph nodes (ie, no pCR from neoadjuvant therapy).
Hormone receptor-positive breast cancer (18% of patients):
  • If treated with adjuvant chemotherapy, were required to have at least 4 pathologically confirmed positive lymph nodes.
  • If treated with neoadjuvant chemotherapy, were required to have not had a pCR with a CPS+EG score of 3 or higher.[2,3] The CPS+EG scoring system estimates relapse probability on the basis of clinical and pathologic stage (CPS) and estrogen receptor status and histologic grade (EG); scores range from 0 to 6, with higher scores indicating worse prognosis.
pCR: pathologic complete response.
Reference:
  1. Tutt ANJ, Garber JE, Kaufman B, et al. Adjuvant olaparib for patients with BRCA1- or BRCA2-mutated breast cancer. N Engl J Med 2021; 384:2394.
  2. Mittendorf EA, Jeruss JS, Tucker SL, et al. Validation of a novel staging system for disease-specific survival in patients with breast cancer treated with neoadjuvant chemotherapy. J Clin Oncol 2011; 29:1956.
  3. MD Anderson Cancer Center neoadjuvant therapy outcomes calculator. (Available online at mdanderson.org/app/medcalc/index.cfm?pagename=bcnt, accessed on June 15, 2021).
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