Evidence map›Paper›PMID 27790442›Full record

ArticleJournal of clinical and diagnostic research : JCDR2016

Clinicopathological Study of Triple Negative Breast Cancers.

Gunadala Ishitha, Marie Therese Manipadam, Selvamani Backianathan, Raju Titus Chacko, Deepak Thomas Abraham, Paul Mazhuvanchary Jacob

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In one paragraph

Article in Journal of clinical and diagnostic research : JCDR, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

4 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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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

6 authors.

Gunadala IshithaAssistant Professor, Department of Pathology, CMC , Vellore, Tamil Nadu, India .
Marie Therese ManipadamProfessor, Department of Pathology, CMC , Vellore, Tamil Nadu, India .
Selvamani BackianathanProfessor and Head of Department, Department of Radiation Therapy, CMC , Vellore, Tamil Nadu, India .
Raju Titus ChackoProfessor and Head of Department, Department of Medical Oncology, CMC , Vellore, Tamil Nadu, India .
Deepak Thomas AbrahamProfessor, Department of Endocrine Surgery, CMC , Vellore, Tamil Nadu, India .
Paul Mazhuvanchary JacobProfessor and Head, Department of Endocrine Surgery, CMC , Vellore, Tamil Nadu, India .

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionTriple Negative Breast Cancers (TNBC) are a subset of breast cancers which are composed of different molecular subtypes. The most common is the basal like subtype, which has an adverse prognosis and limited treatment options.

aimThis study was undertaken to assess the clinico-pathologic and immunohistochemical subtypes of triple negative breast cancers and assess how each of these subtypes correlate with clinical behaviour and survival outcomes. MATERIALS AND

methodsFifty-three (22.2%) of 238 cases of primary invasive breast carcinomas diagnosed from January 2010 to June 2011 were found to be negative for immunohistochemical markers- ER, PR and HER2. These fifty three cases were included in the study and were classified into four histological subtypes proposed by Ishikawa et al. Basal markers- CK5/6, EGFR and CK14 were done on these cases and they were further classified immunohistochemically into basal and non basal subtypes. The morphological features, disease free survival and overall survival were evaluated for both basal and non basal subtypes.

resultsMajority (96%) of TNBC cases were classified according to WHO as invasive ductal carcinoma (NOS). Type C Ishikawa histological subtype was found to be the commonest subtype in both basal and non-basal TNBC. Of 53 TNBC cases, basal immunohistochemical markers were performed on 47 cases only because of paucity of tissue. Of these 47 cases, thirty-five (74.4%) were found to be of basal like subtype and all these cases were picked up by a combination of CK5/6 and EGFR.

conclusionHigh grade morphological features, hormonal markers with additional use of basal markers can help identify the basal like subtype of TNBC, thereby predicting breast cancer survival. The combination of CK5/6 and EGFR identified all cases of basal subtype. EGFR in addition also has potential therapeutic implications. The morphological features and survival outcomes were not significantly different between basal and non-basal phenotypes.

Indexed as

Basal likeEstrogenNon basalProgesterone

Identifiers

PMID27790442
PMCPMC5071942

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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.