Evidence map›Paper›PMID 30795751›Full record

ArticleBMC cancer2019

Chronological occurrence of PI3KCA mutations in breast cancer liver metastases after repeat partial liver resection.

Aldrick Ruiz, Mylène Sebagh, Raphaël Saffroy, Marc-Antoine Allard, Nelly Bosselut, Giulia Hardoin, Julie Vasseur, Jocelyne Hamelin, René Adam, Jean-François Morère and 1 more

Abstract 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 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
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

3 citing papers in PubMed.

  1. Article
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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

11 authors.

Aldrick RuizDepartment of Surgery, University Medical Center Utrecht, Utrecht, The Netherlands.ORCID http://orcid.org/0000-0002-9114-4311
Mylène SebaghDepartment de Pathologie, AP-HP Hôpital Paul Brousse, Villejuif, France.
Raphaël SaffroyInserm UMR-S 1193, Université Paris-Sud, Orsay, France.
Marc-Antoine AllardAP-HP Hôpital Paul Brousse, Centre Hépato-Biliaire, Villejuif, France.
Nelly BosselutInserm UMR-S 1193, Université Paris-Sud, Orsay, France.
Giulia HardoinInserm UMR-S 1193, Université Paris-Sud, Orsay, France.
Julie VasseurInserm UMR-S 1193, Université Paris-Sud, Orsay, France.
Jocelyne HamelinInserm UMR-S 1193, Université Paris-Sud, Orsay, France.
René AdamAP-HP Hôpital Paul Brousse, Centre Hépato-Biliaire, Villejuif, France.
Jean-François MorèreInserm UMR-S 1193, Université Paris-Sud, Orsay, France.
Antoinette LemoineInserm UMR-S 1193, Université Paris-Sud, Orsay, France. antoinette.lemoine@aphp.fr.

Funding

Nederlandse Organisatie voor Wetenschappelijk Onderzoek 017.009.053
6 · The paper itself

Abstract

backgroundLiver metastases of breast cancer are frequent and can recur even after "complete/R0" resection in combination with systemic and hormonal treatments. The aim of this study was to analyze throughout repeat hepatectomies for liver metastases the evolution of PI3KCA gene mutational status.

methodsAll liver metastases nodules (n = 70) from 19 women who underwent at least 2 liver resections were reexamined. DNA extraction from archived tumoral tissue was performed and the major 'hot spot' mutations in the helical and catalytic domains of PI3KCA have been analyzed using Massarray platform (Agena Bioscience) based on allelic discrimination PCR amplification followed by sensitive mass spectrometry detection.

resultsThe two major somatic hot spot PI3KCA mutations were found in 27 (38.6%) nodules corresponding to 8 of the 19 patients (42%). The frequency of women whose breast cancer liver metastases (BCLM) carries PI3KCA mutations increased from the first to the third hepatectomy. Tumors carrying PI3KCA mutations are significantly larger and more frequently observed when resections were R0 compared to patients with no PI3KCA mutation.

conclusionPI3KCA mutations are frequently observed in BCLM and persist along with the recurrence. Their identification in circulating tumor cells should become a useful biomarker in the routine practice of breast cancer management to prevent tumor recurrence and overcome the problems of intra- and inter-tumoral heterogeneity of the current biomarkers.

Indexed as

HepatectomyAdultAgedAged, 80 and overBreast NeoplasmsFemaleFranceHumansLiverLiver NeoplasmsMiddle AgedMutationNuclear ProteinsPrevalenceRecurrenceReoperationNuclear ProteinsPI3KCA protein, humanTranscription FactorsBreastCancerEvolutionLineageLiverMetastasesPI3KCA

Identifiers

PMID30795751
PMCPMC6387498

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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.