Evidence map›Paper›PMID 42467061›Full record

ArticleThe breast journal2026

Impact of Neoadjuvant Immunochemotherapy on Surgical Outcomes in Management of Early Triple-Negative Breast Cancer.

Tamasine Khadrouche, Mathilde Morisseau, Gabrielle Selmes, Charlotte Vaysse, Camille Franchet, Carole Massabeau, Mony Ung, Eleonora De Maio, Jean-Louis Lacaze, Eva Jouve

Abstract read
In one paragraph

Article in The breast journal, 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

10 authors.

Tamasine KhadroucheDepartment of Surgical Oncology, Claudius Regaud Institute-IUCT Oncopole, Toulouse, France.
Mathilde MorisseauBiostatistics & Health Data Science Unit, Claudius Regaud Institute-IUCT Oncopole, Toulouse, France.
Gabrielle SelmesDepartment of Surgical Oncology, Claudius Regaud Institute-IUCT Oncopole, Toulouse, France.ORCID https://orcid.org/0000-0001-7666-600X
Charlotte VaysseDepartment of Surgical Oncology, University Hospital Center Toulouse-IUCT Oncopole, Toulouse, France.
Camille FranchetDepartment of Pathology, Claudius Regaud Institute-IUCT Oncopole, Toulouse, France.ORCID https://orcid.org/0000-0002-3214-0142
Carole MassabeauDepartment of Radiotherapy, Claudius Regaud Institute-IUCT Oncopole, Toulouse, France.
Mony UngDepartment of Medical Oncology, Claudius Regaud Institute - IUCT Oncopole, Toulouse, France.
Eleonora De MaioDepartment of Medical Oncology, Claudius Regaud Institute - IUCT Oncopole, Toulouse, France.ORCID https://orcid.org/0000-0003-2749-1535
Jean-Louis LacazeDepartment of Medical Oncology, Claudius Regaud Institute - IUCT Oncopole, Toulouse, France.ORCID https://orcid.org/0000-0002-7889-0213
Eva JouveDepartment of Surgical Oncology, Claudius Regaud Institute-IUCT Oncopole, Toulouse, France.ORCID https://orcid.org/0000-0001-5873-286X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTriple-negative breast cancer (TNBC) is an aggressive subtype with poor prognosis. Neoadjuvant immunochemotherapy (NAIC) combining chemotherapy and pembrolizumab is now standard for Stage II-III TNBC. This study evaluates the impact of NAIC on surgical outcomes versus neoadjuvant chemotherapy (NAC).

methodsA retrospective cohort study included 117 Stage II-III TNBC patients treated with NAIC or NAC (October 2019-May 2023). Surgical complications, time to surgery, time to radiotherapy, and pathologic response were assessed. Complications were classified using the Clavien-Dindo scale; immune-related adverse events (irAEs) followed the 2017 CTCAE criteria.

resultsAmong 117 patients, 59 received NAIC and 58 NAC. Chemotherapy-related adverse events were similar (NAIC: 78.0%, NAC: 75.9%). irAEs occurred in 50.8% of NAIC patients, with 8.5% experiencing severe irAEs. Surgical complications were more frequent in NAIC (27.1%) than NAC (17.2%), though not statistically significant; seroma was the most common. Delays > 12 weeks in initiating radiotherapy were more frequent in NAIC (10.7%) than NAC (0%).

conclusionNAIC did not significantly increase postoperative complications compared to NAC. However, irAEs and potential treatment delays warrant careful management. Despite these risks, NAIC remains a viable option for early TNBC with manageable surgical outcomes.

Indexed as

ImmunotherapyNeoadjuvant TherapyTriple Negative Breast NeoplasmsAdultAgedAntibodies, Monoclonal, HumanizedAntineoplastic Combined Chemotherapy ProtocolsFemaleHumansMiddle AgedPathologic Complete ResponsePostoperative ComplicationsRetrospective StudiesTreatment OutcomeAntibodies, Monoclonal, Humanizedpembrolizumabimmune-related adverse eventsneoadjuvant chemotherapyneoadjuvant immunochemotherapysurgical outcomestriple-negative breast cancer

Identifiers

PMID42467061
PMCPMC13378566

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Registered trials

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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 OpenQuestion graph.