Evidence map›Paper›PMID 26908328›Full record

ArticleBritish journal of cancer2016

Changing molecular profile of brain metastases compared with matched breast primary cancers and impact on clinical outcomes.

A H Thomson, J McGrane, J Mathew, J Palmer, D A Hilton, G Purvis, R Jenkins

Open access · hybridAbstract read
In one paragraph

Article in British journal of cancer, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed
4.4field-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

28 citing papers in PubMed, 49 citations in OpenAlex.

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  16. Challenges in the treatment of breast cancer brain metastases: evidence, unresolved questions, and a practical algorithm.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2020
    Review
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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

7 authors at 2 institutions in 1 country.

A H ThomsonSunrise Centre, Royal Cornwall Hospital, Truro, Cornwall, TR1 3LJ, UK.
J McGraneSunrise Centre, Royal Cornwall Hospital, Truro, Cornwall, TR1 3LJ, UK.
J MathewSunrise Centre, Royal Cornwall Hospital, Truro, Cornwall, TR1 3LJ, UK.
J PalmerSunrise Centre, Royal Cornwall Hospital, Truro, Cornwall, TR1 3LJ, UK.
D A HiltonDerriford Hospital, Derriford Road, Crownhill, Plymouth, Devon, PL6 8DH, UK.
G PurvisSunrise Centre, Royal Cornwall Hospital, Truro, Cornwall, TR1 3LJ, UK.
R JenkinsSunrise Centre, Royal Cornwall Hospital, Truro, Cornwall, TR1 3LJ, UK.
Royal Cornwall Hospital · GBDerriford Hospital · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundBreast cancer commonly metastasises to the brain, but little is known about changes in the molecular profile of the brain secondaries and impact on clinical outcomes.

methodsPatients with samples from brain metastases and matched breast cancers were included. Immunohistochemical analysis for oestrogen receptor, progesterone receptor, p27kip1, cyclin D1, epidermal growth factor receptor, insulin like growth factor 1, insulin like growth factor 1 receptor, vascular endothelial growth factor A, transforming growth factor-β and HER2 receptor was performed. Borderline HER2 results were analysed by fluorescent in situ hybridisation. Levels of expression were compared, with review of effect on clinical outcomes.

resultsA total of 41 patients were included. Of the patients, 20% had a change in oestrogen receptor or HER2 in their brain metastasis that could affect therapeutic decisions. There were statistically significant rises in brain metastases for p27kip1 (P=0.023) and cyclin D1 (P=0.030) and a fall in vascular endothelial growth factor A (P=0.012). Overall survival from the time of metastasis increased significantly with oestrogen receptor-positive (P=0.005) and progesterone receptor-positive (P=0.013) brain lesions and with a longer duration from diagnosis of the breast primary (P<0.001).

conclusionsIn this cohort there were phenotypic differences in metastatic brain tumours compared with matched primary breast tumours. These could be relevant for aetiology, and have an impact on prognostication, current and future therapies.

Indexed as

Biomarkers, TumorBrain NeoplasmsBreast NeoplasmsErb-b2 Receptor Tyrosine KinasesFemaleFollow-Up StudiesHumansImmunoenzyme TechniquesIn Situ Hybridization, FluorescenceMiddle AgedNeoplasm StagingPrognosisReceptors, EstrogenReceptors, ProgesteroneSurvival RateBiomarkers, TumorERBB2 protein, humanErb-b2 Receptor Tyrosine KinasesReceptors, EstrogenReceptors, Progesterone

Identifiers

PMID26908328
PMCPMC4984859
OpenAlexW2280535819

What OpenQuestion holds

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LicenceCC BY-NC-SA
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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.