Initial results of neoadjuvant TCH regimen in patients with HER2-positive stage II-III breast cancer at 108 Military Central hospital

Nguyen Thanh Ngoc, Nguyen Viet Long, Nguyen Thi Phuong Thao, Truong Thi Thao Hien, Le Ngoc Ha, Le Van Quang

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Abstract

A descriptive study was conducted to evaluate the initial outcomes of neoadjuvant chemotherapy using TCH regimen in 35 patients with HER2-positive stage II-III breast cancer treated at 108 Military Central Hospital from December 2024 to December 2025. The patients mean age was 51.7 years old (32 – 74 years old). Clinical stages II and III accounted for 60% and 40%, respectively. Hormone receptor positive was observed in 51.4% of cases. The overall clinical response rate reached 97.2%. The total pathologic complete response (tpCR) rate was 45.7%; no significant correlation was identified between tpCR and analyzed predictive factors. The most common grade 3-4 adverse event was neutropenia. There were no treatment-related death or permanent discontinuation due to toxicity. Initial results indicate that neoadjuvant TCH therapy for HER2-positive stage II-III breast cancer yields a high response rate with a manageable safety profile.

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References

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