Evidence map›Paper›PMID 30373904›Full record

ArticleThe oncologist2019

Enrichment of

Devarati Mitra, Jeffrey W Clark, Helen A Shih, Kevin S Oh, Priscilla K Brastianos, Jennifer Y Wo, Matthew R Strickland, William T Curry, Aparna R Parikh, Ryan B Corcoran and 5 more

Open access · bronzeAbstract read
In one paragraph

Article in The oncologist, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
0.7field-weighted citation impact, top 25% 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

17 citing papers in PubMed, 25 citations in OpenAlex.

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  7. RAS/RAF Comutation and ERBB2 Copy Number Modulates HER2 Heterogeneity and Responsiveness to HER2-directed Therapy in Colorectal Cancer.Clinical cancer research : an official journal of the American Association for Cancer Research · 2024
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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

15 authors at 1 institution in 1 country.

Devarati MitraDepartment of Radiation Oncology, Massachusetts General Hospital, Boston, Massachusetts, USA.ORCID 0000-0002-2225-164X
Jeffrey W ClarkDepartment of Hematology/Oncology, Massachusetts General Hospital, Boston, Massachusetts, USA.
Helen A ShihDepartment of Radiation Oncology, Massachusetts General Hospital, Boston, Massachusetts, USA.
Kevin S OhDepartment of Radiation Oncology, Massachusetts General Hospital, Boston, Massachusetts, USA.
Priscilla K BrastianosDepartment of Hematology/Oncology, Massachusetts General Hospital, Boston, Massachusetts, USA.
Jennifer Y WoDepartment of Radiation Oncology, Massachusetts General Hospital, Boston, Massachusetts, USA.
Matthew R StricklandDepartment of Hematology/Oncology, Massachusetts General Hospital, Boston, Massachusetts, USA.
William T CurryDepartment of Neurosurgery, Massachusetts General Hospital, Boston, Massachusetts, USA.
Aparna R ParikhDepartment of Hematology/Oncology, Massachusetts General Hospital, Boston, Massachusetts, USA.
Ryan B CorcoranDepartment of Hematology/Oncology, Massachusetts General Hospital, Boston, Massachusetts, USA.
David P RyanDepartment of Hematology/Oncology, Massachusetts General Hospital, Boston, Massachusetts, USA.
A John IafrateDepartment of Pathology, Massachusetts General Hospital, Boston, Massachusetts, USA.
Darrell R BorgerBiomarker Laboratory, Massachusetts General Hospital, Boston, Massachusetts, USA.
Jochen K LennerzDepartment of Pathology, Massachusetts General Hospital, Boston, Massachusetts, USA.
Theodore S HongDepartment of Radiation Oncology, Massachusetts General Hospital, Boston, Massachusetts, USA tshong1@mgh.harvard.edu.
Massachusetts General Hospital · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn nongastric gastrointestinal (GI) cancers, HER2-positive (HER2+) disease is not common. In breast cancer, HER2 status is associated with increased risk of brain metastases and response to HER2-targeted therapy. The purpose of this project was to compare HER2 status in GI cancer brain metastases versus matched prior sites of disease in order to determine if HER2+ disease is more common intracranially. MATERIALS AND

methodsWe identified 28 patients with GI cancer who had craniotomy for brain metastases between 1999 and 2017 with intracranial metastatic tissue available at Massachusetts General Hospital. Twenty-four patients also had tissue from a prior site of disease. Fluorescence in situ hybridization (FISH) and immunohistochemistry (IHC) for HER2 were performed on all samples. A tumor was defined as HER2+ if it had 3+ staining by IHC or amplification by FISH.

resultsA prior site of disease (including intracranial metastases) was HER2+ for 13% of evaluable patients: 3 of 11 patients with colorectal cancer and no patients with esophageal or pancreatic cancer. The most recent brain metastases were HER2+ for 32% of patients: 2 of 3 esophageal squamous cell carcinomas, 3 of 10 esophageal adenocarcinomas (ACs), 3 of 14 colorectal ACs, and 1 of 1 pancreatic AC. Only 37.5% of patients with HER2+ brain metastasis had concordant HER2+ prior tissue (κ = 0.38,

conclusionIn this cohort of patients with GI cancer with brain metastases, HER2+ status was more common intracranially compared with prior sites of disease. These findings suggest that testing HER2 in patients with GI cancer with brain metastases may lead to additional therapeutic options, regardless of HER2 status in previously examined tissue. IMPLICATIONS FOR PRACTICE:

Indexed as

AdultAgedBrain NeoplasmsErb-b2 Receptor Tyrosine KinasesFemaleGastrointestinal NeoplasmsGene AmplificationHumansMiddle AgedERBB2 protein, humanErb-b2 Receptor Tyrosine KinasesBiomarkerBrain metastasesGastrointestinal cancerHER2

Identifiers

PMID30373904
PMCPMC6369954
OpenAlexW2899438965

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.