Evidence map›Paper›PMID 26768026›Full record

ReviewHistopathology2016

Phyllodes tumours of the breast: a consensus review.

Benjamin Y Tan, Geza Acs, Sophia K Apple, Sunil Badve, Ira J Bleiweiss, Edi Brogi, José P Calvo, David J Dabbs, Ian O Ellis, Vincenzo Eusebi and 15 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 183 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
183citing papers in PubMed, 3 pooled it
21.1field-weighted citation impact, top 1% 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

183 citing papers in PubMed, 3 syntheses or guidelines pooled it, 490 citations in OpenAlex.

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123 more citing papers are in PubMed but not listed here.

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

25 authors at 20 institutions in 11 countries.

Benjamin Y TanDepartment of Pathology, Singapore General Hospital, Singapore.
Geza AcsWomen's Pathology Consultants, Ruffolo Hooper & Associates, Tampa, FL, USA.
Sophia K AppleDepartment of Pathology, UCLA Medical Center, Santa Monica, CA, USA.
Sunil BadveDepartments of Pathology and Internal Medicine, Clarian Pathology Laboratory of Indiana University, Indianapolis, IN, USA.
Ira J BleiweissDepartment of Pathology, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Edi BrogiDepartment of Pathology, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
José P CalvoServicio de Anatomía Patológica, Hospital Universitario Ramón y Cajal, Madrid, Spain.
David J DabbsUniversity of Pittsburgh Medical Center, Pittsburgh, PA, USA.
Ian O EllisDepartment of Histopathology, Nottingham City Hospital NHS Trust, Nottingham University, Nottingham, UK.
Vincenzo EusebiSezione Anatomia e Istologia Patologica, 'M. Malpighi' Università di Bologna, Bologna, Italy.
Gelareh FarshidBreastScreen SA, Discipline of Medicine, Adelaide University and Directorate of Surgical Pathology, SA Pathology, Adelaide, South Australia.
Stephen B FoxPathology Department, Peter MacCallum Cancer Centre, St Andrews Place, East Melbourne, Vic., Australia.
Shu IchiharaDepartment of Pathology, Nagoya Medical Center, Nagoya, Japan.
Sunil R LakhaniSchool of Medicine and Pathology Queensland, The Royal Brisbane & Women's Hospital, University of Queensland Centre for Clinical Research, Brisbane, Qld, Australia.
Emad A RakhaDepartment of Histopathology, Nottingham City Hospital NHS Trust, Nottingham University, Nottingham, UK.
Jorge S Reis-FilhoDepartment of Pathology, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Andrea L RichardsonDepartment of Pathology, Brigham and Women's Hospital and Harvard Medical School, Boston, MA, USA.
Aysegul SahinDepartment of Pathology, Division of Pathology/Laboratory Medicine, University of Texas MD Anderson Cancer Center, Houston, TX, USA.
Fernando C SchmittLaboratoire national de santé, Luxembourg city, Luxembourg.
Stuart J SchnittBeth Israel Deaconess Medical Center and Harvard Medical School, Boston, MA, USA.
Kalliopi P SiziopikouNorthwestern University Feinberg School of Medicine, Robert H. Lurie Comprehensive Cancer Center, Chicago, IL, USA.
Fernando A SoaresDepartment of Anatomic Pathology, A. C. Camargo Cancer Centre, São Paulo, Brazil.
Gary M TseDepartment of Anatomical and Cellular Pathology, Prince of Wales Hospital, The Chinese University of Hong Kong, Shatin, Hong Kong.
Anne Vincent-SalomonPôle Pathologie-Génétique-Immunologie, Institut Curie, Paris, France.
Puay Hoon TanDepartment of Pathology, Singapore General Hospital, Singapore.
Memorial Sloan Kettering Cancer Center · USNottingham City Hospital · GBSingapore General Hospital · SGAC Camargo Hospital · BRBeth Israel Deaconess Medical Center · USBrigham and Women's Hospital · USChinese University of Hong Kong · CNHospital Universitario Ramón y Cajal · ESIcahn School of Medicine at Mount Sinai · USIndiana University IndianapolisInstitut Curie · FRLaboratoire National de Santé · LUNagoya Medical Center · JPNorthwestern University · USPeter MacCallum Cancer Centre · AUPoliclinico S.Orsola-Malpighi · ITRheumatology Consultants · USRoyal Brisbane and Women's Hospital · AUThe University of Texas MD Anderson Cancer Center · USUCLA Medical Center · US

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Nicholas D Socci · 1985 to 2026
$347.4M
Tumor Environment and Metastasis (TEAM) Research ProgramP30CA060553 · NCI · NORTHWESTERN UNIVERSITY AT CHICAGO · PI Daniela E Matei · 1993 to 2026
$153.9M
NCI NIH HHS P30 CA008748NCI NIH HHS P30 CA060553
6 · The paper itself

Abstract

Phyllodes tumours constitute an uncommon but complex group of mammary fibroepithelial lesions. Accurate and reproducible grading of these tumours has long been challenging, owing to the need to assess multiple stratified histological parameters, which may be weighted differently by individual pathologists. Distinction of benign phyllodes tumours from cellular fibroadenomas is fraught with difficulty, due to overlapping microscopic features. Similarly, separation of the malignant phyllodes tumour from spindle cell metaplastic carcinoma and primary breast sarcoma can be problematic. Phyllodes tumours are treated by surgical excision. However, there is no consensus on the definition of an appropriate surgical margin to ensure completeness of excision and reduction of recurrence risk. Interpretive subjectivity, overlapping histological diagnostic criteria, suboptimal correlation between histological classification and clinical behaviour and the lack of robust molecular predictors of outcome make further investigation of the pathogenesis of these fascinating tumours a matter of active research. This review consolidates the current understanding of their pathobiology and clinical behaviour, and includes proposals for a rational approach to the classification and management of phyllodes tumours.

Indexed as

BreastBreast NeoplasmsCarcinomaConsensusDiagnosis, DifferentialFemaleFibroadenomaHumansPhyllodes TumorSarcomaclassificationfibroadenomamalignantmetastasisphyllodes

Identifiers

PMID26768026
PMCPMC5027876
OpenAlexW2191690617

What OpenQuestion holds

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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.