Evidence map›Paper›PMID 18833576›Full record

ArticleCancer2008

Sites of distant recurrence and clinical outcomes in patients with metastatic triple-negative breast cancer: high incidence of central nervous system metastases.

Nancy U Lin, Elizabeth Claus, Jessica Sohl, Abdul R Razzak, Amal Arnaout, Eric P Winer

Registry-linked trialAbstract read
In one paragraph

Article in Cancer, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05586659 (Epidemiology of Triple Negative Breast Cancer in Asyut Clinical Oncology Department From 2015 to 2022), which is not on this map. Cited by 409 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
409citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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.

NCT05586659 unknown statusnot on this mapstarted 2022, after this paper: background citation

Epidemiology of Triple Negative Breast Cancer in Asyut Clinical Oncology Department From 2015 to 2022 ( A Hospital Based Study)

TypeobservationalSponsorAssiut UniversityRan2022 to 2023Enrolled50ConditionsBreast Cancer
3 · Its place in the literature

Who cites it

409 citing papers in PubMed, 1 synthesis or guideline pooled it.

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  17. Preclinical Comparison ofJournal of nuclear medicine : official publication, Society of Nuclear Medicine · 2026
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349 more citing papers are in PubMed but not listed here.

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

6 authors.

Nancy U LinDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, Massachusetts 02115, USA. nlin@partners.org
Elizabeth Claus
Jessica Sohl
Abdul R Razzak
Amal Arnaout
Eric P Winer

Funding

Variation in Receptor Tyrosine Kinases and Breast Cancer RiskP50CA089393 · NCI · DANA-FARBER CANCER INSTITUTE · PI WINER, ERIC P · 2000 to 2009
$28.8M
LONG TERM OUTCOMES FOR WOMEN WITH BREAST CA IN SITUR01CA081393 · NCI · YALE UNIVERSITY · PI CLAUS, ELIZABETH B. · 2000 to 2004
$2.9M
NCI NIH HHS CA89393NCI NIH HHS P50 CA089393NCI NIH HHS R01 CA081393NCI NIH HHS R01-CA81393
6 · The paper itself

Abstract

backgroundThe purpose of the current study was to characterize the outcomes of patients with metastatic triple-negative breast cancers, including the risk and clinical consequences of central nervous system (CNS) recurrence.

methodsUsing pharmacy and pathology records, a study group of 116 patients who were treated for metastatic triple-negative breast cancer at Dana-Farber Cancer Institute between January 2000 and June 2006 was identified.

resultsThe median survival from time of metastatic diagnosis was 13.3 months. Sixteen patients (14%) were diagnosed with CNS involvement at the time of initial metastatic diagnosis; overall, 46% of patients were diagnosed with CNS metastases before death. The median survival after a diagnosis of CNS metastasis was 4.9 months. The age-adjusted and race-adjusted rate of death for patients whose first presentation included a CNS metastasis was 3.4 times (95% confidence interval, 1.9-6.1 times) that of patients without a CNS lesion at the time of first metastatic presentation. Of the 53 patients who developed brain metastases, only 3 patients were judged to have stable or responsive systemic disease in the face of progressive CNS disease at the last follow-up before death.

conclusionsTriple-negative breast cancer is associated with poor survival after recurrence. CNS recurrence is common, but death as a direct consequence of CNS progression in the setting of controlled systemic disease is uncommon. Thus, it does not appear that the high rate of CNS involvement is because of a sanctuary effect, but rather is due to the lack of effective therapies in general for this aggressive subtype of breast cancer. New treatment strategies are needed.

Indexed as

AdultAgedBreast NeoplasmsCentral Nervous System NeoplasmsErb-b2 Receptor Tyrosine KinasesFemaleHumansIncidenceKaplan-Meier EstimateMiddle AgedReceptors, EstrogenReceptors, ProgesteroneRetrospective StudiesRisk FactorsErb-b2 Receptor Tyrosine KinasesReceptors, EstrogenReceptors, Progesterone

Identifiers

PMID18833576
PMCPMC2835546

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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.