Evidence map›Paper›PMID 32322022›Full record

ArticleModern pathology : an official journal of the United States and Canadian Academy of Pathology, Inc2020

Morphologic and genetic heterogeneity in breast fibroepithelial lesions-a comprehensive mapping study.

Benjamin Yongcheng Tan, Nur Diyana Md Nasir, Huan Ying Chang, Cedric Chuan Young Ng, Peiyong Guan, Sanjanaa Nagarajan, Vikneswari Rajasegaran, Jing Yi Lee, Jing Quan Lim, Aye Aye Thike and 2 more

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In one paragraph

Article in Modern pathology : an official journal of the United States and Canadian Academy of Pathology, Inc, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
2.2field-weighted citation impact, top 12% 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

10 citing papers in PubMed, 23 citations in OpenAlex.

  1. Review
  2. Article
  3. Review
  4. Prognostic factors of breast phyllodes tumors.Histology and histopathology · 2023
    Review
  5. Review
  6. Article
  7. Artificial intelligence modelling in differentiating core biopsies of fibroadenoma from phyllodes tumor.Laboratory investigation; a journal of technical methods and pathology · 2022
    Article
  8. Genetic differences between benign phyllodes tumors and fibroadenomas revealed through targeted next generation sequencing.Modern pathology : an official journal of the United States and Canadian Academy of Pathology, Inc · 2021
    Article
  9. Fibroepithelial lesions revisited: implications for diagnosis and management.Modern pathology : an official journal of the United States and Canadian Academy of Pathology, Inc · 2021
    Review
  10. Article
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

12 authors at 4 institutions in 1 country.

Benjamin Yongcheng Tan *Department of Anatomical Pathology, Singapore General Hospital, Singapore, Singapore.
Nur Diyana Md Nasir *Department of Anatomical Pathology, Singapore General Hospital, Singapore, Singapore.ORCID http://orcid.org/0000-0003-4236-792X
Huan Ying ChangDuke-NUS Medical School, Singapore, Singapore.
Cedric Chuan Young NgLaboratory of Cancer Epigenome, National Cancer Centre Singapore, Singapore, Singapore.
Peiyong GuanLaboratory of Cancer Epigenome, National Cancer Centre Singapore, Singapore, Singapore.ORCID http://orcid.org/0000-0001-9958-0137
Sanjanaa NagarajanLaboratory of Cancer Epigenome, National Cancer Centre Singapore, Singapore, Singapore.
Vikneswari RajasegaranLaboratory of Cancer Epigenome, National Cancer Centre Singapore, Singapore, Singapore.
Jing Yi LeeLaboratory of Cancer Epigenome, National Cancer Centre Singapore, Singapore, Singapore.
Jing Quan LimLymphoma Genomic Translational Laboratory, National Cancer Centre Singapore, Singapore, Singapore.
Aye Aye ThikeDepartment of Anatomical Pathology, Singapore General Hospital, Singapore, Singapore.
Bin Tean TehDuke-NUS Medical School, Singapore, Singapore. teh.bin.tean@singhealth.com.sg.ORCID http://orcid.org/0000-0003-1514-1124
Puay Hoon TanDepartment of Anatomical Pathology, Singapore General Hospital, Singapore, Singapore. tan.puay.hoon@singhealth.com.sg.
National Cancer Centre Singapore · SGSingapore General Hospital · SGDuke-NUS Medical School · SGSingHealth · SG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Breast fibroepithelial lesions (FELs) encompass the common fibroadenoma (FA) and relatively rare phyllodes tumour (PT); the latter entity is usually classified as benign, borderline or malignant. Intratumoural heterogeneity is frequently present in these tumours, making accurate histologic evaluation challenging. Despite their rarity, PTs are an important clinical problem due to their propensity for recurrence and, in the case of malignant PT, metastasis. Surgical excision is the mainstay of management. Recent work has uncovered myriad genetic alterations in breast FELs. In this study, exome sequencing was performed on seven cases of morphologically heterogeneous breast FELs, including FAs, PTs of all grades, and a case of metaplastic spindle cell carcinoma arising in PT, in order to elucidate their intratumoural genetic repertoire. Gene mutations identified encompassed cell signalling, tumour suppressor, DNA repair and cell cycle regulating pathways. Mutations common to multiple tumour regions generally showed higher variant allele frequency. Frequent mutations included MED12, TP53, RARA and PIK3CA. Histological observations of increased cellular density and pleomorphism correlated with mutational burden. Phylogenetic analyses revealed disparate pathways of possible tumour progression. In summary, histological heterogeneity correlated with genetic changes in breast FELs.

Indexed as

Genetic HeterogeneityMutationAdultAgedBreast NeoplasmsClass I Phosphatidylinositol 3-KinasesFemaleFibroadenomaHumansMediator ComplexMiddle AgedPhyllodes TumorRetinoic Acid Receptor alphaTumor Suppressor Protein p53Class I Phosphatidylinositol 3-KinasesMED12 protein, humanMediator ComplexPIK3CA protein, humanRARA protein, humanRetinoic Acid Receptor alphaTumor Suppressor Protein p53

Identifiers

PMID32322022
OpenAlexW3019634891

What OpenQuestion holds

Textmetadata
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.