Evidence map›Paper›PMID 33140128›Full record

ArticleVirchows Archiv : an international journal of pathology2021

Breast ductal Carcinoma in situ associated with microinvasion induces immunological response and predicts ipsilateral invasive recurrence.

Xiao-Yang Chen, Aye Aye Thike, Valerie Cui Yun Koh, Nur Diyana Md Nasir, Boon Huat Bay, Puay Hoon Tan

Abstract read
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In one paragraph

Article in Virchows Archiv : an international journal of pathology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.9field-weighted citation impact, top 22% 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

4 citing papers in PubMed, 11 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Review
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

6 authors at 3 institutions in 1 country.

Xiao-Yang ChenDepartment of Anatomical Pathology, Singapore General Hospital, Singapore, Singapore.ORCID http://orcid.org/0000-0001-5897-413X
Aye Aye ThikeDepartment of Anatomical Pathology, Singapore General Hospital, Singapore, Singapore.
Valerie Cui Yun KohDepartment of Anatomical Pathology, Singapore General Hospital, Singapore, Singapore.
Nur Diyana Md NasirDepartment of Anatomical Pathology, Singapore General Hospital, Singapore, Singapore.
Boon Huat BayDepartment of Anatomy, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore.
Puay Hoon TanDepartment of Anatomical Pathology, Singapore General Hospital, Singapore, Singapore. tan.puay.hoon@singhealth.com.sg.
Singapore General Hospital · SGNational University of Singapore · SGSingHealth · SG

Funding

SingHealth Foundation SHF/FG668S/2015
6 · The paper itself

Abstract

Although microinvasion (Mi) is often thought to be an interim stage between ductal carcinoma in situ (DCIS) and established invasive ductal carcinoma, survival outcomes and biological behaviour of DCIS-Mi are still poorly understood. This study investigated the potential influence of Mi on disease-free survival (DFS) and assessed its correlations with clinicopathological parameters, prognosis, molecular, and immune markers. CD4, CD8, forkhead box P3 (FOXP3), CD68, CD163, programmed cell death protein 1 (PD-1), and its ligand (PD-L1) expression in pure DCIS and DCIS-Mi, from a cohort of 198 patients, were determined by immunohistochemistry. DFS, clinicopathological parameters, immune markers, and biomarker expression were correlated with presence of Mi. Twelve out of 198 DCIS cases were associated with Mi. DCIS-Mi was significantly linked with ipsilateral invasive recurrence (p = 0.032). Kaplan-Meier analysis revealed that DCIS-Mi had worse DFS for ipsilateral invasive recurrence (p = 0.011) and this was affirmed by multivariate Cox regression analysis (95% CI 1.181-9.010, HR = 3.262, p = 0.023). DCIS-Mi was associated with higher densities of immune infiltrates positive for CD4 (p = 0.037), FOXP3 (p = 0.037), CD163 (p = 0.01), and PD-L1 (p = 0.015). This study demonstrated that DCIS-Mi was correlated with high densities of immune infiltrates and predicted ipsilateral invasive recurrence.

Indexed as

AdultAgedAged, 80 and overBiomarkers, TumorBreast NeoplasmsCarcinoma, Intraductal, NoninfiltratingDisease-Free SurvivalFemaleFollow-Up StudiesHumansImmunohistochemistryKaplan-Meier EstimateMiddle AgedNeoplasm InvasivenessNeoplasm Recurrence, LocalPrognosisBiomarkers, TumorDCISImmuneIpsilateral invasive recurrenceMicroinvasionProgression

Identifiers

PMID33140128
OpenAlexW3096338431

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.