Evidence map›Paper›PMID 42279302›Full record

ReviewCancers2026

Pathological Complete Response After Neoadjuvant Chemotherapy in Breast Cancer: A Literature Overview.

Anita Gorzelak-Magiera, Jacek Kabut, Joanna Sadurska, Anna Długaszek, Małgorzata Domagała-Haduch, Anna Szot, Iwona Gisterek-Grocholska

Abstract readReview
In one paragraph

Review in Cancers, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Anita Gorzelak-MagieraDepartment of Oncology and Radiotherapy, Medical University of Silesia, 40-055 Katowice, Poland.ORCID 0000-0003-4183-4522
Jacek KabutDepartment of Oncology and Radiotherapy, Medical University of Silesia, 40-055 Katowice, Poland.ORCID 0000-0002-0873-4952
Joanna SadurskaDepartment of Oncology and Radiotherapy, Medical University of Silesia, 40-055 Katowice, Poland.
Anna DługaszekDepartment of Oncology and Radiotherapy, Medical University of Silesia, 40-055 Katowice, Poland.ORCID 0009-0000-2682-1884
Małgorzata Domagała-HaduchDepartment of Oncology and Radiotherapy, Medical University of Silesia, 40-055 Katowice, Poland.ORCID 0000-0002-9426-1740
Anna SzotStudents' Scientific Association, Department of Oncology and Radiotherapy, Faculty of Medical Sciences in Katowice, Medical University of Silesia, 40-055 Katowice, Poland.ORCID 0009-0002-7732-150X
Iwona Gisterek-GrocholskaDepartment of Oncology and Radiotherapy, Medical University of Silesia, 40-055 Katowice, Poland.ORCID 0000-0002-6320-0224

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Breast cancer is one of the leading causes of cancer deaths in women worldwide. Neoadjuvant chemotherapy (NACT) has increased rates of breast-conserving procedures and enabled the identification of patients with a particularly poor prognosis. Achieving a pathological complete response (pCR), an indicator of NACT efficacy, contrasts with residual disease (RD), which identifies patients at higher risk of recurrence. This review provides an overview of current evidence on the clinical and prognostic significance of pCR and RD in patients receiving NACT for breast cancer. The analysis is based on data from randomized clinical trials, meta-analyses, and current clinical guidelines for contemporary systemic treatment. Pathological complete response varies according to tumor subtype, with the highest rates observed in triple-negative and non-luminal HER2-positive breast cancer. In HER2-positive disease, the combination of chemotherapy with HER2-targeted therapies increases pCR rates, while the presence of RD supports escalation of postoperative treatment with antibody-drug conjugates. In triple-negative breast cancer (TNBC), the inclusion of platinum agents and immune checkpoint inhibitors improves treatment efficacy. In HER2-negative breast cancer and germline BRCA1/2 mutations, adjuvant PARP inhibitors improve survival independently of pCR, highlighting the complex relationship between pathological response and prognosis. Immunotherapy and targeted therapies are used alongside standard chemotherapy and hormone therapy in perioperative treatment. Further research is required to refine response assessment, integrate new biomarkers such as circulating tumor DNA (ctDNA), and optimize treatment selection, while clarifying the significance of reassessing hormone receptor and HER2 status in residual disease and its impact on subsequent treatment decisions.

Indexed as

breast cancerneoadjuvant chemotherapyneoadjuvant treatmentpathological responseresidual disease

Identifiers

PMID42279302
PMCPMC13255888

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.