Evidence map›Paper›PMID 26496879›Full record

ArticleJournal of translational medicine2015

DCIS in BRCA1 and BRCA2 mutation carriers: prevalence, phenotype, and expression of oncodrivers C-MET and HER3.

Rachel L Yang, Rosemarie Mick, Kathreen Lee, Holly L Graves, Katherine L Nathanson, Susan M Domchek, Rachel R Kelz, Paul J Zhang, Brian J Czerniecki

Open access · goldAbstract read
In one paragraph

Article in Journal of translational medicine, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
2.2field-weighted citation impact, top 12% 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

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 20 citations in OpenAlex.

  1. Pooled it
  2. Prognostic implications of ductal carcinomaAnnals of surgical treatment and research · 2024
    Article
  3. Article
  4. Article
  5. Ductal carcinoma in situ of the breast: an update for the pathologist in the era of individualized risk assessment and tailored therapies.Modern pathology : an official journal of the United States and Canadian Academy of Pathology, Inc · 2019
    Review
  6. Article
  7. Article
  8. 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

9 authors at 2 institutions in 1 country.

Rachel L YangDepartment of Surgery, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA. rlyang@stanford.edu.
Rosemarie MickDepartment of Biostatistics and Epidemiology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA. rmick@mail.med.upenn.edu.
Kathreen LeeDepartment of Surgery, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA. Kathreen.Lee@uphs.upenn.edu.
Holly L GravesDepartment of Surgery, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA. holly.graves@uphs.upenn.edu.
Katherine L NathansonDepartment of Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA. knathans@exchange.upenn.edu.
Susan M DomchekDepartment of Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA. susan.domchek@uphs.upenn.edu.
Rachel R KelzDepartment of Surgery, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA. rachel.kelz@uphs.upenn.edu.
Paul J ZhangDepartment of Pathology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA. pjz@mail.med.upenn.edu.
Brian J CzernieckiDepartment of Surgery, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA. brian.Czerniecki@uphs.upenn.edu.
University of Pennsylvania · USNRG Oncology · US

Funding

UNIVERSITY OF PENNSYLVANIA CAN CTR SUPPORT GRANTP30CA016520 · NCI · UNIVERSITY OF PENNSYLVANIA · PI Robert H. Vonderheide · 1985 to 2026
$222.3M
NCI NIH HHS P30 CA016520NCI NIH HHS P30-CA316520
6 · The paper itself

Abstract

backgroundStudies report conflicting evidence regarding the existence of a DCIS-associated premalignant pathway in BRCA mutation carriers. We aimed to examine the prevalence, phenotype, and expression of oncodrivers in pure DCIS (pDCIS) and invasive breast cancer with concurrent DCIS (IBC + DCIS) in mutation carriers.

methodsA cohort of BRCA1 and BRCA2 mutation carriers >18 years old who underwent surgery for breast cancer at an academic hospital (1992-2011) and had pathology available for review were included for study. Invasive breast cancer (IBC) and DCIS were stained for ER, PR, HER1, HER2, and HER3, and C-MET. DCIS prevalence was evaluated. Correlation of IBC and DCIS phenotypes was evaluated in patients with IBC + DCIS. DCIS and IBC expression of tumor markers were examined by BRCA mutation.

resultsWe identified 114 breast tumors. Of all BRCA1-associated tumors, 21.1 % were pDCIS and 63.4 % were IBC + DCIS. Of all BRCA2-associated tumors, 23.3 % were pDCIS and 60.5 % were IBC + DCIS. In BRCA1 and BRCA2 mutation carriers with IBC + DCIS, there was a significant correlation in ER, PR, and HER3 expression between the DCIS and IBC components. Most BRCA1-associated DCIS did not express ER, PR or HER2, while most BRCA2-associated DCIS did express ER and PR. BRCA1- as well as BRCA2-associated DCIS had expression of HER3 and C-MET.

conclusionsThe majority of BRCA-associated tumors had DCIS present. Concordance of DCIS and IBC phenotypes was high, arguing for the existence of a DCIS-associated premalignant pathway. Oncodrivers HER3 and C-MET were expressed in the DCIS of mutation carriers, suggesting an opportunity for prevention strategies.

Indexed as

Genes, BRCA1Genes, BRCA2Genetic Carrier ScreeningMutationBreast NeoplasmsCarcinoma, Intraductal, NoninfiltratingFemaleHumansPhenotypeReceptor, ErbB-3Receptor Protein-Tyrosine KinasesERBB3 protein, humanReceptor, ErbB-3Receptor Protein-Tyrosine KinasesRON protein

Identifiers

PMID26496879
PMCPMC4619378
OpenAlexW1886632556

What OpenQuestion holds

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LicenceCC BY
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.