Authors :
Sajid Ali; Ayesha Sadia; Shehryar Ahmad
Volume/Issue :
Volume 7 - 2022, Issue 2 - February
Google Scholar :
http://bitly.ws/gu88
Scribd :
https://bit.ly/3JfQS4F
DOI :
https://doi.org/10.5281/zenodo.6360864
Abstract :
Due to limited sources in developing countries
mostly breast cancer patients usually present in a locally
advanced stage with large masses, infected wounds, or
ulcers. Nowadays Neoadjuvant chemotherapy is the gold
standard for early and locally advanced stage tumor
patients as it downstages tumor with the benefit of breast
conservation treatment and also kills the micro
metastasis to improve survival and also give an insight
into the tumor behaviour by assessing its response to
chemotherapy. In the current study, 58 patients with
localized breast cancer patients enrolled at Hayatabad
medical complex Peshawar in the year 2020-21 were
assessed for their response to neoadjuvant
chemotherapy. Tumor measurements were carried out
by baseline TNM staging pathological assessment postsurgery. Complete pathological response was seen in
24.41% (17.24% were stage 2,5.17% were stage 3,
partial response was observed in 31.03% (all were stage
3), 17.64% had stable disease(5.17% were stage 2,
20.68% were stage 3), 20% had progressive
disease(1.72% were stage 2, 17.24% were stage 3). We
found at the end of the study that breast cancers
presented in our setup had a higher stage, unpredictable
response to chemotherapy; stage 3 was more resistant to
chemotherapy.
Keywords :
Breast Cancer, chemotherapy, KI67, Progressive disease Tumor.
Due to limited sources in developing countries
mostly breast cancer patients usually present in a locally
advanced stage with large masses, infected wounds, or
ulcers. Nowadays Neoadjuvant chemotherapy is the gold
standard for early and locally advanced stage tumor
patients as it downstages tumor with the benefit of breast
conservation treatment and also kills the micro
metastasis to improve survival and also give an insight
into the tumor behaviour by assessing its response to
chemotherapy. In the current study, 58 patients with
localized breast cancer patients enrolled at Hayatabad
medical complex Peshawar in the year 2020-21 were
assessed for their response to neoadjuvant
chemotherapy. Tumor measurements were carried out
by baseline TNM staging pathological assessment postsurgery. Complete pathological response was seen in
24.41% (17.24% were stage 2,5.17% were stage 3,
partial response was observed in 31.03% (all were stage
3), 17.64% had stable disease(5.17% were stage 2,
20.68% were stage 3), 20% had progressive
disease(1.72% were stage 2, 17.24% were stage 3). We
found at the end of the study that breast cancers
presented in our setup had a higher stage, unpredictable
response to chemotherapy; stage 3 was more resistant to
chemotherapy.
Keywords :
Breast Cancer, chemotherapy, KI67, Progressive disease Tumor.