Breast cancer
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. ER positive >=50%; 2. HER2 negative (defined as IHC graded 0 to 1+ or 2+ with FISH confirmed negative); 3. Histopathologically confirmed invasive breast cancer with histopathologically or cytologically confirmed axillary lymph node metastasis (preoperative SLNB is not allowed since it may interfere the pCR evaluation of axillary lymph node); 4. Indication for neoajuvant chemotherapy; 5. Indications for adjuvant chemotherapy after surgery; 6. No clinical evidence of other malignancy, unstable complication or uncontrolled infection; 7. No evidence of contraindication of chemotherapy or endocrine therapy; 8. Voluntary participation and written informed consent provided.
Exclusion criteria
Exclusion criteria: 1. Pathologically or radiologically defined distant metastasis; 2. History of other malignancy; 3. Contraindications of LHRHa or chemotherapy 4. Contraindications of neoadjuvant chemotherapy: severe cardio-cerebralvascular disease, liver or renal dysfunction, hematological disease, or any other inadaptable conditions defined by researcher; 5. Contrindications of surgery: anesthesia intolerance, extensive disease which is unresectable 6. Inadaptable systemic conditions 7. Unsuitable for the procedure, evaluated by researcher 8. Previous or prensent other anti-tumor treatment or plan to participate other clinical trial 9. Patient's refusal
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Residual Invasive Tumor Size, RITS; | — |
Secondary
| Measure | Time frame |
|---|---|
| Pathological response (Miller-Payne grading system);Axillary lymph node positive rate; | — |
Countries
China