Evidence map›Paper›PMID 25885686›Full record

ArticleBMC cancer2015

Confocal laser endomicroscopy in breast surgery: a pilot study.

Giovanni D De Palma, Dario Esposito, Gaetano Luglio, Gennaro Limite, Antonello Accurso, Viviana Sollazzo, Francesco Maione, Gianluca Cassese, Saverio Siciliano, Nicola Gennarelli and 4 more

Open access · goldAbstract read
In one paragraph

Article in BMC cancer, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.3field-weighted citation impact, top 21% 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

5 citing papers in PubMed, 12 citations in OpenAlex.

  1. Article
  2. [Confocal probe localization algorithm based on region growing and endoscope size prior].Sheng wu yi xue gong cheng xue za zhi = Journal of biomedical engineering = Shengwu yixue gongchengxue zazhi · 2022
    Article
  3. Review
  4. Identification of Bronchoalveolar Lavage Components Applying Confocal Laser Endomicroscopy.Medical science monitor : international medical journal of experimental and clinical research · 2018
    Article
  5. Article
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

14 authors at 1 institution in 1 country.

Giovanni D De PalmaDepartment of Clinical Medicine and Surgery, University of Naples Federico II. School of Medicine, Naples, Italy. giovanni.depalma@unina.it.
Dario EspositoDepartment of Clinical Medicine and Surgery, University of Naples Federico II. School of Medicine, Naples, Italy. espodario83@gmail.com.
Gaetano LuglioDepartment of Clinical Medicine and Surgery, University of Naples Federico II. School of Medicine, Naples, Italy. gaetano.luglio@gmail.com.
Gennaro LimiteDepartment of Clinical Medicine and Surgery, University of Naples Federico II. School of Medicine, Naples, Italy. glimite@unina.it.
Antonello AccursoDepartment of Clinical Medicine and Surgery, University of Naples Federico II. School of Medicine, Naples, Italy. antonello.accurso@unina.it.
Viviana SollazzoDepartment of Clinical Medicine and Surgery, University of Naples Federico II. School of Medicine, Naples, Italy. vivianasollazzo@gmail.com.
Francesco MaioneDepartment of Clinical Medicine and Surgery, University of Naples Federico II. School of Medicine, Naples, Italy. francescomaione79@gmail.com.
Gianluca CasseseDepartment of Clinical Medicine and Surgery, University of Naples Federico II. School of Medicine, Naples, Italy. gian.cassese@studenti.unina.it.
Saverio SicilianoDepartment of Clinical Medicine and Surgery, University of Naples Federico II. School of Medicine, Naples, Italy. sicils@tin.it.
Nicola GennarelliDepartment of Clinical Medicine and Surgery, University of Naples Federico II. School of Medicine, Naples, Italy. nicogenna74@gmail.com.
Gennaro IlardiDepartment of Clinical Medicine and Surgery, University of Naples Federico II. School of Medicine, Naples, Italy. gennaro.ilardi@gmail.com.
Mariano PaternosterDepartment of Clinical Medicine and Surgery, University of Naples Federico II. School of Medicine, Naples, Italy. mariano.paternoster@unina.it.
Mariano C GiglioDepartment of Clinical Medicine and Surgery, University of Naples Federico II. School of Medicine, Naples, Italy. mariano.giglio@hotmail.it.
Pietro ForestieriDepartment of Clinical Medicine and Surgery, University of Naples Federico II. School of Medicine, Naples, Italy. forestie@unina.it.
University of Naples Federico II · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundBreast neoplasms include different histopathological entities, varying from benign tumors to highly aggressive cancers. Despite the key role of imaging, traditional histology is still required for a definitive diagnosis. Confocal Laser Endomicroscopy (CLE) is a new technique, which enables to obtain histopathological images in vivo, currently used in the diagnosis of gastrointestinal diseases. This is a single-center pilot feasibility study; the main aim is to describe the basic morphological patterns of Confocal Laser Endomicroscopy in normal breast tissue besides benign and malignant lesions.

methodsThirteen female patients (mean age 52.7, range from 22 to 86) who underwent surgical resection for a palpable breast nodule were enrolled. CLE was performed soon after resection with the Cellvizio® Endomicroscopy System (Mauna Kea Technologies, Paris, France), by using a Coloflex UHD-type probe; intravenous fluorescein was used as contrast-enhancing agent. The surgical specimen was cut along the main axis; dynamic images were obtained and recorded using a hand-held probe directly applied both to the internal part of the lesion and to several areas of surrounding normal tissue. Each specimen was then sent for definitive histologic examination.

resultsHistopathology revealed a benign lesion in six patients (46%), while a breast cancer was diagnosed in seven women (54%). Confocal laser endomicroscopy showed some peculiar morphological patterns. Normal breast tissue was characterized by a honeycomb appearance with regular, dark, round or hexagonal glandular lobules on a bright stroma background; tubular structures, representing ducts or blood vessels, were also visible in some frames. Benign lesions were characterized by a well-demarcated "slit-like" structure or by lobular structures in abundant bright stroma. Finally, breast cancer was characterized by a complete architectural subversion: ductal carcinoma was characterized by ill-defined structures, with dark borders and irregular ductal shape, formingribbons, tubules or nests; mucinous carcinoma showed smaller cells organized in clusters, floating in an amorphous extracellular matrix.

conclusionsThis is the first pilot study to investigate the potential role of confocal laser imaging as a diagnostic tool in breast diseases. Further studies are required to validate these results and establish the clinical impact of this technique.

Indexed as

AdultAgedAged, 80 and overBreastBreast NeoplasmsEndoscopyFemaleHumansMastectomyMicroscopy, ConfocalMiddle AgedNeoplasm GradingNeoplasm StagingPilot ProjectsProspective StudiesYoung Adult

Identifiers

PMID25885686
PMCPMC4397672
OpenAlexW2007775296

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.