Barely Significant

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The general technique of AAC preparation is well established, and pre-clinical and clinical verification of lower toxicity, higher anticancer activity, and improved stability of AAC recognizing multiple myeloma markers and delivering specific autoantigens may represent a significant trend in the upcoming years.
MAGa: Monoclonal Autoimmune Gammopathies.
Cancers (Basel) · 2026 · PMC13255662
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 ].
By contrast, oncogenic driver identity provided outcome-relevant biological stratification independent of age: RET fusions, NTRK1/3 fusions, and BRAF V600E were associated with significantly higher odds of a non-excellent response after adjustment, whereas RAS-mutant tumors showed a favorable trend and DICER1-mutant cases achieved excellent outcomes in the modeled cohort.
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.