Evidence map›Paper›PMID 27468182›Full record

ReviewWorld journal of gastroenterology2016

HER2 heterogeneity in gastric/gastroesophageal cancers: From benchside to practice.

Federica Grillo, Matteo Fassan, Francesca Sarocchi, Roberto Fiocca, Luca Mastracci

Registry-linked trialOpen access · hybridAbstract readReview
In one paragraph

Review in World journal of gastroenterology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01191697 (Phase II Trial of CAPOX, Bevacizumab and Trastuzumab for Patients With HER2-Positive Metastatic Esophagogastric Cancer), which is not on this map. Cited by 81 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
81citing papers in PubMed, 1 pooled it
3.8field-weighted citation impact, top 5% 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.

NCT01191697 phase2completednot on this map

Phase II Trial of CAPOX, Bevacizumab and Trastuzumab for Patients With HER2-Positive Metastatic Esophagogastric Cancer

TypeinterventionalSponsorDana-Farber Cancer InstituteRan2011 to 2024Enrolled37ConditionsEsophageal Cancer, Gastric CancerArmsbevacizumab, trastuzumab, oxaliplatin, capecitabine
3 · Its place in the literature

Who cites it

81 citing papers in PubMed, 1 synthesis or guideline pooled it, 141 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Higher TIGIT expression in the intraperitoneal immune microenvironment is associated with shorter progression-free survival in patients with gastric cancer with peritoneal metastasis treated with intraperitoneal paclitaxel.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2026
    Article
  5. Article
  6. Review
  7. HER2 Therapies in Non-Small Cell Lung Cancer (NSCLC).International journal of molecular sciences · 2026
    Review
  8. Article
  9. Review
  10. Article
  11. Review
  12. Article
  13. Article
  14. Review
  15. Heterogeneity of predictive biomarker expression in gastric and esophago-gastric junction carcinoma with peritoneal dissemination.Gastric cancer : official journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association · 2025
    Article
  16. Article
  17. Article
  18. Review
  19. Review
  20. Review

21 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

5 authors at 1 institution in 1 country.

Federica GrilloFederica Grillo, Francesca Sarocchi, Roberto Fiocca, Luca Mastracci, Department of Surgical and Diagnostic Sciences, Pathology Unit, University of Genoa, 16132 Genoa, Italy.
Matteo FassanFederica Grillo, Francesca Sarocchi, Roberto Fiocca, Luca Mastracci, Department of Surgical and Diagnostic Sciences, Pathology Unit, University of Genoa, 16132 Genoa, Italy.
Francesca SarocchiFederica Grillo, Francesca Sarocchi, Roberto Fiocca, Luca Mastracci, Department of Surgical and Diagnostic Sciences, Pathology Unit, University of Genoa, 16132 Genoa, Italy.
Roberto FioccaFederica Grillo, Francesca Sarocchi, Roberto Fiocca, Luca Mastracci, Department of Surgical and Diagnostic Sciences, Pathology Unit, University of Genoa, 16132 Genoa, Italy.
Luca MastracciFederica Grillo, Francesca Sarocchi, Roberto Fiocca, Luca Mastracci, Department of Surgical and Diagnostic Sciences, Pathology Unit, University of Genoa, 16132 Genoa, Italy.
University of Genoa · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

HER2 is overexpressed in approximately 10%-20% of gastric and gastroesophageal junction carcinomas. In these types of cancer, accurate assessment of HER2 status is mandatory, for selecting patients who may benefit from targeted therapies with anti-HER2 drugs such as Trastuzumab. This manuscript focuses on HER2 in gastric carcinogenesis, on optimal evaluation of HER2 and on the possible causes which may contribute to inaccurate HER2 evaluation. Similarly to breast cancer HER2 evaluation, standardization of HER2 testing in gastric cancer is necessary in diagnostic practice. The three principle aspects which require consideration are: (1) the choice of sample with regards to cancer morphology - intestinal vs diffuse areas; (2) the choice of scoring criteria - use of HER2 scoring criteria specific for gastric cancer; and (3) the choice of HER2 evaluation methods - use of an algorithm in which both immunohistochemistry and in situ hybridization play a role. Problematic issues include: (1) pre-analytic variables with particular emphasis on fixation; (2) recommended methodology for HER2 assessment (immunohistochemistry vs in situ hybridization); (3) HER2 heterogeneity both within the primary tumor and between primary tumor and metastases; (4) reliability of biopsies in HER 2 evaluation; and (5) quantity of sample (FFPE blocks from surgical specimens or endoscopic biopsies) necessary for an adequate assessment.

Indexed as

Esophagogastric JunctionAdenocarcinomaAntineoplastic AgentsBiomarkers, TumorBiopsyCarcinogenesisErb-b2 Receptor Tyrosine KinasesHumansImmunohistochemistryIn Situ HybridizationIn Situ Hybridization, FluorescencePatient SelectionStomach NeoplasmsTrastuzumabAntineoplastic AgentsBiomarkers, TumorERBB2 protein, humanErb-b2 Receptor Tyrosine KinasesTrastuzumabFISHGastric cancerHER2HeterogeneityImmunohistochemistry

Identifiers

PMID27468182
PMCPMC4948273
OpenAlexW2497174208

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.