Evidence map›Paper›PMID 33173479›Full record

ArticleCase reports in oncology

Metastases from Occult Breast Cancer: A Case Report of Carcinoma of Unknown Primary Syndrome.

Erika Barbieri, Chiara Annunziata Pasqualina Anghelone, Damiano Gentile, Carlotta La Raja, Alberto Bottini, Corrado Tinterri

Open access · goldAbstract readCase Reports
In one paragraph

Article in Case reports in oncology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
1.9field-weighted citation impact, top 11% 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

16 citing papers in PubMed, 33 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Occult breast cancer in an older woman: A case report.Experimental and therapeutic medicine · 2025
    Article
  5. Article
  6. Article
  7. Article
  8. Review
  9. Review
  10. Occult primary breast cancer: Two cases report and literature review.International journal of surgery case reports · 2023
    Article
  11. Occult breast cancer with pleural metastasis.Radiology case reports · 2023
    Article
  12. Article
  13. Article
  14. Review
  15. Article
  16. 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

6 authors at 1 institution in 1 country.

Erika BarbieriBreast Unit, Humanitas Clinical and Research Center - IRCCS, Milan, Italy.
Chiara Annunziata Pasqualina AngheloneBreast Unit, Humanitas Clinical and Research Center - IRCCS, Milan, Italy.
Damiano GentileBreast Unit, Humanitas Clinical and Research Center - IRCCS, Milan, Italy.
Carlotta La RajaBreast Unit, Humanitas Clinical and Research Center - IRCCS, Milan, Italy.
Alberto BottiniBreast Unit, Humanitas Clinical and Research Center - IRCCS, Milan, Italy.
Corrado TinterriBreast Unit, Humanitas Clinical and Research Center - IRCCS, Milan, Italy.
Humanitas University · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Carcinoma of unknown primary (CUP) syndrome occurs when metastases from an unknown primary site spread to multiple organs. Occult breast cancer (OBC) is defined as a clinically recognizable metastatic carcinoma from an undetectable primary breast tumor. It accounts for 0.3-1% of all breast cancers, often presenting with lymph node, bone, and skin metastases. Clinical and radiological examinations represent the first steps in the diagnostic algorithm for CUP syndrome from OBC. However, histological and immunohistochemical analyses, multidisciplinary team evaluation, and a multidisciplinary therapy are essential in the diagnosis and treatment of CUP syndrome from OBC. We report the case of a 52-year-old woman who underwent the removal of a parietal skin lesion. The histological and immunohistochemical analyses suggested a breast cancer origin. Clinical assessment and laboratory and radiological examinations did not locate the primary tumor. Hormone therapy was offered to the patient; however, she refused it. After 28 months, the patient reported a right cervical lump, and a total-body positron emission tomography showed dissemination of the disease to the lymph nodes and bone. A CUP syndrome from OBC was diagnosed. A multimodality approach with radiotherapy and hormone and biological therapy was started. At present, 5 years from the first presentation, the patient is asymptomatic despite the disseminated disease.

Indexed as

Carcinoma of unknown primaryMetastatic breast cancerOccult breast cancer

Identifiers

PMID33173479
PMCPMC7590765
OpenAlexW3090380042

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.