Evidence map›Paper›PMID 33369456›Full record

ArticleAsian Pacific journal of cancer prevention : APJCP2020

Different Breast Cancer Subtypes Show Different Metastatic Patterns: A Study from A Large Public Database.

Yi Guo, Cletus A Arciero, Renjian Jiang, Madhusmita Behera, Limin Peng, Xiaoxian Li

Abstract read
In one paragraph

Article in Asian Pacific journal of cancer prevention : APJCP, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers.

0numbers the graph read from it
0cells of the map it votes in
39citing 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

39 citing papers in PubMed.

  1. Trial
  2. Case - Caval thrombectomy for metastatic breast cancer.Canadian Urological Association journal = Journal de l'Association des urologues du Canada · 2026
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  5. Review
  6. Article
  7. Article
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  10. Article
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  12. Premetastatic niche mechanics and organotropism in breast cancer.npj biological physics and mechanics · 2025
    Review
  13. Article
  14. Review
  15. Article
  16. Impact of Nanomedicine in Women's Metastatic Breast Cancer.Small (Weinheim an der Bergstrasse, Germany) · 2024
    Review
  17. Review
  18. Article
  19. Article
  20. 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.

Yi GuoDepartment of Biostatistics and Bioinformatics, Emory University, Atlanta, GA, USA.
Cletus A ArcieroDepartment of Surgery, Emory University, Atlanta, GA, USA.
Renjian JiangWinship Cancer Institute, Emory University, Atlanta, GA, USA.
Madhusmita BeheraWinship Cancer Institute, Emory University, Atlanta, GA, USA.
Limin PengDepartment of Biostatistics and Bioinformatics, Emory University, Atlanta, GA, USA.
Xiaoxian LiDepartment of Pathology and Laboratory Medicine, Emory University, Atlanta, GA, USA.

Funding

Winship Cancer Institute Cancer Center Support GrantP30CA138292 · NCI · EMORY UNIVERSITY · PI MADHAV V DHODAPKAR · 2009 to 2026
$47.5M
NCI NIH HHS P30 CA138292
6 · The paper itself

Abstract

backgroundReceptor status in breast cancer is known to be related to survival. However, the relationship between breast cancer subtype, preferential sites of metastasis, and overall survival is not clear.

methodsA total of 414,528 patients from the National Cancer Database (2010-2013) were examined. All patients received surgery and systemic treatments. Breast cancer was subtyped based on hormonal receptor (HR) and HER2 status.

resultsHR-/HER2+ breast cancer patients had the highest overall rate of metastasis while HR+/HER2- had the lowest. HR+/HER2+ cancer had the most frequent metastasis to the bone, and HR-/HER2+ to brain, liver, lung and multiple sites. Generally, patients with brain or multiple metastasis had the worst overall survival (OS) across different subtypes.  Patients with bone oligometastasis tend to have better OS than patients with metastasis to other site but significantly worse OS than patients without any metastasis.

conclusionsThis large study exhibits how breast cancer subtype plays a role in the rate and site of metastasis as well as in overall survival.  Surveillance and treatment strategies should be tailored on the risk and potential site of metastases based upon receptor subtype.

Indexed as

Bone NeoplasmsBrain NeoplasmsBreast NeoplasmsCombined Modality TherapyErb-b2 Receptor Tyrosine KinasesFemaleFollow-Up StudiesHumansLiver NeoplasmsLung NeoplasmsMiddle AgedPrognosisReceptors, EstrogenReceptors, ProgesteroneSEER ProgramErb-b2 Receptor Tyrosine KinasesReceptors, EstrogenReceptors, Progesteronebone metastasisbrain metastasisbreast cancerliver metastasislung metastasis

Identifiers

PMID33369456
PMCPMC8046324

What OpenQuestion holds

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LicenceCC BY
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.