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Annals of Oncology Advance Access originally published online on November 12, 2007
Annals of Oncology 2007 18(12):1927-1934; doi:10.1093/annonc/mdm201
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© 2007 European Society for Medical Oncology

reviews

Recommendations from an international expert panel on the use of neoadjuvant (primary) systemic treatment of operable breast cancer: new perspectives 2006

M. Kaufmann1,*, G. von Minckwitz1,2, H. D. Bear3, A. Buzdar4, P. McGale5, H. Bonnefoi6, M. Colleoni7, C. Denkert8, W. Eiermann9, R. Jackesz10, A. Makris11, W. Miller12, J.-Y. Pierga13, V. Semiglazov14, A. Schneeweiss15, R. Souchon16, V. Stearns17, M. Untch18 and S. Loibl1,2

1 J. W. Goethe-University, Frankfurt am Main
2 German Breast Group, Neu-Isenburg/Frankfurt am Main, Germany
3 Division of Surgical Oncology the Massey Cancer Center at Virginia Commonwealth University, Richmond, Virginia, USA and National Surgical Adjuvant Breast and Bowel Project, Pittsburgh, Pennsylvania
4 The University of Texas M. D. Anderson Cancer Center, Houston, Texas, USA
5 Early Breast Cancer Trialists' Collaborative Group, Oxford
6 EORTC Breast Cancer Group, Hôpitaux Universitaires des Genéve, Geneva, Switzerland
7 Istituto Europeo di Oncologia Milan, Italy
8 Charité, Institute of Pathology, Campus Mitte, Berlin
9 Krankenhaus vom Roten Kreuz, Frauenklinik, München, Germany
10 Universtitätsklinik für Chirurgie, Wien, Austria
11 Mount Vernon Hospital, Northwood, Middlesex
12 University of Edinburgh, Western General Hospital, Edinburgh, UK
13 Institut Curie, Department of Medical Oncology, Paris, France
14 NN Petrov Research Inst of Oncology, St. Petersburg, Russia
15 Ruprecht-Karls-Universität Heidelberg, Heidelberg
16 Allgemeines Krankenhaus Hagen, Hagen, Germany
17 The Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins, Baltimore, Maryland, USA
18 Helios Klinikum Berlin-Buch, Berlin Germany

Correspondence to: Prof. M. Kaufmann, Department of Obstetrics and Gynecology, J.W.Goethe-University Hospital, Theodor-Stern-Kai 7, 60590 Frankfurt, Germany. Tel: +49-69-6301-5115; Fax: +49-69-6301-4717; E-mail: M.Kaufmann{at}em.uni-frankfurt.de

Neoadjuvant (primary systemic) treatment has become a standard option for primary operable disease for patients who are candidates for adjuvant systemic chemotherapy, irrespective of the size of the tumor. Because of new treatments and new understandings of breast cancer, however, recommendations published in 2006 regarding neoadjuvant treatment for operable disease required updating. Therefore, a third international panel of representatives of a number of breast cancer clinical research groups was convened in September 2006 to update these recommendations. As part of this effort, data published to date were critically reviewed and indications for neoadjuvant treatment were newly defined.

Key words: breast cancer, neoadjuvant therapy, recommendations

Received for publication April 5, 2007. Accepted for publication April 13, 2007.


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