Research of Intensive Treatment in Hormone Receptor<10% and Human Epidermal Growth Factor Receptor-2 Negative Breast Cancer Patients With Positive Lymph Node Residual Disease After Neoadjuvant Chemotherapy

Inclusion Criteria:

• Female patients, 18≦age ≦66 years
• Biopsy proven lymph node positive, estrogen receptor<10%、progesterone receptor <10%and human epidermal growth factor receptor-2 negative primary breast cancer
• Must have completed neo-adjuvant chemotherapy with a standard regimen(containing bothanthracycline and paclitaxel)
• Must have undergone surgery to remove the primary tumor by either a mastectomy orenlarged local excision
• Postoperative residual positive lymph nodes
• Adequate recovery from recent surgery
• No history of other malignancies
• No currently uncontrolled diseased or active infection
• Not pregnant or breast feeding, and on appropriate birth control if of child-bearingpotential
• Adequate cardiovascular function reserve with a myocardial infarction within the pastsix month
• without radiotherapy and chemotherapy contraindication
• Adequate hematologic function with:

1. Absolute neutrophil count (ANC) ≥1500/mm3
2. Platelets ≥100,000/ mm3
3. Hemoglobin ≥10 g/dL

• Adequate hepatic and renal function with:

1. Serum bilirubin ≤1.5×UNL
2. Alkaline phosphatase and alanine aminotransferase (ALT) ≤2.5 x ULN. (≤5 x ULN isacceptable in the setting of hepatic metastasis)
3. BUN between 1.7 and 8.3 mmol/L
4. Cr between 40 and 110 umol/L

• Knowledge of the investigational nature of the study and Ability to give informedconsent
• Ability and willingness to comply with study procedures.

Exclusion Criteria:

• Known or suspected distant metastases
• Concurrent malignancy or history of other malignancy
• Uncontrolled diseases(e.g., heart failure, myocardial infarction within 6 months,arrhythmia, unstable diabetes, hypercalcemia) or active infection
• Geographical, social, or psychological problems that would compromise study compliance
• Known or suspected hypersensitivity to vinorelbine