Evidence map›Paper›PMID 33670512›Full record

ArticleJournal of clinical medicine2021

Prognostic Role of Tumor Budding in Breast Cancer Patients Receiving Neo-Adjuvant Therapy.

Paul Mozarowski, Bhubendra Rasaiah, Melissa Reed, Alexis Lewis, Natalie Walde, Ioannis A Voutsadakis

Open access · goldAbstract read
In one paragraph

Article in Journal of clinical medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
0.8field-weighted citation impact, top 25% 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

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 13 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Tumor budding in gastric cancer.World journal of gastrointestinal surgery · 2023
    Review
  8. Article
  9. The Relationship Between Tumor Budding and Patient's Survival in Breast Cancer.Clinical pathology (Thousand Oaks, Ventura County, Calif.)
    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 2 institutions in 1 country.

Paul MozarowskiDepartment of Pathology, Sault Area Hospital, Sault Ste. Marie, ON P6B 0A8, Canada.
Bhubendra RasaiahDepartment of Pathology, Sault Area Hospital, Sault Ste. Marie, ON P6B 0A8, Canada.
Melissa ReedClinical Trials Unit, Sault Area Hospital, Sault Ste. Marie, ON P6B 0A8, Canada.
Alexis LewisClinical Trials Unit, Sault Area Hospital, Sault Ste. Marie, ON P6B 0A8, Canada.
Natalie WaldeClinical Trials Unit, Sault Area Hospital, Sault Ste. Marie, ON P6B 0A8, Canada.
Ioannis A VoutsadakisAlgoma District Cancer Program, Sault Area Hospital, Sault Ste. Marie, ON P6B 0A8, Canada.ORCID 0000-0002-9301-5951
Sault Area Hospital · CAUniversity of Ottawa · CA

Funding

Sault ste marie academic medical association 2019-07-01
6 · The paper itself

Abstract

backgroundIsolated tumor cells or small clusters of tumor cells observed in the vicinity of the main tumor mass in pathology sections, termed tumor budding, are common in cancers and have been associated with prognosis in some settings. This study examined the clinical associations and treatment efficacy implications of tumor budding in breast cancer patients receiving neo-adjuvant therapy.

methodsBreast cancer patients that received neo-adjuvant therapy before definitive surgical treatment in a single cancer center over a 7-year period were included, and their records were reviewed. Data extracted included patient demographics, tumor characteristics and pathologic response to treatment at surgery. The initial breast cancer biopsy before any therapy was reviewed by two pathologists, and a hot spot area was evaluated for tumor budding (defined as 1 to 5 cancer cells observed detached from the main tumor mass).

resultsSeventy-five patients who received neo-adjuvant therapy (73 received chemotherapy and 2 received hormonal therapy) were included. Tumor budding was observed in two-thirds of the patients. There were no significant differences in patient (age and menopause status) and tumor (stage, histology and molecular sub-type equivalent) characteristics between the group that had tumor budding and the group that did not have tumor budding in the pre-treatment biopsy. Likewise, no statistically significant differences were observed in the frequency of complete or partial responses between the two groups.

conclusionIn this cohort of breast cancer patients receiving neo-adjuvant therapy, tumor budding was frequent, but it was not associated with tumor characteristics or pathologic responses to treatment. The value of tumor budding as a prognostic factor in the neo-adjuvant setting within the general breast cancer population could not be confirmed, but such a value in specific sub-groups deserves further investigation, given the pathophysiologic rationale and data from other settings.

Indexed as

breast cancermarkerneo-adjuvant treatmentprognosistumor budding

Identifiers

PMID33670512
PMCPMC7922902
OpenAlexW3130905051

What OpenQuestion holds

Textmetadata
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.