Evidence map›Paper›PMID 29552209›Full record

ArticleOncology letters2018

Gastric cancer with brain metastasis and the role of human epidermal growth factor 2 status.

Luigi Cavanna, Pietro Seghini, Camilla Di Nunzio, Elena Orlandi, Emanuele Michieletti, Elisa Maria Stroppa, Patrizia Mordenti, Chiara Citterio, Stefano Vecchia, Adriano Zangrandi

Open access · diamondAbstract read
In one paragraph

Article in Oncology letters, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
1.3field-weighted citation impact, top 20% 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

18 citing papers in PubMed, 25 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Article
  5. Review
  6. Review
  7. Article
  8. HER2-Positive Metastatic Colorectal Cancer.Current treatment options in oncology · 2024
    Review
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Tumor-Derived Exosomes Modulate Primary Site Tumor Metastasis.Frontiers in cell and developmental biology · 2022
    Review
  15. Article
  16. A Population-Based Analysis of Distant Metastasis in Stage IV Gastric Cancer.Medical science monitor : international medical journal of experimental and clinical research · 2020
    Article
  17. Cancer medicine journal · 2020
    Article
  18. Article
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 1 institution in 1 country.

Luigi CavannaDepartment of Oncology and Hematology, Piacenza General Hospital, I-29121 Piacenza, Italy.
Pietro SeghiniDepartment of Epidemiology, Piacenza General Hospital, I-29121 Piacenza, Italy.
Camilla Di NunzioDepartment of Oncology and Hematology, Piacenza General Hospital, I-29121 Piacenza, Italy.
Elena OrlandiDepartment of Oncology and Hematology, Piacenza General Hospital, I-29121 Piacenza, Italy.
Emanuele MichielettiDepartment of Radiology, Piacenza General Hospital, I-29121 Piacenza, Italy.
Elisa Maria StroppaDepartment of Oncology and Hematology, Piacenza General Hospital, I-29121 Piacenza, Italy.
Patrizia MordentiDepartment of Oncology and Hematology, Piacenza General Hospital, I-29121 Piacenza, Italy.
Chiara CitterioDepartment of Oncology and Hematology, Piacenza General Hospital, I-29121 Piacenza, Italy.
Stefano VecchiaDepartment of Oncology and Hematology, Piacenza General Hospital, I-29121 Piacenza, Italy.
Adriano ZangrandiDepartment of Pathology, Piacenza General Hospital, I-29121 Piacenza, Italy.
Ospedaliera di Piacenza · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Central nervous system (CNS) metastases from cancers of the gastrointestinal tract (GIT) are rare, and occur in 0.16-0.69% of patients with gastric or gastro-esophageal (GE) junction cancer. Overexpression of the human epidermal growth factor 2 (HER-2) is associated with poor prognosis in the absence of HER-2-targeted therapy, and with an increased incidence of CNS metastases in patients with breast cancer. The role of HER-2 overexpression in CNS metastases is not well known in gastric adenocarcinoma. The purpose of the present retrospective study was to assess the incidence of CNS metastases and to evaluate the associations between the CNS and HER-2 status in a series of consecutive patients with gastric or GE junction cancer. Between 2007 and 2013, 300 patients with gastric cancer (GC) or gastroesophageal junction, were admitted to Piacenza General Hospital, Italy. These cases were retrospectively analyzed to evaluate CNS metastases. The metastases were diagnosed with imaging techniques performed on symptomatic patients. Gastric histological samples of patients with CNS metastases were reviewed and tested for HER-2. A total of 7 of the 300 patients (2.33%) with GC were observed to have CNS metastases and 6 (85.71%) had HER-2 positive disease. These patients exhibited a poor prognosis with a median overall survival rate of 4.1 months (range, 2.1-6.6 months). These results suggested there may be CNS recurrence susceptibility in patients with HER-2 positive GC. To the best of our knowledge, this is the first report that associates CNS metastases and HER-2 status in gastric or GE junction cancer.

Indexed as

brain metastasiscentral nervous system metastasisgastric cancerhuman epidermal growth factor 2 amplificationhuman epidermal growth factor 2 overexpression

Identifiers

PMID29552209
PMCPMC5840578
OpenAlexW2788014435

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.