Evidence map›Paper›PMID 31639071›Full record

ArticleCancer communications (London, England)2019

Prognosis of lymphotropic invasive micropapillary breast carcinoma analyzed by using data from the National Cancer Database.

Gary D Lewis, Yan Xing, Waqar Haque, Tejal Patel, Mary Schwartz, Albert Chen, Andrew Farach, Sandra S Hatch, E Brian Butler, Jenny Chang and 1 more

Abstract read
In one paragraph

Article in Cancer communications (London, England), 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing 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

19 citing papers in PubMed.

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  16. The impact of HER2-directed targeted therapy on HER2-positive DCIS of the breast.Reports of practical oncology and radiotherapy : journal of Greatpoland Cancer Center in Poznan and Polish Society of Radiation Oncology · 2021
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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.

Gary D LewisDepartment of Radiation Oncology, University of Arkansas for Medical Sciences, Little Rock, AR, 72205, USA.
Yan XingDepartment of Medicine, Houston Methodist Hospital, Houston, TX, 77030, USA.
Waqar HaqueDepartment of Radiation Oncology, Houston Methodist Hospital, Houston, TX, 77030, USA.
Tejal PatelDepartment of Medicine, Houston Methodist Hospital, Houston, TX, 77030, USA.
Mary SchwartzDepartment of Pathology and Genomic Medicine, Houston Methodist Hospital, Houston, TX, 77030, USA.
Albert ChenDepartment of Radiation Oncology, Baylor College of Medicine, Houston, TX, 77030, USA.
Andrew FarachDepartment of Radiation Oncology, Houston Methodist Hospital, Houston, TX, 77030, USA.
Sandra S HatchDepartment of Radiation Oncology, The University of Texas Medical Branch, Galveston, TX, 77555, USA.
E Brian ButlerDepartment of Radiation Oncology, Houston Methodist Hospital, Houston, TX, 77030, USA.
Jenny ChangDepartment of Medicine, Houston Methodist Hospital, Houston, TX, 77030, USA.
Bin S TehDepartment of Radiation Oncology, Houston Methodist Hospital, Houston, TX, 77030, USA. BTeh@houstonmethodist.org.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundInvasive micropapillary carcinoma (IMPC) is an uncommon subtype of breast cancer. Previous studies of this subtype demonstrated a higher propensity for lymph node metastases as compared with invasive ductal carcinoma (IDC). The purpose of the present study was to determine the clinical characteristics, outcomes, and propensity for lymph node metastasis of patients with IMPC of the breast recorded in the National Cancer Database (NCDB).

methodsRecords of patients with IMPC diagnosed between 2004 and 2014 were retrieved from the NCDB. Log-rank test was performed to evaluate associations of clinical characteristics with overall survival (OS). Cox proportional hazards model was used to determine variables associated with OS.

resultsOverall, 2660 patients with IMPC met the selection criteria; the 5-year OS rate was 87.5% and 24.9% of patients had nodal involvement at presentation. Patients with ≥ 4 positive lymph nodes had shorter OS than node-negative patients, whereas patients with 1-3 positive nodes had similar OS to node-negative patients. Age < 65 years, receipt of radiotherapy, and estrogen receptor positivity were also associated with prolonged OS. The benefit of radiotherapy was limited to IMPC patients undergoing lumpectomy; there was no benefit for the patients undergoing mastectomy (regardless of nodal positivity/negativity).

conclusionsFavorable prognostic factors of IMPC patients included age < 65 years, < 4 positive lymph nodes, receipt of radiotherapy, and estrogen receptor positivity. The results presented herein suggest a survival benefit associated with radiotherapy in IMPC treatment, though this may be limited to the patients treated with lumpectomy.

Indexed as

AdultAgedAged, 80 and overBreast NeoplasmsCarcinoma, PapillaryDatabases, FactualFemaleHumansKaplan-Meier EstimateMiddle AgedPrognosisYoung AdultBreast cancerHormone receptorInvasive micropapillary carcinomaRadiotherapySurgerySurvival

Identifiers

PMID31639071
PMCPMC6805396

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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.