Evidence map›Paper›PMID 26348644›Full record

ReviewHistopathology2016

Breast lesions of uncertain malignant nature and limited metastatic potential: proposals to improve their recognition and clinical management.

Emad A Rakha, Sunil Badve, Vincenzo Eusebi, Jorge S Reis-Filho, Stephen B Fox, David J Dabbs, Thomas Decker, Zsolt Hodi, Shu Ichihara, Andrew H S Lee and 7 more

Open access · greenAbstract readReview
In one paragraph

Review in Histopathology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
4.2field-weighted citation impact, top 6% 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

16 citing papers in PubMed, 49 citations in OpenAlex.

  1. Article
  2. Article
  3. Molecular pathology in breast disease: diagnostic, prognostic, and therapeutic tools.Virchows Archiv : an international journal of pathology · 2024
    Review
  4. Invasive papillary carcinoma of the breast.Frontiers in oncology · 2024
    Review
  5. Article
  6. Papillary lesions of the breast.Virchows Archiv : an international journal of pathology · 2022
    Review
  7. Review
  8. Article
  9. Rare Breast Cancer Subtypes.Current oncology reports · 2021
    Review
  10. Article
  11. Article
  12. Article
  13. Review
  14. Article
  15. Article
  16. 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

17 authors at 14 institutions in 11 countries.

Emad A RakhaDepartment of Histopathology, Nottingham City Hospital NHS Trust, Nottingham University, Nottingham, UK.
Sunil BadveDepartments of Pathology and Internal Medicine, Clarian Pathology Laboratory of Indiana University, Indianapolis, IN, USA.
Vincenzo EusebiSezione Anatomia Istologia e Citologia Patologica 'M. Malpighi', Università-ASL Ospedale Bellaria, Bologna, Italy.
Jorge S Reis-FilhoDepartment of Pathology, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Stephen B FoxPathology Department, Peter MacCallum Cancer Centre, St Andrews Place, East Melbourne, Victoria, Australia.
David J DabbsUniversity of Pittsburgh Medical Center, Pittsburgh, PA, USA.
Thomas DeckerGerman Breast-Screening Program, Reference Centres Berlin and Muenster, Department of Pathology, Dietrich Bonhoeffer Medical Centre, Neubrandenburg, Germany.
Zsolt HodiDepartment of Histopathology, Nottingham City Hospital NHS Trust, Nottingham University, Nottingham, UK.
Shu IchiharaDepartment of Pathology, Nagoya Medical Center, Nagoya, Japan.
Andrew H S LeeDepartment of Histopathology, Nottingham City Hospital NHS Trust, Nottingham University, Nottingham, UK.
José PalaciosDepartment of Pathology, Hospital Universitario Ramón y Cajal, Instituto de Investigación Sanitaria Ramón y Cajal (IRYCIS), Madrid, Spain.
Andrea L RichardsonDepartment of Pathology, Brigham and Women's Hospital, Boston, MA, USA.
Anne Vincent-SalomonDepartment of Pathology, Institute Curie, Paris, France.
Fernando C SchmittDepartment of Medicine and Pathology, Laboratoire National De Santé, Luxembourg, Luxembourg.
Puay-Hoon TanDepartment of Pathology, Singapore General Hospital, Singapore, Singapore.
Gary M TseDepartment of Anatomical and Cellular Pathology, Prince of Wales Hospital, The Chinese University of Hong Kong, Shatin, Hong Kong.
Ian O EllisDepartment of Histopathology, Nottingham City Hospital NHS Trust, Nottingham University, Nottingham, UK.
Nottingham City Hospital · GBBrigham and Women's Hospital · USChinese University of Hong Kong · CNDietrich Bonhoeffer Klinikum · DEHospital Universitario Ramón y Cajal · ESIndiana University – Purdue University Indianapolis · USInstitut Curie · FRLaboratoire National de Santé · LUMemorial Sloan Kettering Cancer Center · USNagoya Medical Center · JPOspedale Bellaria · ITPeter MacCallum Cancer Centre · AUSingapore General Hospital · SGUniversity of Pittsburgh Medical Center · US

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Nicholas D Socci · 1985 to 2026
$347.4M
NCI NIH HHS P30 CA008748
6 · The paper itself

Abstract

Breast lesions comprise a family of heterogeneous entities with variable patterns of presentation, morphology and clinical behaviour. The majority of breast lesions are classified traditionally into benign and malignant conditions and their behaviour can, in the vast majority of cases, be predicted with a reasonable degree of accuracy. However, there remain lesions which show borderline features and lie in a grey zone between benign and malignant, as their behaviour cannot be predicted reliably. Defined pathological categorization of such lesions is challenging, and for some entities is recognized to be subjective and include a range of diagnoses, and forms of terminology, which may trigger over- or undertreatment. The rarity of these lesions makes the acquisition of clinical evidence problematic and limits the development of a sufficient evidence base to support informed decision-making by clinicians and patients. Emerging molecular evidence is providing a greater understanding of the biology of these lesions, but this may or may not be reflected in their clinical behaviour. Herein we discuss some breast lesions that are associated with uncertainty regarding classification and behaviour, and hence management. These include biologically invasive malignant lesions associated with uncertain metastatic potential, such as low-grade adenosquamous carcinoma, low-grade fibromatosis-like spindle cell carcinoma and encapsulated papillary carcinoma. Other lesions of uncertain malignant nature remain, such as mammary cylindroma, atypical microglandular adenosis, mammary pleomorphic adenoma and infiltrating epitheliosis. The concept of categories of (1) breast lesions of uncertain malignant nature and (2) breast lesions of limited metastatic potential are proposed with details of which histological entities could be included in each category, and their management implications are discussed.

Indexed as

BreastBreast NeoplasmsCarcinomaCarcinoma, AdenosquamousDiagnosis, DifferentialFemaleFibromaHumansbehaviourbreast lesionsdifferentiationlesions of uncertain malignant potentiallesions of uncertain metastatic potentialterminology

Identifiers

PMID26348644
PMCPMC4987288
OpenAlexW2130497064

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.