Evidence map›Paper›PMID 35286542›Full record

ReviewCancer metastasis reviews2022

Heterogeneity and tumor evolution reflected in liquid biopsy in metastatic breast cancer patients: a review.

Stephanie Kavan, Torben A Kruse, Marianne Vogsen, Malene G Hildebrandt, Mads Thomassen

Abstract readReview
PubMed Publisher
In one paragraph

Review in Cancer metastasis reviews, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
2.0field-weighted citation impact, top 12% 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

18 citing papers in PubMed, 22 citations in OpenAlex.

  1. Heterogeneous treatment response in metastatic breast cancer: discordance between FDG-PET and CT classification.Cancer imaging : the official publication of the International Cancer Imaging Society · 2026
    Article
  2. Review
  3. Review
  4. A Darwinian Perspective on Tumor Evolution.International journal of biological sciences · 2026
    Review
  5. Article
  6. Review
  7. Article
  8. Review
  9. Circulating methylatedOncology letters · 2024
    Article
  10. Article
  11. Review
  12. Review
  13. Article
  14. Article
  15. Review
  16. Review
  17. Article
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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

5 authors at 1 institution in 1 country.

Stephanie KavanDepartment of Clinical Genetics, Odense University Hospital, Odense, Denmark. stephanie.kavan@rsyd.dk.ORCID 0000-0001-5272-2118
Torben A KruseDepartment of Clinical Genetics, Odense University Hospital, Odense, Denmark.
Marianne VogsenDepartment of Clinical Research, University of Southern Denmark, Odense, Denmark.
Malene G HildebrandtDepartment of Clinical Research, University of Southern Denmark, Odense, Denmark.
Mads ThomassenDepartment of Clinical Genetics, Odense University Hospital, Odense, Denmark.
University of Southern Denmark · DK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Breast cancer is a spatially and temporally dynamic disease in which differently evolving genetic clones are responsible for progression and clinical outcome. We review tumor heterogeneity and clonal evolution from studies comparing primary tumors and metastasis and discuss plasma circulating tumor DNA as a powerful real-time approach for monitoring the clonal landscape of breast cancer during treatment and recurrence. We found only a few early studies exploring clonal evolution and heterogeneity through analysis of multiregional tissue biopsies of different progression steps in comparison with circulating tumor DNA (ctDNA) from blood plasma. The model of linear progression seemed to be more often reported than the model of parallel progression. The results show complex routes to metastasis, however, and plasma most often reflected metastasis more than primary tumor. The described patterns of evolution and the polyclonal nature of breast cancer have clinical consequences and should be considered during patient diagnosis and treatment selection. Current studies focusing on the relevance of clonal evolution in the clinical setting illustrate the role of liquid biopsy as a noninvasive biomarker for monitoring clonal progression and response to treatment. In the clinical setting, circulating tumor DNA may be an ideal support for tumor biopsies to characterize the genetic landscape of the metastatic disease and to improve longitudinal monitoring of disease dynamics and treatment effectiveness through detection of residual tumor after resection, relapse, or metastasis within a particular patient.

Indexed as

Breast NeoplasmsCirculating Tumor DNANeoplastic Cells, CirculatingBiomarkers, TumorDNA, NeoplasmFemaleHumansLiquid BiopsyBiomarkers, TumorCirculating Tumor DNADNA, NeoplasmBreast cancerClonal evolutionctDNALiquid biopsyTumor heterogeneity

Identifiers

PMID35286542
OpenAlexW4220653857

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.