Evidence map›Paper›PMID 15166962›Full record

ArticleAnnals of surgery2004

Molecular detection of micrometastatic breast cancer in histopathology-negative axillary lymph nodes correlates with traditional predictors of prognosis: an interim analysis of a prospective multi-institutional cohort study.

William E Gillanders, Kaidi Mikhitarian, Renee Hebert, Patrick D Mauldin, Yuko Palesch, Christian Walters, Marshall M Urist, G Bruce Mann, Gerard Doherty, Virginia M Herrmann and 17 more

2 registry-linked trialsOpen access · greenAbstract readComparative StudyMulticenter Study
In one paragraph

Article in Annals of surgery, 2004. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 32 papers.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed
4.8field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT00355316 nacompletednot on this mapstarted 2005, after this paper: background citation

Peripheral Blood Molecular Staging of Breast Cancer: A Prospective Cohort Study Designed to Determine the Clinical Significance of Molecular Detection of Breast Cancer in the Peripheral Blood of Stage IV Breast Cancer Patients

TypeinterventionalSponsorWashington University School of MedicineRan2005 to 2013Enrolled224ConditionsBreast NeoplasmsArmsBlood draw
NCT00360152 early_phase1completednot on this mapstarted 2006, after this paper: background citation

Minimally Invasive Staging of the Axilla in Breast Cancer: A Pilot Study to Assess the Feasibility of Axillary Ultrasound, Fine Needle Aspiration Biopsy and Molecular Analysis

TypeinterventionalSponsorWashington University School of MedicineRan2006 to 2013Enrolled100ConditionsBreast NeoplasmsArmsFine needle aspiration biopsy (FNAB), Sentinel Lymph Node Biopsy
3 · Its place in the literature

Who cites it

32 citing papers in PubMed, 101 citations in OpenAlex.

  1. Review
  2. Global DNA 5hmC and CK19Current oncology (Toronto, Ont.) · 2021
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  16. Detection of lymph node involvement by cytokeratin immunohistochemistry is an independent prognostic factor after curative resection of esophageal cancer.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2011
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  17. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

27 authors at 4 institutions in 4 countries.

William E GillandersDepartment of Surgery, Medical University of South Carolina, Charleston, SC, USA.
Kaidi Mikhitarian
Renee Hebert
Patrick D Mauldin
Yuko Palesch
Christian Walters
Marshall M Urist
G Bruce Mann
Gerard Doherty
Virginia M Herrmann
Arnold D Hill
Oleg Eremin
Mohamed El-Sheemy
Richard K Orr
Alvaro A Valle
Michael A Henderson
Robert L Dewitty
Sonia L Sugg
Eric Frykberg
Karen Yeh
Richard M Bell
John S Metcalf
Bruce M Elliott
Thomas Brothers
Jay Robison
Michael Mitas
David J Cole
Medical University of South Carolina · USAugusta University · USHoward University · USThe Royal Melbourne Hospital · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveWe sought to establish the clinical relevance of micrometastatic disease detected by reverse transcription polymerase chain reaction (RT-PCR) in axillary lymph nodes (ALN) of breast cancer patients.

backgroundThe presence of ALN metastases remains one of the most valuable prognostic indicators in women with breast cancer. However, the clinical relevance of molecular detection of micrometastatic breast cancer in sentinel lymph nodes (SLN) and nonsentinel ALN has not been established.

methodsFour hundred eighty-nine patients with T1-T3 primary breast cancers were analyzed in a prospective, multi-institutional cohort study. ALN were analyzed by standard histopathology (H&E staining) and by multimarker, real-time RT-PCR analysis (mam, mamB, muc1, CEA, PSE, CK19, and PIP) designed to detect breast cancer micrometastases.

resultsA positive marker signal was observed in 126 (87%) of 145 subjects with pathology-positive ALN, and in 112 (33%) of 344 subjects with pathology-negative ALN. In subjects with pathology-negative ALN, a positive marker signal was significantly associated with traditional indicators of prognosis, such as histologic grade (P = 0.0255) and St. Gallen risk category (P = 0.022). Mammaglobin was the most informative marker in the panel.

conclusionThis is the first report to show that overexpression of breast cancer-associated genes in breast cancer subjects with pathology-negative ALN correlates with traditional indicators of disease prognosis. These interim results provide strong evidence that molecular markers could serve as valid surrogates for the detection of occult micrometastases in ALN. Correlation of real-time RT-PCR analyses with disease-free survival in this patient cohort will help to define the clinical relevance of micrometastatic disease in this patient population.

Indexed as

AdultAgedAxillaBiopsy, NeedleBreast NeoplasmsCase-Control StudiesCohort StudiesFemaleHumansImmunohistochemistryLymph Node ExcisionLymph NodesMiddle AgedNeoplasm InvasivenessNeoplasm StagingPredictive Value of TestsRNA, Neoplasm

Identifiers

PMID15166962
PMCPMC1356291
OpenAlexW2023498957

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.