Conclusion
La réponse histologique complète ou, en son absence, le résidu tumoral quantifié par l’index NPI, ainsi que les NPI modifiés, peuvent être appliqués dans le cadre d’un traitement néo-adjuvant et offrent l’avantage de pouvoir « quantifier » la maladie résiduelle, en reliant le paramètre mammaire au paramètre ganglionnaire. Sans prétendre résumer à lui seul les facteurs pronostiques classiques utilisés pour fixer le traitement adjuvant, il constitue un socle majeur sur lequel pourra s’appuyer l’oncologue pour sa prescription adjuvante, aidé par d’autres facteurs comme les récepteurs hormonaux, l’oncogène HER2-neu, etc.
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Chollet, P., Curé, H., Amat, S., Mouret-Reynier, M.A., Penault-Llorca, F. (2006). Chimiothérapie néo-adjuvante. Expérience du centre Jean-Perrin. Importance de la tumeur résiduelle et de la rémission histologique complète. In: Cancer du sein. Springer, Paris. https://doi.org/10.1007/2-287-31109-2_16
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DOI: https://doi.org/10.1007/2-287-31109-2_16
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