A Randomized Phase III Study Comparing Pre- and Postoperative Vs. Conventional Adjuvant Treatment Hormone Receptor-Negative Breast Cancer Patients
Inclusion Criteria:
- Patients with bioptically verified breast cancer
- Estrogen receptor-negative status
- Age: < 70 years
- WHO Performance Status < 2
- Laboratory parameters
1. hematopoiesis: > 3500/l leukocytes, > 100,000/l thrombocytes
2. renal function: creatinin < 1.5mg%
3. hepatic function: GOT 2.5 x UNL
4. bilirubin: < 2.0 mg %
5. metabolic parameters: Na, Ca, K in normal range
- = 4 weeks interval since surgery
- Informed consent
Exclusion Criteria:
- Patients with locally inoperable cancer, M1
- Other preoperative tumor-specific radiotherapy, chemotherapy or endocrine treatment
- Pregnancy or lactation
- General contraindication against cytostatic treatment
- T4 cancer; inflammatory disease, simultaneous or sequential bilateral breast cancer
- Lacking compliance or understanding of disease
- Serious concomitant disease
- Second carcinoma or status post second carcinoma (except for treated squamous cell
carcinoma of the skin or cervical carcinoma in situ)