Evidence map›Paper›PMID 32795829›Full record

ArticleBreast (Edinburgh, Scotland)2020

Prognosis of selected triple negative apocrine breast cancer patients who did not receive adjuvant chemotherapy.

Emilia Montagna, Giuseppe Cancello, Eleonora Pagan, Vincenzo Bagnardi, Elisabetta Munzone, Silvia Dellapasqua, Giuseppe Viale, Giovanni Mazzarol, Paolo Veronesi, Viviana Galimberti and 2 more

Open access · goldAbstract read
In one paragraph

Article in Breast (Edinburgh, Scotland), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
0.8field-weighted citation impact, top 34% 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

8 citing papers in PubMed, 15 citations in OpenAlex.

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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

12 authors at 3 institutions in 1 country.

Emilia MontagnaDivision of Medical Senology, IEO, European Institute of Oncology IRCCS, Milan, Italy. Electronic address: emilia.montagna@ieo.it.
Giuseppe CancelloDivision of Medical Senology, IEO, European Institute of Oncology IRCCS, Milan, Italy.
Eleonora PaganDepartment of Statistics and Quantitative Methods, University of Milan-Bicocca, Milan, Italy.
Vincenzo BagnardiDepartment of Statistics and Quantitative Methods, University of Milan-Bicocca, Milan, Italy.
Elisabetta MunzoneDivision of Medical Senology, IEO, European Institute of Oncology IRCCS, Milan, Italy.
Silvia DellapasquaDivision of Medical Senology, IEO, European Institute of Oncology IRCCS, Milan, Italy.
Giuseppe VialeDepartment of Pathology, IEO, European Institute of Oncology IRCCS, Milan, Italy.
Giovanni MazzarolDepartment of Pathology, IEO, European Institute of Oncology IRCCS, Milan, Italy.
Paolo VeronesiDivision of Senology, IEO, European Institute of Oncology IRCCS, Milan, Italy.
Viviana GalimbertiDivision of Senology, IEO, European Institute of Oncology IRCCS, Milan, Italy.
Giorgia SantomauroDivision of Medical Senology, IEO, European Institute of Oncology IRCCS, Milan, Italy.
Marco ColleoniDivision of Medical Senology, IEO, European Institute of Oncology IRCCS, Milan, Italy.
Istituti di Ricovero e Cura a Carattere Scientifico · ITEuropean Institute of Oncology · ITUniversity of Milano-Bicocca · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTriple negative breast cancer encompasses several biological entities with different outcomes and is a priority to identify which patients require more treatment to reduce the risk of recurrence and which patients need less treatment. PATIENTS AND

methodsAmong the 210 women with first primary invasive apocrine non metastatic breast cancer operated on between January 1998 and December 2016 at the European Institute Oncology, Milan, we identified 24 patients with a pT1-pT2, node-negative, triple negative subtype and Ki-67 ≤ 20% who did not receive adjuvant chemotherapy (CT). We compared the outcome of this cohort with a similar group of 24 patients with ductal tumors who received adjuvant chemotherapy, matched by pathological stage and biological features and also with a similar group of 12 patients with apocrine tumors who received adjuvant chemotherapy.

resultsThe median age was 64 and 61 years in the apocrine (w/o CT) and ductal group, respectively. The median value of Ki-67 expression was 12% in the apocrine group (w/o CT) and 16% in the ductal group (p < 0.001). After a median follow-up of 7.5 years, no patients in the apocrine group (w/o CT) experienced a breast cancer related event compared with 4 events in the ductal carcinoma group (Gray test p-value = 0.11).

conclusionsThe outcome of selected apocrine triple negative breast cancer patients who did not received adjuvant chemotherapy is excellent and supports a treatment de-escalation. Multicenter projects focusing on the possibility of avoiding adjuvant chemotherapy in selected subtypes of triple negative breast cancers with favorable outcome are warranted.

Indexed as

Apocrine GlandsBiomarkers, TumorBreast NeoplasmsCarcinoma, Ductal, BreastChemotherapy, AdjuvantDisease-Free SurvivalFemaleHumansKi-67 AntigenMastectomyMiddle AgedNeoplasm Recurrence, LocalPrognosisTriple Negative Breast NeoplasmsBiomarkers, TumorKi-67 AntigenAdjuvant chemotherapyApocrine carcinomaSpecial type

Identifiers

PMID32795829
PMCPMC7424227
OpenAlexW3043944044

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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.