Evidence map›Paper›PMID 30618001›Full record

ArticleJournal of gastrointestinal cancer2020

BRAF V600E Expression by Immunohistochemistry in Colon Cancer and Clinico-pathologic Features Associated with BRAF-Mutated Colonic Cancers in Mexican Patients.

Karla J González-Colunga, Leonardo S Lino-Silva, Rosa A Salcedo-Hernández, Erika B Ruiz-García, César Zepeda-Najar

Abstract read
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In one paragraph

Article in Journal of gastrointestinal cancer, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.5field-weighted citation impact, top 32% 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

4 citing papers in PubMed, 8 citations in OpenAlex.

  1. Review
  2. Article
  3. Update of the recommendations for the determination of biomarkers in colorectal carcinoma: National Consensus of the Spanish Society of Medical Oncology and the Spanish Society of Pathology.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2020
    Article
  4. Prevalence of theJournal of investigative medicine : the official publication of the American Federation for Clinical Research · 2020
    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

5 authors at 2 institutions in 1 country.

Karla J González-ColungaSurgical Pathology, Instituto Nacional de Cancerología, Mexico City, Mexico.
Leonardo S Lino-SilvaSurgical Pathology, Instituto Nacional de Cancerología, Mexico City, Mexico. saul.lino.sil@gmail.com.ORCID http://orcid.org/0000-0002-7394-5123
Rosa A Salcedo-HernándezSurgical Oncology, Instituto Nacional de Cancerología, Mexico City, Mexico.
Erika B Ruiz-GarcíaMedical Oncology, Instituto Nacional de Cancerología, Mexico City, Mexico.
César Zepeda-NajarSurgical Oncology, Hospital Ángeles Tijuana, Tijuana, Baja California Norte, Mexico.
Instituto Nacional de Cancerología · MXUniversidad de Tijuana · MX

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundBRAF evaluation is currently limited to molecular techniques, which are expensive and not widely available to practicing pathologists. Our objective was to determine the diagnostic performance of immunohistochemistry (IHC) against BRAF V600E for BRAF mutation and the secondary objective was determining histopathological characteristics of colon carcinomas with BRAF mutated.

methodsCases of adenocarcinoma of the colon with a known BRAF mutation status were identified from the pathological files of our institution.

resultsWe analyzed 135 cases, 13 cases had the BRAF mutation (9.6%) and 122 were non-mutated. The mutated cases expressed intense and diffusely the anti-antibody against BRAF V600E, and 119 (97.5%) of the 122 cases without mutation were negative and the remaining 3 were focal and weakly positive. The IHC demonstrated a sensitivity of 100%, specificity of 97.5%, positive predictive value of 81.3% (95% CI = 56.9 to 93.4%), negative predictive value of 100% (95% CI = 89 to 100%), and an overall accuracy of 97.8%. The only significant clinicopathological differences between cancers with BRAF mutated compared with BRAF non-mutated were that mutated had less lymph node metastases (23% vs. 68.1%) and the tumor size was greater (median 90 mm vs. 60 mm). The survival between groups was not statistically significant.

conclusionIHC against BRAF V600E showed an excellent performance, making it feasible as an alternative for molecular examination. Tumors with BRAF mutated did not show distinctive clinico-pathological characteristics, except for a larger tumor size.

Indexed as

AdenocarcinomaAgedBiomarkers, TumorColonic NeoplasmsFemaleHumansImmunohistochemistryLymphatic MetastasisMaleMexicoMiddle AgedMutationPredictive Value of TestsProto-Oncogene Proteins B-rafSensitivity and SpecificityBiomarkers, TumorBRAF protein, humanProto-Oncogene Proteins B-rafBRAFColon cancerDiagnostic testImmunohistochemistryMolecular pathology

Identifiers

PMID30618001
OpenAlexW2910098652

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.