Surreal image of blood cells floating through a breast cancer ribbon.

Decoding Breast Cancer: How Blood Counts Can Predict Treatment Success

"New research reveals that simple blood tests, focusing on eosinophil levels, could predict how triple-negative and HER2-positive breast cancers respond to neoadjuvant chemotherapy, offering hope for more personalized cancer treatments."


In the ongoing battle against breast cancer, which affects millions globally, researchers are constantly seeking ways to refine treatment strategies. Neoadjuvant chemotherapy, given before surgery, is a common approach, yet predicting its success remains a challenge. Now, a recent study sheds light on the potential of simple blood tests to forecast how well certain breast cancers respond to this treatment.

Published in 'Oncotarget' in 2018, the research explores the role of eosinophils—a type of white blood cell—in predicting the effectiveness of neoadjuvant chemotherapy in patients with triple-negative and hormone receptor-negative/HER2-positive breast cancers. These cancers are known for their aggressive nature and the urgent need for effective, targeted therapies.

The study suggests that by monitoring eosinophil and lymphocyte counts, doctors may gain valuable insights into which patients are most likely to benefit from chemotherapy, potentially paving the way for more personalized and effective cancer care.

Unlocking Clues from Blood Cells: Eosinophils and Lymphocytes

Surreal image of blood cells floating through a breast cancer ribbon.

The study, led by Concetta Elisa Onesti and colleagues, retrospectively analyzed data from 112 breast cancer patients treated with standard neoadjuvant chemotherapy. The focus was on patients with triple-negative breast cancer (TNBC) and hormone receptor-negative/HER2-positive cancer, two subtypes that often require aggressive treatment approaches.

Researchers tracked eosinophil and lymphocyte counts from blood samples taken at baseline and during follow-ups. They then looked for correlations between these counts and key outcomes, including pathological complete response (pCR), relapse rates, and overall survival.
The key findings revealed some promising associations:
  • Higher eosinophil counts at baseline were linked to a higher rate of pathological complete response.
  • Elevated eosinophil and lymphocyte counts correlated with improved breast cancer-specific survival rates.
  • Combining eosinophil and lymphocyte data into a single metric further enhanced the ability to predict treatment response and survival outcomes.
Specifically, patients with a relative eosinophil count of 1.5% or higher showed a significantly better response to chemotherapy. This simple blood test could potentially serve as an early indicator of treatment success, allowing for timely adjustments to therapy if needed. Furthermore, the study introduced the 'eosinophil x lymphocyte product,' a combined measure that proved even more effective in predicting pathological complete response, relapse, and survival rates. This innovative approach underscores the potential of leveraging routine blood tests to refine cancer treatment strategies.

A Promising Horizon for Personalized Cancer Treatment

While these findings offer a promising step toward personalized cancer treatment, the researchers emphasize the need for larger studies to confirm these results and to fully understand the underlying mechanisms. The potential to use simple, affordable blood tests to guide treatment decisions could significantly improve outcomes for patients with aggressive forms of breast cancer, marking a significant stride in the ongoing quest for more effective and personalized cancer care.

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