Peer-Reviewed Publication
Histopathology2026September 24, 2026Journal Article

Heterogeneity of breast and nodal response to neoadjuvant pembrolizumab-based chemoimmunotherapy in early triple-negative breast cancer and its clinical significance.

Jiwon Koh1,2, Koung Jin Suh3, Hye Yeon Park4, Hyun Jung Kwon5, Hyun-Jung Sung5, Han Suk Ryu1,2, Jung Ho Kim1, Jaemoon Koh1, Kyung-Hun Lee2,4, Dae-Won Lee2,4, Changhee Park2,4, Jeongmin Seo3, Heejung Chae3, Woochan Hwang6, Ye Yoon Suh6, Chang Ho Ahn6, Seock-Ah Im2,4, Jee Hyun Kim3, So Yeon Park5
1Department of Pathology, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, Republic of Korea.
2Cancer Research Institute, Seoul National University, Seoul, Republic of Korea.
3Division of Hematology and Medical Oncology, Department of Internal Medicine, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seongnam, Gyeonggi, Republic of Korea.
4Division of Hematology and Medical Oncology, Department of Internal Medicine, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, Republic of Korea.
5Department of Pathology, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seongnam, Gyeonggi, Republic of Korea.
6Lunit Inc., Seoul, Republic of Korea.

Abstract

AIMS: To characterize the heterogeneity of pathological responses in the breast and regional lymph nodes after neoadjuvant pembrolizumab-based chemoimmunotherapy in early-stage triple-negative breast cancer (TNBC) and to explore their clinical implications. METHODS AND RESULTS: A total of 203 patients with TNBC treated with neoadjuvant chemotherapy combined with pembrolizumab followed by surgery…

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