Evidence map›Paper›PMID 31236809›Full record

ArticleBreast cancer research and treatment2019

Detection of circulating tumor cells and circulating tumor DNA before and after mammographic breast compression in a cohort of breast cancer patients scheduled for neoadjuvant treatment.

Daniel Förnvik, Kristina E Aaltonen, Yilun Chen, Anthony M George, Christian Brueffer, Robert Rigo, Niklas Loman, Lao H Saal, Lisa Rydén

Registry-linked trialAbstract read
In one paragraph

Article in Breast cancer research and treatment, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02306096 (SCAN-B), which is not on this map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing 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.

NCT02306096 recruitingnot on this map

SCAN-B: The Sweden Cancerome Analysis Network - Breast Initiative

TypeobservationalSponsorLund UniversityRan2010 to 2031Enrolled20,000ConditionsBreast Neoplasms
3 · Its place in the literature

Who cites it

15 citing papers in PubMed.

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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

9 authors.

Daniel FörnvikDepartment of Translational Medicine, Medical Radiation Physics, Lund University, Malmö, Sweden. daniel.fornvik@med.lu.se.ORCID http://orcid.org/0000-0001-5083-7624
Kristina E AaltonenDepartment of Laboratory Medicine, Division of Translational Cancer Research, Lund University, Lund, Sweden.
Yilun ChenDepartment of Clinical Sciences Lund, Division of Oncology and Pathology, Lund University, Lund, Sweden.
Anthony M GeorgeDepartment of Clinical Sciences Lund, Division of Oncology and Pathology, Lund University, Lund, Sweden.
Christian BruefferDepartment of Clinical Sciences Lund, Division of Oncology and Pathology, Lund University, Lund, Sweden.
Robert RigoDepartment of Clinical Sciences Lund, Division of Oncology and Pathology, Lund University, Lund, Sweden.
Niklas LomanDepartment of Clinical Sciences Lund, Division of Oncology and Pathology, Lund University, Lund, Sweden.
Lao H Saal *Department of Clinical Sciences Lund, Division of Oncology and Pathology, Lund University, Lund, Sweden.
Lisa Rydén *Department of Clinical Sciences Lund, Division of Surgery, Lund University, Lund, Sweden.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeIt is not known if mammographic breast compression of a primary tumor causes shedding of tumor cells into the circulatory system. Little is known about how the detection of circulating biomarkers such as circulating tumor cells (CTCs) or circulating tumor DNA (ctDNA) is affected by breast compression intervention.

methodsCTCs and ctDNA were analyzed in blood samples collected before and after breast compression in 31 patients with primary breast cancer scheduled for neoadjuvant therapy. All patients had a central venous access to allow administration of intravenous neoadjuvant chemotherapy, which enabled blood collection from superior vena cava, draining the breasts, in addition to sampling from a peripheral vein.

resultsCTC and ctDNA positivity was seen in 26% and 65% of the patients, respectively. There was a significant increase of ctDNA after breast compression in central blood (p = 0.01), not observed in peripheral testing. No increase related with breast compression was observed for CTC. ctDNA positivity was associated with older age (p = 0.05), and ctDNA increase after breast compression was associated with high Ki67 proliferating tumors (p = 0.04). CTCs were more abundant in central compared to peripheral blood samples (p = 0.04).

conclusionsThere was no significant release of CTCs after mammographic breast compression but more CTCs were present in central compared to peripheral blood. No significant difference between central and peripheral levels of ctDNA was observed. The small average increase in ctDNA after breast compression is unlikely to be clinically relevant. The results give support for mammography as a safe procedure from the point of view of CTC and ctDNA shedding to the blood circulation. The results may have implications for the standardization of sampling procedures for circulating tumor markers.

Indexed as

Biomarkers, TumorCirculating Tumor DNADNA, NeoplasmMammographyAdultAgedBreast NeoplasmsCell CountCohort StudiesFemaleFlow CytometryHumansMiddle AgedNeoadjuvant TherapyNeoplastic Cells, CirculatingBiomarkers, TumorCirculating Tumor DNADNA, NeoplasmBreast cancerBreast compressionCirculating tumor cellsCirculating tumor DNAMammographyNeoadjuvant

Identifiers

PMID31236809
PMCPMC6661025

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Registered trials

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.