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Maksimov K.V.

P.A. Herzen Moscow Oncology Research Institute — Branch of the National Medical Radiology Research Center of the Ministry of Health of Russia

Starkova M.V.

P.A. Herzen Moscow Oncology Research Institute — Branch of the National Medical Radiology Research Center of the Ministry of Health of Russia

Bagdasarova D.V.

P.A. Herzen Moscow Oncology Research Institute — Branch of the National Medical Radiology Research Center of the Ministry of Health of Russia

Volchenko N.N.

P.A. Herzen Moscow Oncology Research Institute — Branch of the National Medical Radiology Research Center of the Ministry of Health of Russia

Mazo M.L.

P.A. Herzen Moscow Oncology Research Institute — Branch of the National Medical Radiology Research Center

Surkova V.S.

P.A. Herzen Moscow Oncology Research Institute — Branch of the National Medical Radiology Research Center of the Ministry of Health of Russia

Zikiryakhodzhaev A.D.

I.M. Sechenov First Moscow State Medical University (Sechenov University) of the Ministry of Russia;
P.A. Herzen Moscow Oncology Research Institute — Branch of the National Medical Radiology Research Center of the Ministry of Russia;
Peoples’ Friendship University of Russia

Can surgical treatment in the future be abandoned in breast cancer patients with a complete morphopathological response after neoadjuvant chemotherapy?

Authors:

Maksimov K.V., Starkova M.V., Bagdasarova D.V., Volchenko N.N., Mazo M.L., Surkova V.S., Zikiryakhodzhaev A.D.

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Journal: P.A. Herzen Journal of Oncology. 2022;11(6): 73‑79

DOI: 10.17116/onkolog20221106173

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CAN SURGICAL TREATMENT IN THE FUTURE BE ABANDONED IN BREAST CANCER PATIENTS WITH A COMPLETE MORPHOPATHOLOGICAL RESPONSE AFTER NEOADJUVANT CHEMOTHERAPY?
CAN SURGICAL TREATMENT IN THE FUTURE BE ABANDONED IN BREAST CANCER PATIENTS WITH A COMPLETE MORPHOPATHOLOGICAL RESPONSE AFTER NEOADJUVANT CHEMOTHERAPY?

To cite this article:

Maksimov KV, Starkova MV, Bagdasarova DV, Volchenko NN, Mazo ML, Surkova VS, Zikiryakhodzhaev AD. Can surgical treatment in the future be abandoned in breast cancer patients with a complete morphopathological response after neoadjuvant chemotherapy? P.A. Herzen Journal of Oncology. 2022;11(6):73‑79. (In Russ.)
https://doi.org/10.17116/onkolog20221106173

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Breast cancer occupies a leading position in the structure of the incidence of malignant neoplasms among the female population. Over time, surgical and medical treatments for patients with breast cancer have undergone various changes. The main trend in drug treatment is a personalized approach to choosing therapy; this allows the volume of surgical treatment to be decreased in the future. Complete resorption of the primary tumor is the most debated issue relating to the need for surgical treatment; however, the lack of accurate diagnostic methods cannot make a single conclusion regarding this problem. The literature review includes an analysis of studies conducted on this topic in 1980 to 2021. Despite a large number of instrumental diagnostic techniques, histological verification of the residual tumor bed remains the most accurate method today. For a more accurate bed assessment, it is necessary to use a combination of the methods: vacuum aspiration biopsy and fine needle aspiration biopsy.

Keywords:

breast cancer
neoadjuvant polychemotherapy
multipoint biopsy
vacuum aspiration biopsy
mammography
breast MRI
ultrasound
therapeutic pathomorphism
complete resorption

Authors:

Maksimov K.V.

P.A. Herzen Moscow Oncology Research Institute — Branch of the National Medical Radiology Research Center of the Ministry of Health of Russia

Starkova M.V.

P.A. Herzen Moscow Oncology Research Institute — Branch of the National Medical Radiology Research Center of the Ministry of Health of Russia

Bagdasarova D.V.

P.A. Herzen Moscow Oncology Research Institute — Branch of the National Medical Radiology Research Center of the Ministry of Health of Russia

Volchenko N.N.

P.A. Herzen Moscow Oncology Research Institute — Branch of the National Medical Radiology Research Center of the Ministry of Health of Russia

Mazo M.L.

P.A. Herzen Moscow Oncology Research Institute — Branch of the National Medical Radiology Research Center

Surkova V.S.

P.A. Herzen Moscow Oncology Research Institute — Branch of the National Medical Radiology Research Center of the Ministry of Health of Russia

Zikiryakhodzhaev A.D.

I.M. Sechenov First Moscow State Medical University (Sechenov University) of the Ministry of Russia;
P.A. Herzen Moscow Oncology Research Institute — Branch of the National Medical Radiology Research Center of the Ministry of Russia;
Peoples’ Friendship University of Russia

Received:

20.07.2022

Accepted:

01.08.2022

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