Evidence map›Paper›PMID 31522347›Full record

SynthesisBreast cancer research and treatment2019

Primary and secondary breast angiosarcoma: single center report and a meta-analysis.

Yara Abdou, Ahmed Elkhanany, Kristopher Attwood, Wenyan Ji, Kazuaki Takabe, Mateusz Opyrchal

Open access · hybridAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis 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. Cited by 38 papers.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed
4.1field-weighted citation impact, top 5% 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

38 citing papers in PubMed, 97 citations in OpenAlex.

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  12. A rare case of radiation-induced breast angiosarcoma: a case report.Case reports in plastic surgery & hand surgery · 2024
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  20. A case report of primary angiosarcoma of the breast.Translational cancer research · 2023
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 1 institution in 1 country.

Yara AbdouDepartment of Medical Oncology, Roswell Park Comprehensive Cancer Center, Buffalo, NY, 14203, USA. Yara.Abdou@RoswellPark.org.ORCID http://orcid.org/0000-0002-4827-8613
Ahmed ElkhananyDepartment of Medical Oncology, Roswell Park Comprehensive Cancer Center, Buffalo, NY, 14203, USA.
Kristopher AttwoodDepartment of Statistics, Roswell Park Comprehensive Cancer Center, Buffalo, NY, 14203, USA.
Wenyan JiDepartment of Statistics, Roswell Park Comprehensive Cancer Center, Buffalo, NY, 14203, USA.
Kazuaki TakabeDepartment of Surgical Oncology, Roswell Park Comprehensive Cancer Center, Buffalo, NY, 14203, USA.
Mateusz OpyrchalDepartment of Medical Oncology, Roswell Park Comprehensive Cancer Center, Buffalo, NY, 14203, USA.
Roswell Park Comprehensive Cancer Center · US

Funding

Two-Spirit Films in Indigenous Cancer HealthP30CA016056 · NCI · ROSWELL PARK CANCER INSTITUTE CORP · PI Dean G. Tang · 1985 to 2026
$116.6M
NCI NIH HHS P30 CA016056NCI NIH HHS P30CA016056
6 · The paper itself

Abstract

backgroundPrimary and secondary breast angiosarcoma is a rare and aggressive malignancy with limited published literature. Optimal management is mostly based on expert opinion. Our study aims to describe a single institution experience with breast angiosarcoma and evaluate other publications on this topic to further clarify prognostic outcomes and treatment modalities in this disease.

methodsTwenty two cases of breast angiosarcoma from Roswell Park Comprehensive Cancer Center were retrospectively analyzed. Additionally, a systemic review and meta-analysis was conducted to study the association between survival outcomes, overall survival (OS), and recurrence-free survival (RFS) in both primary (PAS) and secondary breast angiosarcoma (SAS).

results9 PAS patients (41%) and 13 SAS patients (59%) were retrospectively analyzed. No significant differences were noted in tumor characteristics and survival outcomes between PAS and SAS. Treatment modality had no significant effects on survival outcomes although adjuvant chemotherapy demonstrated a trend towards improved RFS in high grade tumors. 380 PAS and 595 SAS patients were included in the outcome meta-analysis. Survival outcomes were significantly worse with high grade tumors and tumor size of > 5 cm. Adjuvant radiation therapy demonstrated significantly better RFS, while adjuvant chemotherapy had no effect on survival outcomes.

conclusionTumor size and grade seem to be reliable predictors of survival in both PAS and SAS. Mastectomy does not seem to be adding any additional benefit to BCS. Adjuvant radiation therapy showed statistically significant RFS benefit, while adjuvant chemotherapy can be beneficial in high grade tumors.

Indexed as

AgedBreast NeoplasmsChemotherapy, AdjuvantFemaleHemangiosarcomaHumansMastectomyMiddle AgedPrognosisRadiotherapy, AdjuvantRetrospective StudiesSurvival AnalysisBreast angiosarcomaCase–control studyMeta-analysisPrimary angiosarcomaSecondary angiosarcomaStewart–Treves syndrome

Identifiers

PMID31522347
PMCPMC6817750
OpenAlexW2972600170

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.