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Fig. 1. Schematic diagram of sequence of protocol used for our pilot study.
Patients were randomized (R) to neoadjuvant chemotherapy (CT), either
doxorubicin (ADR, Pharmacia Inc.) followed by paclitaxel (Taxol, Bristol-Myers
Squibb Company) or vice versa. Physical examination and imaging (i.e.,
mammography, breast sonography, and breast MRI) were performed. Each patient
received single-agent neoadjuvant chemotherapy; then physical examination and
imaging examinations were repeated. Second chemotherapeutic agent was given to
patient, and physical examination and imaging examinations were repeated.
Patient underwent surgery, either lumpectomy or mastectomy, and final
pathology results were obtained.