Evidence map›Paper›PMID 28474753›Full record

ArticleCancer science2017

Pathological features of triple-negative breast cancers that showed progressive disease during neoadjuvant chemotherapy.

Yuko Tanabe, Hitoshi Tsuda, Masayuki Yoshida, Mayu Yunokawa, Kan Yonemori, Chikako Shimizu, Seiichiro Yamamoto, Takayuki Kinoshita, Yasuhiro Fujiwara, Kenji Tamura

Open access · goldAbstract read
In one paragraph

Article in Cancer science, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
1.0field-weighted citation impact, top 28% 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

15 citing papers in PubMed, 1 synthesis or guideline pooled it, 40 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

10 authors at 5 institutions in 2 countries.

Yuko TanabeDepartment of Breast and Medical Oncology, National Cancer Center Hospital, Tokyo, Japan.ORCID http://orcid.org/0000-0001-9279-5952
Hitoshi TsudaDepartment of Basic Pathology, National Defense Medical College, Saitama, Japan.
Masayuki YoshidaPathology and Clinical Laboratories, National Cancer Center Hospital, Tokyo, Japan.
Mayu YunokawaDepartment of Breast and Medical Oncology, National Cancer Center Hospital, Tokyo, Japan.ORCID http://orcid.org/0000-0001-7354-6977
Kan YonemoriDepartment of Breast and Medical Oncology, National Cancer Center Hospital, Tokyo, Japan.
Chikako ShimizuDepartment of Breast and Medical Oncology, National Cancer Center Hospital, Tokyo, Japan.
Seiichiro YamamotoHealth Sociology Division, Center for Public Health Sciences, National Cancer Center, Tokyo, Japan.
Takayuki KinoshitaDepartment of Breast Surgery, National Cancer Center Hospital, Tokyo, Japan.
Yasuhiro FujiwaraDepartment of Breast and Medical Oncology, National Cancer Center Hospital, Tokyo, Japan.
Kenji TamuraDepartment of Breast and Medical Oncology, National Cancer Center Hospital, Tokyo, Japan.ORCID http://orcid.org/0000-0002-3514-9927
National Cancer Center · USKumamoto University · JPNational Center for Global Health and Medicine · JPNational Defense Medical College · JPTokyo National Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Clinical progressive disease (cPD) occurs during neoadjuvant chemotherapy (NAC) in 3%-5% of triple-negative breast cancer (TNBC) patients. We aimed to identify the histopathological and immunohistochemical parameters that are correlated with the TNBC that showed cPD. We identified 22 TNBCs that showed cPD during NAC (cPD group) and 80 TNBCs that did not receive NAC (control group). Using surgically resected tumor specimens, we performed histopathologic examinations and immunohistochemical analysis of 11 molecules that appeared relevant to epithelial-mesenchymal transition (EMT), and basal-like, molecular apocrine and other features. Metaplastic carcinomas (MPCs) and high proliferation (≥50 mitoses per 10 high-power fields or ≥50% Ki-67 score) were more frequent in the cPD than in the control (41% vs 3%, P < 0.001, and 86% vs 50%, P = 0.0049, respectively). Positive cytokeratin 5/6, ZEB1, TWISTNB, vimentin, and HMGB1 expressions and negative androgen receptor were more frequent in the cPD than in the control. By an unsupervised hierarchical cluster analysis incorporating these 11 molecules, the 102 TNBCs were divided into two major clusters and seven subclusters that appeared to correspond to intrinsic subtype, cPD status, histological type, and clinical outcome. In 27% of cPD cases, the MPC component appeared only in the post-NAC specimens. The combinations of high proliferation, metaplastic features, and immunohistochemical statuses of some EMT and basal-like markers and androgen receptor appeared to be able to characterize the TNBCs that showed cPD after NAC.

Indexed as

AdultAgedAged, 80 and overAntineoplastic AgentsBiomarkers, TumorChemotherapy, AdjuvantCluster AnalysisDisease ProgressionFemaleHumansImmunohistochemistryKaplan-Meier EstimateMiddle AgedNeoadjuvant TherapyOligonucleotide Array Sequence AnalysisRetrospective StudiesAntineoplastic AgentsBiomarkers, TumorBasal-like markersclinical progressive diseaseepithelial mesenchymal transitionneoadjuvant chemotherapytriple negative breast cancer

Identifiers

PMID28474753
PMCPMC5497804
OpenAlexW2611332769

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.