Evidence map›Paper›PMID 26554654›Full record

ArticleBritish journal of cancer2015

Diagnosis of pathological complete response to neoadjuvant chemotherapy in breast cancer by minimal invasive biopsy techniques.

Joerg Heil, Sherko Kümmel, Benedikt Schaefgen, Stefan Paepke, Christoph Thomssen, Geraldine Rauch, Beyhan Ataseven, Regina Große, Volker Dreesmann, Thorsten Kühn and 3 more

Registry-linked trialOpen access · hybridAbstract readMulticenter Study
In one paragraph

Article in British journal of cancer, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02948764 (RESPONDER Trial - Diagnosis of Pathological Complete Response by Vacuum-assisted Biopsy After Neoadjuvant Chemotherapy in Breast Cancer), which is not on this map. Cited by 46 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
46citing papers in PubMed, 2 pooled it
3.6field-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.

NCT02948764 nacompletednot on this mapstarted 2017, after this paper: background citation

RESPONDER Trial - Diagnosis of Pathological Complete Response by Vacuum-assisted Biopsy After Neoadjuvant Chemotherapy in Breast Cancer

TypeinterventionalSponsorHeidelberg UniversityRan2017 to 2019Enrolled452ConditionsBreast NeoplasmsArmsVacuum-Assisted Biopsy
3 · Its place in the literature

Who cites it

46 citing papers in PubMed, 2 syntheses or guidelines pooled it, 110 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
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  6. Article
  7. Article
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  10. Omission of breast surgery in exceptional responders after neoadjuvant chemotherapy-what are future possibilities?-a narrative review.Translational breast cancer research : a journal focusing on translational research in breast cancer · 2025
    Review
  11. Preoperative partial breast radiation for favorable early-stage breast cancer: a narrative review.Translational breast cancer research : a journal focusing on translational research in breast cancer · 2025
    Review
  12. Observational
  13. Article
  14. Article
  15. Article
  16. Review
  17. Neoadjuvant systemic therapy for breast cancer.The British journal of surgery · 2023
    Article
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  19. Article
  20. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

13 authors at 7 institutions in 1 country.

Joerg HeilDepartment of Gynecology, University Breast Unit, Im Neuenheimer Feld 440, 69120 Heidelberg, Germany.
Sherko KümmelKliniken Essen Mitte, Klinik für Senologie, Henricistraße 92, 45136 Essen, Germany.
Benedikt SchaefgenDepartment of Gynecology, University Breast Unit, Im Neuenheimer Feld 440, 69120 Heidelberg, Germany.
Stefan PaepkeDepartment of Gynecology and Obstetrics, Technische Universität München, Ismaninger Straße 22, 81675 München, Germany.
Christoph ThomssenDepartment of Gynecology, Martin-Luther-Universität Halle-Wittenberg, Ernst-Grube-Straße 40, 06120 Halle an der Saale, Germany.
Geraldine RauchInstitute of Medical Biometry and Informatics, University of Heidelberg, Im Neuenheimer Feld 305, 69120 Heidelberg, Germany.
Beyhan AtasevenKliniken Essen Mitte, Klinik für Senologie, Henricistraße 92, 45136 Essen, Germany.
Regina GroßeDepartment of Gynecology, Martin-Luther-Universität Halle-Wittenberg, Ernst-Grube-Straße 40, 06120 Halle an der Saale, Germany.
Volker DreesmannKliniken Essen Mitte, Klinik für Senologie, Henricistraße 92, 45136 Essen, Germany.
Thorsten KühnDepartment of Gynaecology and Obstetrics, Interdisciplinary Breast Centre, Klinikum Esslingen, Hirschlandstraße 97, 73730 Esslingen, Germany.
Sibylle LoiblGerman Breast Group c/o GBG Forschungs GmbH, Schleussnerstrasse 42, 63263 Neu-Isenburg, Germany.
Jens-Uwe BlohmerDepartment of Gynecology, Charité, Chariteplatz 1, 10117 Berlin, Germany.
Gunter von MinckwitzGerman Breast Group c/o GBG Forschungs GmbH, Schleussnerstrasse 42, 63263 Neu-Isenburg, Germany.
Kliniken Essen-Mitte · DEGerman Breast group · DEMartin Luther University Halle-Wittenberg · DECharité - Universitätsmedizin Berlin · DEHeidelberg University · DEKlinikum Esslingen · DETechnical University of Munich · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundNeoadjuvant chemotherapy (NACT) is widely used as an efficient breast cancer treatment. Ideally, a pathological complete response (pCR) can be achieved. Up to date, there is no reliable way of predicting a pCR. For the first time, we explore the ability of minimal invasive biopsy (MIB) techniques to diagnose pCR in patients with clinical complete response (cCR) to NACT in this study. This question is of high clinical relevance because a reliable pCR prediction could have direct implications for clinical practice.

methodsIn all, 164 patients were included in this review-board approved, multicenter pooled analysis of prospectively assembled data. Core-cut (CC)-MIB or vacuum-assisted (VAB)-MIB were performed after NACT and before surgery. Negative predictive values (NPV) and false-negative rates (FNR) to predict a pCR in surgical specimen (diagnose pCR through MIB) were the main outcome measures.

resultsPathological complete response in surgical specimen was diagnosed in 93 (56.7%) cases of the whole cohort. The NPV of the MIB diagnosis of pCR was 71.3% (95% CI: (63.3%; 79.3%)). The FNR was 49.3% (95% CI: (40.4%; 58.2%)). Existence of a clip marker tended to improve the NPV (odds ratio 1.98; 95% CI: (0.81; 4.85)). None of the mammographically guided VABs (n=16) was false-negative (FNR 0%, NPV 100%).

conclusionsOverall accuracy of MIB diagnosis of pCR was insufficient to suggest changing clinical practice. However, subgroup analyses (mammographically guided VABs) suggest a potential capacity of MIB techniques to precisely diagnose pCR after NACT. Representativity of MIB could be a crucial factor to be focused on in further analyses.

Indexed as

AdultAgedBreastBreast NeoplasmsChemotherapy, AdjuvantFalse Negative ReactionsFemaleHumansImage-Guided BiopsyMiddle AgedNeoadjuvant TherapyPredictive Value of TestsRetrospective StudiesTreatment Outcome

Identifiers

PMID26554654
PMCPMC4705891
OpenAlexW2169994875

What OpenQuestion holds

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LicenceCC BY-NC-SA
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Registered trials

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.