Evidence map›Paper›PMID 25572591›Full record

ArticleBreast cancer research : BCR2015

Circulating tumor cells in newly diagnosed inflammatory breast cancer.

Michal Mego, Antonio Giordano, Ugo De Giorgi, Hiroko Masuda, Limin Hsu, Mario Giuliano, Tamer M Fouad, Shaheenah Dawood, Naoto T Ueno, Vicente Valero and 6 more

Open access · goldAbstract read
In one paragraph

Article in Breast cancer research : BCR, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
3.6field-weighted citation impact, top 5% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 45 citations in OpenAlex.

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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

16 authors at 1 institution in 1 country.

Michal MegoDepartment of Hematopathology, The University of Texas MD Anderson Cancer Center, 1515 Holcombe Blvd, Houston, TX, 77030, USA. misomego@gmail.com.
Antonio GiordanoDepartment of Hematopathology, The University of Texas MD Anderson Cancer Center, 1515 Holcombe Blvd, Houston, TX, 77030, USA. agiordanomd@gmail.com.
Ugo De GiorgiDepartment of Hematopathology, The University of Texas MD Anderson Cancer Center, 1515 Holcombe Blvd, Houston, TX, 77030, USA. u_degiorgi@yahoo.com.
Hiroko MasudaBreast Medical Oncology, The University of Texas MD Anderson Cancer Center, Houston, TX, USA. hmasuda@onh.go.jp.
Limin HsuBreast Medical Oncology, The University of Texas MD Anderson Cancer Center, Houston, TX, USA. lhsu@mdanderson.org.
Mario GiulianoDepartment of Hematopathology, The University of Texas MD Anderson Cancer Center, 1515 Holcombe Blvd, Houston, TX, 77030, USA. giuliano@bcm.edu.
Tamer M FouadBreast Medical Oncology, The University of Texas MD Anderson Cancer Center, Houston, TX, USA. TFouad@mdanderson.org.
Shaheenah DawoodBreast Medical Oncology, The University of Texas MD Anderson Cancer Center, Houston, TX, USA. sdawood@yahoo.com.
Naoto T UenoBreast Medical Oncology, The University of Texas MD Anderson Cancer Center, Houston, TX, USA. nueno@mdanderson.org.
Vicente ValeroBreast Medical Oncology, The University of Texas MD Anderson Cancer Center, Houston, TX, USA. vvalero@mdanderson.org.
Eleni AndreopoulouBreast Medical Oncology, The University of Texas MD Anderson Cancer Center, Houston, TX, USA. eandreop@mdanderson.org.
Ricardo H AlvarezBreast Medical Oncology, The University of Texas MD Anderson Cancer Center, Houston, TX, USA. ralvarez@mdanderson.org.
Wendy A WoodwardRadiation Oncology, The University of Texas MD Anderson Cancer Center, Houston, TX, USA. wwoodward@mdanderson.org.
Gabriel N HortobagyiBreast Medical Oncology, The University of Texas MD Anderson Cancer Center, Houston, TX, USA. ghortoba@mdanderson.org.
Massimo CristofanilliBreast Medical Oncology, The University of Texas MD Anderson Cancer Center, Houston, TX, USA. Massimo.Cristofanilli@jefferson.edu.
James M ReubenDepartment of Hematopathology, The University of Texas MD Anderson Cancer Center, 1515 Holcombe Blvd, Houston, TX, 77030, USA. jreuben@mdanderson.org.
The University of Texas MD Anderson Cancer Center · US

Funding

Tumor Evolution and Metastasis ProgramP30CA016672 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI Scott Kopetz · 1985 to 2026
$290.8M
Human Breast Cancer Stem Cell SurrogatesR01CA138239 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI CRISTOFANILLI, MASSIMO, REUBEN, JAMES MARTIN · 2008 to 2012
$2.8M
NCI NIH HHS CA138239-02NCI NIH HHS P30 CA016672NCI NIH HHS R01 CA138239
6 · The paper itself

Abstract

introductionCirculating tumor cells (CTCs) are an independent prognostic factor for progression-free survival (PFS) and overall survival (OS) in patients with metastatic breast cancer. Inflammatory breast cancer (IBC) is one of the most aggressive forms of breast cancer. The prognostic value of a CTC count in newly diagnosed IBC has not been established. The aim of this study was to assess the prognostic value of a baseline CTC count in patients with newly diagnosed IBC.

methodsThis retrospective study included 147 patients with newly diagnosed IBC (77 with locally advanced and 70 with metastatic IBC) treated with neoadjuvant therapy or first-line chemotherapy during the period from January 2004 through December 2012 at The University of Texas MD Anderson Cancer Center. CTCs were detected and enumerated by using the CellSearch system before patients were started with chemotherapy.

resultsThe proportion of patients with ≥1 CTC was lower among patients with stage III than among patients with metastatic IBC (54.5% versus 84.3%; P=0.0002); the proportion of patients with ≥5 CTCs was also lower for stage III than for metastatic IBC (19.5% versus 47.1%; P=0.0004). Patients with fewer than five CTCs had significantly better progression-free survival (PFS) (hazard ratio (HR)=0.60; P=0.02) and overall survival (HR=0.59; P=0.03) than patients with five or more CTCs. Among patients with stage III IBC, there was a nonsignificant difference in PFS (HR=0.66; 95% confidence interval (CI), 0.31 to 1.39; P=0.29) and OS (HR=0.54; 95% CI, 0.24 to 1.26; P=0.48) in patients with no CTCs compared with patients with one or more CTCs. In multivariate analysis, CTC was prognostic for PFS and OS independent of clinical stage.

conclusionsCTCs can be detected in a large proportion of patients with newly diagnosed IBC and are a strong predictor of worse prognosis in patients with newly diagnosed IBC.

Indexed as

AdultAgedAged, 80 and overAntineoplastic Combined Chemotherapy ProtocolsFemaleFollow-Up StudiesHumansHydroxymethylglutaryl-CoA Reductase InhibitorsInflammatory Breast NeoplasmsKaplan-Meier EstimateMiddle AgedNeoadjuvant TherapyNeoplasm StagingNeoplastic Cells, CirculatingPrognosisRetrospective StudiesHydroxymethylglutaryl-CoA Reductase Inhibitors

Identifiers

PMID25572591
PMCPMC4318180
OpenAlexW2110774113

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.