Evidence map›Paper›PMID 27669228›Full record

ArticleInternational journal of molecular sciences2016

Radiological Patterns of Brain Metastases in Breast Cancer Patients: A Subproject of the German Brain Metastases in Breast Cancer (BMBC) Registry.

Elena Laakmann, Isabell Witzel, Verena Scriba, Ulrich Grzyska, Christine Zu Eulenburg, Nicole Burchardi, Tobias Hesse, Florian Würschmidt, Tanja Fehm, Volker Möbus and 4 more

Open access · goldAbstract read
In one paragraph

Article in International journal of molecular sciences, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
1.5field-weighted citation impact, top 16% 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

14 citing papers in PubMed, 27 citations in OpenAlex.

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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

14 authors at 7 institutions in 2 countries.

Elena LaakmannDepartment of Gynecology, University Medical Center Hamburg-Eppendorf, Hamburg 20246, Germany. e.laakmann@uke.de.
Isabell WitzelDepartment of Gynecology, University Medical Center Hamburg-Eppendorf, Hamburg 20246, Germany. i.witzel@uke.de.
Verena ScribaDepartment of Gynecology, University Medical Center Hamburg-Eppendorf, Hamburg 20246, Germany. verena.scriba@stud.uke.uni-hamburg.de.
Ulrich GrzyskaDepartment of Neuroradiology, University Medical Center Hamburg-Eppendorf, Hamburg 20246, Germany. grzyska@uke.de.
Christine Zu EulenburgDepartment of Medical Biometry and Epidemiology, University Medical Center Hamburg-Eppendorf, Hamburg 20246, Germany. c.h.zu.eulenburg@umcg.nl.
Nicole BurchardiGerman Breast Group GmbH, Neu-Isenburg 63263, Germany. Nicole.Burchardi@gbg.de.
Tobias HesseDepartment of Gynecology, Agaplesion Diakonie-Clinic Rotenburg, Rotenburg 27356, Germany. Hesse@diako-online.de.
Florian WürschmidtDepartment of Radiotherapy, Radiology Allianz, Hamburg 22767, Germany. florian.wuerschmidt@radiologische-allianz.de.
Tanja FehmTranslational Research Board of the Arbeitsgemeinschaft für Gynäkologische Onkologie (AGO-Trafo), Duesseldorf 40225, Germany. Tanja.Fehm@med.uni-duesseldorf.de.
Volker MöbusBreast Study Group of the Arbeitsgemeinschaft für Gynäkologische Onkologie (AGO-B), Frankfurt 65929, Germany. Volker.Moebus@KlinikumFrankfurt.de.
Gunter von MinckwitzGerman Breast Group GmbH, Neu-Isenburg 63263, Germany. Gunter.vonMinckwitz@gbg.de.
Sibylle LoiblGerman Breast Group GmbH, Neu-Isenburg 63263, Germany. Sibylle.Loibl@gbg.de.
Tjoung-Won Park-SimonDepartment of Gynecology, Hannover Medical School, Hannover 30625, Germany. Park-Simon.Tjoung-Won@mh-hannover.de.
Volkmar MuellerDepartment of Gynecology, University Medical Center Hamburg-Eppendorf, Hamburg 20246, Germany. v.mueller@uke.de.
Universität Hamburg · DEGerman Breast group · DEArbeitsgemeinschaft Gynäkologische Onkologie Studiengruppe · DEAgaplesion Diakonieklinikum Rotenburg · DEMedizinische Hochschule Hannover · DEUniversity Medical Center Groningen · NLVarian Medical Systems (Germany) · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Evidence about distribution patterns of brain metastases with regard to breast cancer subtypes and its influence on the prognosis of patients is insufficient. Clinical data, cranial computed tomography (CT) and magnetic resonance imaging (MRI) scans of 300 breast cancer patients with brain metastases (BMs) were collected retrospectively in four centers participating in the Brain Metastases in Breast Cancer Registry (BMBC) in Germany. Patients with positive estrogen (ER), progesterone (PR), or human epidermal growth factor receptor 2 (HER2) statuses, had a significantly lower number of BMs at diagnosis. Concerning the treatment mode, HER2-positive patients treated with trastuzumab before the diagnosis of BMs showed a lower number of intracranial metastases (p < 0.001). Patients with a HER2-positive tumor-subtype developed cerebellar metastases more often compared with HER2-negative patients (59.8% vs. 44.5%, p = 0.021), whereas patients with triple-negative primary tumors had leptomeningeal disease more often (31.4% vs. 18.3%, p = 0.038). The localization of Brain metastases (BMs) was associated with prognosis: patients with leptomeningeal disease had shorter survival compared with patients without signs of leptomeningeal disease (median survival 3 vs. 5 months, p = 0.025). A shorter survival could also be observed in the patients with metastases in the occipital lobe (median survival 3 vs. 5 months, p = 0.012). Our findings suggest a different tumor cell homing to different brain regions depending on subtype and treatment.

Indexed as

AdultAgedAged, 80 and overBrain NeoplasmsBreast NeoplasmsErb-b2 Receptor Tyrosine KinasesFemaleGermanyHumansMagnetic Resonance ImagingMiddle AgedPrognosisProportional Hazards ModelsReceptors, EstrogenReceptors, ProgesteroneRegistriesErb-b2 Receptor Tyrosine KinasesReceptors, EstrogenReceptors, Progesteronebrain metastasesbreast cancerpatternradiological

Identifiers

PMID27669228
PMCPMC5085648
OpenAlexW2521263872

What OpenQuestion holds

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Registered trials

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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.