Evidence map›Paper›PMID 25593974›Full record

ArticleFrontiers in surgery2014

Immunohistochemistry - microarray analysis of patients with peritoneal metastases of appendiceal or colorectal origin.

Danielle E Green, Thejus T Jayakrishnan, Michael Hwang, Sam G Pappas, T Clark Gamblin, Kiran K Turaga

Open access · goldAbstract read
In one paragraph

Article in Frontiers in surgery, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.6field-weighted citation impact, top 29% 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

4 citing papers in PubMed, 12 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

6 authors at 2 institutions in 1 country.

Danielle E GreenDivision of Surgical Oncology, Department of Surgery, Medical College of Wisconsin , Milwaukee, WI , USA.
Thejus T JayakrishnanDivision of Surgical Oncology, Department of Surgery, Medical College of Wisconsin , Milwaukee, WI , USA.
Michael HwangDivision of Surgical Oncology, Department of Surgery, Medical College of Wisconsin , Milwaukee, WI , USA.
Sam G PappasDivision of Surgical Oncology, Department of Surgery, Loyola University Medical Center , Maywood, IL , USA.
T Clark GamblinDivision of Surgical Oncology, Department of Surgery, Medical College of Wisconsin , Milwaukee, WI , USA.
Kiran K TuragaDivision of Surgical Oncology, Department of Surgery, Medical College of Wisconsin , Milwaukee, WI , USA.
Medical College of Wisconsin · USLoyola University Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe value of immunohistochemistry (IHC)-microarray analysis of pathological specimens in the management of patients is controversial, although preliminary data suggest potential benefit. We describe the characteristics of patients undergoing a commercially available IHC-microarray method in patients with peritoneal metastases (PM) and the feasibility of this technique in this population.

methodsWe retrospectively analyzed consecutive patients with pathologically confirmed PM from appendiceal or colorectal primary who underwent Caris Molecular Intelligence(™) testing. IHC, microarray, FISH, and mutational analysis were included and stratified by Peritoneal Carcinomatosis Index (PCI) score, histology, and treatment characteristics. Statistical analysis was performed using non-parametric tests.

resultsOur study included 5 patients with appendiceal and 11 with colorectal PM. The median age of patients was 51 (IQR 39-65) years, with 11 (68%) female. The median PCI score of the patients was 17 (IQR 10-25). Hyperthermic intra-peritoneal chemoperfusion was performed in 4 (80%) patients with appendiceal primary tumors and 4 (36%) with colorectal primary. KRAS mutations were encountered in 40% of appendiceal vs. 30% colorectal tumors, while BRAF mutations were seen in 40% of colorectal PM and none of the patients with appendiceal PM (p = 0.06). IHC biomarker expression was not significantly different between the two primaries. Sufficient tumor for microarray analysis was found in 44% (n = 7) patients, which was not associated with previous use of chemotherapy (p > 0.20 for 5-FU/LV, Irinotecan and Oxaliplatin).

conclusionIn a small sample of patients with PM, the feasibility and results of IHC-microarray staining based on a commercially available test is reported. The apparent high incidence of the BRAF mutation in patients with PM may potentially offer opportunities for novel therapeutics and suggest that IHC-microarray is a method that can be used in this population.

Indexed as

appendiceal neoplasmscolorectal neoplasmsDNA mutational analysisimmunohistochemistrymicroarray analysisperitoneal neoplasms

Identifiers

PMID25593974
PMCPMC4286965
OpenAlexW2083934183

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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.