Barely Significant

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However, a systematic Cochrane review that included two trials combining PD-1 inhibitors and five trials combining PD-L1 inhibitors, with a total of 4341 participants, demonstrated that combining checkpoint inhibitors with chemotherapy before breast cancer surgery improves pathological response, event-free survival (EFS), and overall survival (OS) in early triple-negative breast cancer (TNBC), while having marginal significance in the adjuvant setting [ 62 ].
In the same context, the reduction in positive surgical margins (from 27% to 22%), combined with the decline in PSA persistence over time, suggests improved tumor localization, further experience with robotic platforms, and increasing operator experience, indicating a positive trend in surgical training and education at a national level.
In terms of actual clinical correlation, when they compared combination screening data with in vivo clinical responses, patients classified as responders ( n = 9) tended toward significance of increased ex vivo sensitivity (median DSS of 51.8) versus patients achieving poor response, with a median DSS of 23.4 ( n = 4; minimal response (MR) = 1, stable disease (SD) = 1, progressive disease (PD) = 2).