Open research questions in Breast Cancer Treatment Studies
771 gap statements mined from Breast Cancer Treatment Studies papers in our 7.9M-paper local library, which holds 4,043 papers on the topic — drawn mostly from each paper's own stated research gap, future-work, challenge and limitation notes, and its abstract. The ones listed below are a selection still marked open; each names the study that raised it, with a DOI link where the paper has one.
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What the literature leaves open
Current guidelines provide limited recommendations for biomarker-guided treatment adaptation after receptor change. The clinical implications of receptor conversion remain uncertain.
Clinical Decision-Making After Receptor Conversion Following Neoadjuvant Therapy in Breast Cancer: A Three-Strategy Framework · 2026 · DOIThe study identifies the challenge of limited treatment options for TNBC. The study identifies the challenge of high risk of recurrence in TNBC. The study identifies the challenge of lack of effective specific targeted therapy for TNBC.
Antibody-drug conjugates therapy for triple-negative breast cancer: a systematic review and meta-analysis · 2026 · DOILack of epidemiological data on early-onset breast cancer in low- and middle-income countries. Limited understanding of the clinical and demographic profiles of early-onset breast cancer patients.
Early-onset breast cancer in two Brazilian tertiary cancer centers: a real-world study of years of life lost and clinical outcomes · 2026 · DOIThe KEYNOTE-522 trial did not directly compare neoadjuvant with adjuvant chemo-immunotherapy. Adjuvant-only immune checkpoint inhibitor (ICI) strategies have not demonstrated consistent improvement in their primary efficacy endpoints in TNBC.
Neoadjuvant Versus Adjuvant Chemo-Immunotherapy in Early-Stage Triple-Negative Breast Cancer: A National Cancer Database Study · 2026 · DOIFurther functional studies are warranted to validate CDC25A as a potential prognostic and therapeutic biomarker in breast cancer.
Insights into the prognostic significance of cell division cycle 25A (CDC25A) in breast cancer · 2026 · DOIAs a pivotal calcium release channel on ER, ITPR3 is speculated to participate in endoplasmic reticulum stress and paraptosis execution, but its diagnostic value and regulatory role in TNBC have not been systematically elucidated.
Integrated single-cell and bulk RNA sequencing analysis reveals paraptosis-related biomarkers and immune microenvironment regulation in triple-negative breast cancer · 2026 · DOIWhile Single Nucleotide Polymorphisms (SNPs) have been linked to fibrosis after radiotherapy (RT), the genetic architecture remains incompletely understood.
A genome-wide association study on radiation induced fibrosis in breast cancer patients · 2026 · DOIAlthough limited randomized and retrospective data suggest that this approach may suit a subset of patients, its role remains uncertain.
Outcomes of Technically Optimal Intraoperative Radiation Therapy With Electrons Versus Whole-Breast External Beam Radiation in Suitable Patients With Breast Cancer · 2026 · DOIThe incremental clinical value of trajectory classification over the simpler D7 drainage measurement remains uncertain and requires prospective validation.
Association of drainage volume decline trajectories during the first 7 postoperative days with persistent seroma on postoperative day 30 after modified radical mastectomy for breast cancer · 2026 · DOIHowever, due to the limitations of this study, we are only doing preliminary exploration for information, and do not make any causal inference.
Exploring the relationship between transferrin and progression-free survival in breast cancer patients after neoadjuvant therapy · 2026 · DOIDespite its potential as both a prognostic biomarker and a therapeutic target in triple-negative breast cancer (TNBC), the exact role of TEM8 in TNBC remains poorly understood.
The prognostic relevance of multifocal and multicentric breast cancer remains unclear and current staging systems do not consider focality.
Comparing multifocal with unifocal breast cancer and the relationship with survival: national cohort study · 2026 · DOIThe relationship between routine histopathological features, immune infiltration, and genomic risk within this framework remains incompletely characterized in luminal disease.
Tumour-infiltrating lymphocytes differ across MammaPrint® classifications in breast cancer · 2026 · DOIBreast cancer incidence increases with age, but the molecular features of cancers arising in older patients remain poorly characterized.
A Multi-Cohort Analysis of Age-Associated Clinical and Transcriptomic Differences in Breast Cancer · 2026 · DOIHowever, the role of leptin in the molecular heterogeneity of triple-negative breast cancer (TNBC), particularly across racial groups, remains unclear.
Leptin-Driven Distinct Transcriptional Reprogramming in Triple-Negative Breast Cancer: Implications for Racial Disparities · 2026 · DOIAs accelerated partial breast irradiation is gaining widespread acceptance for low-risk breast cancers treated with breast conservation, its role following oncoplastic surgery remains controversial.
Phase 2 Trial of Ultrahypofractionated Image-guided Partial Breast Irradiation Following Lumpectomy with Optional Oncoplastic Reconstruction for Early-stage Breast Cancer · 2025 · DOINew strategies that improve locoregional control rates in BLIS patients are warranted.
Novel Molecular Subtyping Predicts Locoregional Recurrence in Triple-negative Breast Cancer · 2025 · DOIFurther adequate baseline data on LIV1 expression in other populations have not been documented.
Expression of cell surface zinc transporter LIV1 in triple negative breast cancer is an indicator of poor prognosis and therapy failure · 2024 · DOIFuture studies are required to identify patients with ILC who are at risk of late recurrence or mortality.
Treatment and Survival Differences between Patients with Invasive Lobular Carcinoma Versus Invasive Ductal Carcinoma of the Breast · 2024 · DOIEmerging data indicate that host factors may impact the SME, but the relationship between prediagnostic host factors and SME phenotype remains poorly characterized, particularly among women of African ancestry.
Contribution of Prediagnostic Host Factors to Shaping the Stromal Microenvironment of Breast Cancer among Sub-Saharan African Women · 2024 · DOIHowever, community-level variability remains unknown, and research regarding the association between testing status and receipt of adjuvant chemotherapy is limited.
Addressing Social Determinants in the Era of Precision Medicine in Breast Cancer: Is It Sufficient to Reduce Disparities? · 2024 · DOINo standardized staging, pathology reporting protocol, or consensus classification exists within current frameworks.
Residual Pure Intralymphatic Breast Carcinoma After Neoadjuvant Therapy: Clinicopathologic Analysis and Comparative Outcomes Across Published Studies · 2026 · DOILimited to a nationwide cross-sectional survey in Poland, - Survey responses may not reflect actual clinical practice, - No direct evidence is available for most receptor-conversion…
Clinical Decision-Making After Receptor Conversion Following Neoadjuvant Therapy in Breast Cancer: A Three-Strategy Framework · 2026 · DOIIn summary, these findings identify circulating ETP as a potential biomarker in ER+ metastatic breast cancer and support further investigation of its relationship with disease activity and the development of ETP-targeting agents.
Endotrophin Is a Circulating Fibroinflammatory Biomarker Associated with Treatment Response in Human Metastatic ER+ Breast Cancer · 2026 · DOIFurther studies are needed to confirm the findings, - Research on the optimal treatment strategy for early-stage triple-negative breast cancer, - Investigation of the factors associated with neoadjuvant treatment, - Analysis of the cost-effectiveness of neoadjuvant…
Neoadjuvant Versus Adjuvant Chemo-Immunotherapy in Early-Stage Triple-Negative Breast Cancer: A National Cancer Database Study · 2026 · DOI
Most-cited papers in Breast Cancer Treatment Studies
- Effects of chemotherapy and hormonal therapy for early breast cancer on recurrence and 15-year survival: an overview of the randomised trials · The Lancet · 2005 · 6,313 citations
- Twenty-Year Follow-up of a Randomized Trial Comparing Total Mastectomy, Lumpectomy, and Lumpectomy plus Irradiation for the Treatment of Invasive Breast Cancer · New England Journal of Medicine · 2002 · 5,204 citations
- A Gene-Expression Signature as a Predictor of Survival in Breast Cancer · New England Journal of Medicine · 2002 · 5,126 citations
- A Multigene Assay to Predict Recurrence of Tamoxifen-Treated, Node-Negative Breast Cancer · New England Journal of Medicine · 2004 · 5,115 citations
- Breast Cancer Treatment · JAMA · 2019 · 4,281 citations
- Effects of radiotherapy and of differences in the extent of surgery for early breast cancer on local recurrence and 15-year survival: an overview of the randomised trials · The Lancet · 2005 · 4,205 citations
- Pathological complete response and long-term clinical benefit in breast cancer: the CTNeoBC pooled analysis · The Lancet · 2014 · 4,114 citations
- Circulating Tumor Cells, Disease Progression, and Survival in Metastatic Breast Cancer · New England Journal of Medicine · 2004 · 3,851 citations
- Twenty-Year Follow-up of a Randomized Study Comparing Breast-Conserving Surgery with Radical Mastectomy for Early Breast Cancer · New England Journal of Medicine · 2002 · 3,599 citations
- Effect of radiotherapy after breast-conserving surgery on 10-year recurrence and 15-year breast cancer death: meta-analysis of individual patient data for 10 801 women in 17 randomised trials · The Lancet · 2011 · 3,302 citations
Most recent work
- Neoadjuvant Taxane Plus Trastuzumab and Pertuzumab With or Without Carboplatin in Human Epidermal Growth Factor Receptor 2–Positive Breast Cancer: The Randomized Noninferiority Phase III neoCARHP Trial · Journal of Clinical Oncology · 2026
- Radiofrequency Ablation for Early Stage Breast Cancer as a Potential Alternative to Partial Mastectomy: 5-Year Results from the Multiple-Center, Single-Arm, Phase 3 RAFAELO Study (NCCH1409) · Annals of Surgical Oncology · 2026
- Cumulative incidence of advanced breast cancer in women aged 40–49 years in the Japan Strategic Anti-cancer Randomised Trial (J-START) of adjunctive ultrasonography: a prespecified secondary analysis · The Lancet · 2026
- ctDNA Detected after Neoadjuvant Therapy for HER2-Positive Breast Cancer Is Associated with Inferior Outcomes and May Inform Adjuvant Therapy · Cancer Research Communications · 2026
- Evolution of Breast Cancer Treatment 2010–2023 · Annals of Surgical Oncology · 2026
- Dynamic biomarkers in hormone receptor-positive/HER2-negative breast cancer trials: a new hope for precision oncology · npj Breast Cancer · 2026
- Axillary surgery in patients with sentinel node macrometastases: secondary results of the randomized INSEMA trial · npj Breast Cancer · 2026
- Concomitant radiation therapy and trastuzumab deruxtecan in metastatic breast cancer: feasibility, safety, and outcomes from a real-life multicentre international cohort · The Breast · 2026
- 5-year results of hypofractionated locoregional radiotherapy in early breast cancer HypoG-01 (UNICANCER): a French multicentre, randomised, non-inferiority, phase 3, open-label, controlled trial · The Lancet · 2026
- Extended Endocrine Therapy Following 5 Years of Adjuvant Luteinizing Hormone-Releasing Hormone Agonist in Premenopausal Patients With Node-Positive, Hormone Receptor–Positive Breast Cancer: A Cohort Study · Journal of Clinical Oncology · 2026
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