Research Article
Ribociclib/Letrozole Combination for the Treatment of Locally Advanced Hr+/Her2-Breast Cancer: A Real-World Experience
Author(s):
Anna Iolanda Rispoli, Chiara de Divitiis, Celeste Fusciello, Fortuna Lombardi and Clementina Savastano*
Locally Advanced Breast Cancer (LABC) is a heterogenous disease not amenable for primary
surgery. Neoadjuvant therapy has been shown to improve outcomes in patients with inoperable
de novo Hormone Receptor-positive/Human Epidermal Growth factor receptor 2-negative
(HR+/HER2-) locally advanced breast cancer.
An Italian retrospective single-center study included 23 de novo HR+/HER2-LABC patients,
treated with first-line ribociclib plus letrozole. The clinical response was analyzed both at
biological and clinical level. At baseline, 15 (65.2%) women had stage IIIA ductal carcinoma;
median Ki-67 expression was 15% (range: 10-80%) and 13 patients (56,5%) had Ki-67 under 20%.
After treatment, 68.5% of patients achieved overall response with 1 clinical complete response;
73.9% were eligible for surgery. Following surgery, 88% experienced TNM downstaging and
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