Evidence map›Paper›PMID 28101678›Full record

ArticleVirchows Archiv : an international journal of pathology2017

Breast carcinoma subtypes show different patterns of metastatic behavior.

István Artúr Molnár, Béla Ákos Molnár, Laura Vízkeleti, Krisztina Fekete, Judit Tamás, Péter Deák, Csilla Szundi, Borbála Székely, Judit Moldvay, Stefan Vári-Kakas and 4 more

Abstract read
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In one paragraph

Article in Virchows Archiv : an international journal of pathology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 56 papers.

0numbers the graph read from it
0cells of the map it votes in
56citing papers in PubMed
3.0field-weighted citation impact, top 8% 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

56 citing papers in PubMed, 92 citations in OpenAlex.

  1. Trial
  2. Ultrasound-MRI Fusion Deep Learning Radiomics Nomogram: Refining Prognostic Stratification for Triple-Negative Breast Cancer Treated With Neoadjuvant Chemotherapy.Journal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine · 2026
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  16. The Tumor Immune Microenvironment in Breast Cancer Progression.Acta oncologica (Stockholm, Sweden) · 2024
    Review
  17. Article
  18. Heterogeneity and prognosis of single organ metastases in gastric cancer.Translational gastroenterology and hepatology · 2024
    Article
  19. Article
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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 2 institutions in 2 countries.

István Artúr Molnár1st Department of Surgery, Semmelweis University, Üllői út 78, Budapest, 1082, Hungary.
Béla Ákos Molnár1st Department of Surgery, Semmelweis University, Üllői út 78, Budapest, 1082, Hungary.
Laura Vízkeleti2nd Department of Pathology, Semmelweis University, Üllői út 93, Budapest, 1091, Hungary.
Krisztina Fekete1st Department of Surgery, Semmelweis University, Üllői út 78, Budapest, 1082, Hungary.
Judit Tamás1st Department of Surgery, Semmelweis University, Üllői út 78, Budapest, 1082, Hungary.
Péter Deák2nd Department of Pathology, Semmelweis University, Üllői út 93, Budapest, 1091, Hungary.
Csilla Szundi2nd Department of Pathology, Semmelweis University, Üllői út 93, Budapest, 1091, Hungary.
Borbála Székely2nd Department of Pathology, Semmelweis University, Üllői út 93, Budapest, 1091, Hungary.
Judit MoldvayDepartment of Tumor Biology, National Korányi Institute of Pulmonology, Semmelweis University, Pihenő út 1, Budapest, 1121, Hungary.
Stefan Vári-KakasFaculty of Electrical Engineering and Information Technology, University of Oradea, Str. Universitatii nr. 1, Oradea, Romania.
Marcell A Szász2nd Department of Pathology, Semmelweis University, Üllői út 93, Budapest, 1091, Hungary.
Balázs Ács2nd Department of Pathology, Semmelweis University, Üllői út 93, Budapest, 1091, Hungary.
Janina Kulka2nd Department of Pathology, Semmelweis University, Üllői út 93, Budapest, 1091, Hungary.
Anna-Mária Tőkés2nd Department of Pathology, Semmelweis University, Üllői út 93, Budapest, 1091, Hungary. tokesa1972@yahoo.co.uk.
Semmelweis University · HUUniversity of Oradea · RO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The aim of our retrospective study was to analyze patterns of subtype specific metastatic spread and to identify the time course of distant metastases. A consecutive series of 490 patients with breast cancer who underwent surgery and postoperative treatment at Semmelweis University, Hungary, and diagnosed between the years 2000 and 2007 was identified from the archives of the 2nd Department of Pathology, Hungary. Molecular subtypes were defined based on the 2011 St. Gallen recommendations. Statistical analysis was performed with SPSS Statistics for Windows, Version 22.0. Distant metastasis free survival (DMFS) was defined as the time elapsed between the first pathological diagnosis of the tumor and the first distant metastasis detection. Distant metastases were detected in 124 patients. Mean time to develop metastasis was 29 months (range 0-127 months). The longest DMFS was observed in the Luminal A (LUMA) subtype (mean 39 months) whereas the shortest was seen in the HER2-positive (HER2+) subtype (mean 21 months; p = 0.012). We confirmed that HER2+ tumors carry a higher risk for distant metastases (42.1%). LUMA-associated metastases were found to be solitary in 59% of cases, whereas HER2+ tumors showed multiple metastases in 79.2% of cases. LUMA tumors showed a preference for bone-only metastasis as compared with HER2+ and triple negative breast cancer (TNBC) cases, which exhibited a higher rate of brain metastasis. The most frequent second metastatic sites of hormone receptor (HR) positive tumors were the lung and liver, whereas the brain was the most affected organ in HR-negative (HR-) cases. Tumor subtypes differ in DMFS and in pattern of distant metastases. HER2+ tumors featured the most aggressive clinical course. Further identification of subtype-specific factors influencing prognosis might have an impact on clinical care and decision-making.

Indexed as

AdultAgedBiomarkers, TumorBreast NeoplasmsDisease-Free SurvivalErb-b2 Receptor Tyrosine KinasesFemaleHumansImmunohistochemistryIn Situ Hybridization, FluorescenceKaplan-Meier EstimateMiddle AgedNeoplasm MetastasisPrognosisProportional Hazards ModelsReceptors, EstrogenBiomarkers, TumorERBB2 protein, humanErb-b2 Receptor Tyrosine KinasesReceptors, EstrogenReceptors, ProgesteroneBoneBrainBreastDistant metastasesPrognosisSubtypes

Identifiers

PMID28101678
OpenAlexW2576634613

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.