Reevaluating regional nodal irradiation after nodal pathologic complete response to neoadjuvant chemotherapy: toward individualized de-escalation
- PMID: 40948912
- PMCID: PMC12432908
- DOI: 10.21037/gs-2025-240
Reevaluating regional nodal irradiation after nodal pathologic complete response to neoadjuvant chemotherapy: toward individualized de-escalation
Keywords: Breast cancer; neoadjuvant chemotherapy (NAC); pathological complete response; regional nodal irradiation (RNI); treatment de-escalation.
Conflict of interest statement
Conflicts of Interest: Both authors have completed the ICMJE uniform disclosure form (available at https://gs.amegroups.com/article/view/10.21037/gs-2025-240/coif). K.M. received fees from Merit Medical and Q Medical Technologies corporations. The other author has no conflicts of interest to declare.
Comment on
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Omitting Regional Nodal Irradiation after Response to Neoadjuvant Chemotherapy.N Engl J Med. 2025 Jun 5;392(21):2113-2124. doi: 10.1056/NEJMoa2414859. N Engl J Med. 2025. PMID: 40466065 Free PMC article. Clinical Trial.
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- Alliance for Clinical Trials in Oncology. A011202: A randomized phase III trial evaluating the role of axillary lymph node dissection in breast cancer patients (cT1-3 N1) who have positive sentinel lymph node disease after neoadjuvant chemotherapy. Available online: https://clinicaltrials.gov/ct2/show/NCT01901094
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