Evidence map›Paper›PMID 36248756›Full record

ArticleEuropean journal of breast health2022

Salvage Mastectomy Is not the Treatment of Choice for Aggressive Subtypes of Ipsilateral Breast Cancer Recurrence: A Single-Institution Retrospective Study.

Damiano Gentile, Andrea Sagona, Ruggero Spoto, Davide Franceschini, Stefano Vaccari, Valeriano Vinci, Ersilia Biondi, Lorenzo Scardina, Corrado Tinterri

Open access · diamondAbstract read
In one paragraph

Article in European journal of breast health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
0.9field-weighted citation impact, top 30% 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

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

  1. Pooled it
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  7. Review
  8. Could circulating tumor cells explain why breast conservation improves survival despite higher locoregional recurrence?Translational breast cancer research : a journal focusing on translational research in breast cancer · 2025
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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

9 authors at 3 institutions in 1 country.

Damiano GentileDepartment of Breast Unit, IRCCS Humanitas Research Hospital, Milan, Italy.ORCID https://orcid.org/0000-0002-8861-5223
Andrea SagonaDepartment of Breast Unit, IRCCS Humanitas Research Hospital, Milan, Italy.ORCID https://orcid.org/0000-0002-4372-9921
Ruggero SpotoDepartment of Radiotherapy and Radiosurgery, IRCCS Humanitas Research Hospital, Milan, Italy.ORCID https://orcid.org/0000-0003-4223-8925
Davide FranceschiniDepartment of Radiotherapy and Radiosurgery, IRCCS Humanitas Research Hospital, Milan, Italy.ORCID https://orcid.org/0000-0003-1142-2439
Stefano VaccariPlastic Surgery Unit, Department of Medical Biotechnology and Translational Medicine BIOMETRA, IRCCS Humanitas Research Hospital, Milan, Italy.
Valeriano VinciDepartment of Biomedical Sciences, Humanitas University, Milan, Italy.ORCID https://orcid.org/0000-0001-5234-6044
Ersilia BiondiDivision of Breast Surgery, Department of Woman and Child Health and Public Health, IRCCS A. Gemelli University Polyclinic Foundation, Sacred Heart Catholic University, Rome, Italy.ORCID https://orcid.org/0000-0002-4110-4506
Lorenzo ScardinaDivision of Breast Surgery, Department of Woman and Child Health and Public Health, IRCCS A. Gemelli University Polyclinic Foundation, Sacred Heart Catholic University, Rome, Italy.ORCID https://orcid.org/0000-0002-5828-2851
Corrado TinterriDepartment of Breast Unit, IRCCS Humanitas Research Hospital, Milan, Italy.ORCID https://orcid.org/0000-0002-7272-3924
IRCCS Humanitas Research Hospital · ITHumanitas University · ITUniversità Cattolica del Sacro Cuore · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: Patients with triple-negative (TN) or human epidermal growth factor 2 (HER2)-enriched ipsilateral breast cancer recurrence (IBCR) seem to be excluded from a second breast-conserving surgery (BCS) under the assumption that salvage mastectomy would provide better oncological outcomes. The objective of this study was to describe the clinical features of these patients, to compare the two surgical alternatives (salvage mastectomy Materials and Methods: We retrospectively reviewed all the consecutive patients with histologically confirmed TN or HER2-enriched IBCR. Disease-free survival (DFS), distant disease-free survival (DDFS), overall survival (OS), and breast cancer-specific survival (BCSS) were analyzed and compared between the two groups. Results: Eighty-five patients were affected by TN or HER2-enriched IBCR. The majority of patients (72.9%) were treated with salvage mastectomy. There was no significant difference in terms of DFS between patients receiving a second BCS or mastectomy ( Conclusion: Salvage mastectomy is not always necessary and it does not seem to increase survival compared to a second BCS. In patients with small aggressive subtypes of IBCR, a second conservative approach can still be evaluated and offered, presenting acceptable loco-regional control and survival.

Indexed as

Breast cancerbreast-conserving surgeryHER2recurrencetriple-negative breast cancer

Identifiers

PMID36248756
PMCPMC9521294
OpenAlexW4297534067

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.