Evidence map›Paper›PMID 30621632›Full record

ArticleBMC cancer2019

HER2/neu (ERBB2) expression and gene amplification correlates with better survival in esophageal adenocarcinoma.

Patrick Sven Plum, Florian Gebauer, Max Krämer, Hakan Alakus, Felix Berlth, Seung-Hun Chon, Lars Schiffmann, Thomas Zander, Reinhard Büttner, Arnulf Heinrich Hölscher and 3 more

Open access · goldAbstract read
In one paragraph

Article in BMC cancer, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 49 papers.

0numbers the graph read from it
0cells of the map it votes in
49citing papers in PubMed
9.9field-weighted citation impact, top 1% 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

49 citing papers in PubMed, 74 citations in OpenAlex.

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  16. Role of microsatellite instability and HER2 positivity in locally advanced esophago-gastric cancer patients treated with peri-operative chemotherapy.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2023
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  20. Cancer Risk in Barrett's Esophagus: A Clinical Review.International journal of molecular sciences · 2023
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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

13 authors at 2 institutions in 1 country.

Patrick Sven PlumDepartment of General, Visceral and Cancer Surgery, University Hospital Cologne, Cologne, Germany.
Florian GebauerDepartment of General, Visceral and Cancer Surgery, University Hospital Cologne, Cologne, Germany.
Max KrämerInstitute of Pathology, University Hospital Cologne, Kerpener Str. 62, 50937, Cologne, Germany.
Hakan AlakusDepartment of General, Visceral and Cancer Surgery, University Hospital Cologne, Cologne, Germany.
Felix BerlthDepartment of General, Visceral and Cancer Surgery, University Hospital Cologne, Cologne, Germany.
Seung-Hun ChonDepartment of General, Visceral and Cancer Surgery, University Hospital Cologne, Cologne, Germany.
Lars SchiffmannDepartment of General, Visceral and Cancer Surgery, University Hospital Cologne, Cologne, Germany.
Thomas ZanderDepartment of Internal Medicine I, University Hospital Cologne, Cologne, Germany.
Reinhard BüttnerInstitute of Pathology, University Hospital Cologne, Kerpener Str. 62, 50937, Cologne, Germany.
Arnulf Heinrich HölscherCenter for Esophageal and Gastric Surgery, AGAPLESION Markus Krankenhaus, Frankfurt, Germany.
Christiane Josephine BrunsDepartment of General, Visceral and Cancer Surgery, University Hospital Cologne, Cologne, Germany.
Alexander QuaasDepartment of General, Visceral and Cancer Surgery, University Hospital Cologne, Cologne, Germany.
Heike LoeserDepartment of General, Visceral and Cancer Surgery, University Hospital Cologne, Cologne, Germany. heike.loeser@uk-koeln.de.
University Hospital Cologne · DEAgaplesion Markus Hospital · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHER2 (ERBB2 or HER2/neu) is a tyrosine-kinase increasing cell proliferation. Overexpression/amplification of HER2 is correlated with worse prognosis in solid malignancies. Consequently, HER2 targeting is established in breast and upper gastrointestinal tract cancer. There are conflicting data concerning the impact of HER2 overexpression on esophageal adenocarcinoma (EAC), as most studies do not differ between cancers of the esophagus/gastroesophageal junction and the stomach. The aim of this study was to analyze the expression/amplification of HER2 in EAC in correlation to clinicopathological data to verify its prognostic impact.

methodsWe analyzed 428 EAC patients that underwent transthoracic thoraco-abdominal esophagectomy between 1997 and 2014. We performed HER2 immunohistochemistry (IHC) according to the guidelines and fluorescence-in-situ-hybridization (FISH) for IHC score2+, using tissue micro arrays (TMA) with up to eight biopsies from the surface and infiltration area of a single tumor for evaluating HER2-heterogeneity and single-spot TMA. The HER2-status was correlated with clinicopathological data.

resultsHER2-positivity was found in up to 14.9% in our cohort (IHC score 3+ or IHC score 2+ with gene amplification) and demonstrated a significantly better overall survival (OS) in correlation to HER2-negative tumors (median OS 70.1 vs. 24.6 months, p = 0.006). HER2-overexpression was more frequently seen in lower tumor stages (pT1/pT2, p = 0.038), in the absence of lymphatic metastases (pN0/pN+, p = 0.020), and was significantly associated with better histological grading (G1/G2) (p = 0.041).

conclusionWe demonstrated a positive prognostic impact of HER2 overexpression in a large cohort of EAC, contrary to other solid malignancies including gastric cancer and breast cancer, but consistent to the results of a large study on EAC from 2012.

Indexed as

PrognosisAdenocarcinomaAdultAgedBiomarkers, TumorCell ProliferationErb-b2 Receptor Tyrosine KinasesEsophageal NeoplasmsEsophagectomyEsophagogastric JunctionFemaleGene AmplificationGene Expression Regulation, NeoplasticHumansIn Situ Hybridization, FluorescenceLymphatic MetastasisBiomarkers, TumorERBB2 protein, humanErb-b2 Receptor Tyrosine KinasesEsophageal adenocarcinoma (EAC)Fluorescence-in-situ-hybridization (FISH)HER2/neu (ERBB2)ImmunohistochemistryPrognosisTissue microarray (TMA)

Identifiers

PMID30621632
PMCPMC6325716
OpenAlexW2947691306

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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.