Evidence map›Paper›PMID 36802316›Full record

ReviewBreast cancer research and treatment2023

Concordance of immunohistochemistry for predictive and prognostic factors in breast cancer between biopsy and surgical excision: a single-centre experience and review of the literature.

Chiara Rossi, Sara Fraticelli, Marianna Fanizza, Alberta Ferrari, Elisa Ferraris, Alessia Messina, Angelica Della Valle, Chiara Annunziata Pasqualina Anghelone, Angioletta Lasagna, Gianpiero Rizzo and 9 more

Open access · hybridFull text readReview
In one paragraph

Review in Breast cancer research and treatment, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
5.1field-weighted citation impact, top 4% 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

17 citing papers in PubMed, 22 citations in OpenAlex.

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  12. Breast cancer (Dove Medical Press) · 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

19 authors at 3 institutions in 2 countries.

Chiara RossiDepartment of Molecular Medicine, Unit of Anatomic Pathology, University of Pavia, IRCCS San Matteo Hospital Foundation, Pavia, Italy. chiara.rossi05@universitadipavia.it.ORCID http://orcid.org/0000-0002-9253-1671
Sara FraticelliDepartment of Molecular Medicine, Unit of Anatomic Pathology, University of Pavia, IRCCS San Matteo Hospital Foundation, Pavia, Italy.
Marianna FanizzaUnit of Breast Radiology, IRCCS San Matteo Hospital Foundation, Pavia, Italy.
Alberta FerrariDepartment of Surgical Sciences, General Surgery 3-Breast Surgery, IRCCS San Matteo Hospital Foundation, Pavia, Italy.
Elisa FerrarisUnit of Medical Oncology, IRCCS San Matteo Hospital Foundation, Pavia, Italy.
Alessia MessinaDepartment of Molecular Medicine, Unit of Anatomic Pathology, University of Pavia, IRCCS San Matteo Hospital Foundation, Pavia, Italy.
Angelica Della ValleDepartment of Surgical Sciences, General Surgery 3-Breast Surgery, IRCCS San Matteo Hospital Foundation, Pavia, Italy.
Chiara Annunziata Pasqualina AngheloneDepartment of Surgical Sciences, General Surgery 3-Breast Surgery, IRCCS San Matteo Hospital Foundation, Pavia, Italy.
Angioletta LasagnaUnit of Medical Oncology, IRCCS San Matteo Hospital Foundation, Pavia, Italy.
Gianpiero RizzoUnit of Medical Oncology, IRCCS San Matteo Hospital Foundation, Pavia, Italy.
Lorenzo PerroneUnit of Medical Oncology, IRCCS San Matteo Hospital Foundation, Pavia, Italy.
Maria Grazia SommarugaUnit of Breast Radiology, IRCCS San Matteo Hospital Foundation, Pavia, Italy.
Giulia MeloniUnit of Breast Radiology, IRCCS San Matteo Hospital Foundation, Pavia, Italy.
Silvia DallavalleUnit of Breast Radiology, IRCCS San Matteo Hospital Foundation, Pavia, Italy.
Elisabetta BonzanoSchool in Experimental Medicine, Unit of Radiational Oncology, University of Pavia, IRCCS San Matteo Hospital Foundation, Pavia, Italy.
Marco PaulliDepartment of Molecular Medicine, Unit of Anatomic Pathology, University of Pavia, IRCCS San Matteo Hospital Foundation, Pavia, Italy.
Giuseppe Di GiulioUnit of Breast Radiology, IRCCS San Matteo Hospital Foundation, Pavia, Italy.
Adele SgarellaDepartment of Surgical Sciences, General Surgery 3-Breast Surgery, IRCCS San Matteo Hospital Foundation, Pavia, Italy.
Marco LucioniDepartment of Molecular Medicine, Unit of Anatomic Pathology, University of Pavia, IRCCS San Matteo Hospital Foundation, Pavia, Italy.
University of Pavia · ITIstituti di Ricovero e Cura a Carattere Scientifico · ITUniversity Hospital Foundation · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeAccurate evaluation of breast cancer on bioptic samples is of fundamental importance to guide therapeutic decisions, especially in the neoadjuvant or metastatic setting. We aimed to assess concordance for oestrogen receptor (ER), progesterone receptor (PR), c-erbB2/HER2 and Ki-67. We also reviewed the current literature to evaluate our results in the context of the data available at present.

methodsWe included patients who underwent both biopsy and surgical resection for breast cancer at San Matteo Hospital, Pavia, Italy, between January 2014 and December 2020. ER, PR, c-erbB2, and Ki-67 immunohistochemistry concordance between biopsy and surgical specimen was evaluated. ER was further analysed to include the recently defined ER-low-positive in our analysis.

resultsWe evaluated 923 patients. Concordance between biopsy and surgical specimen for ER, ER-low-positive, PR, c-erbB2 and Ki-67 was, respectively, 97.83, 47.8, 94.26, 68 and 86.13%. Cohen's κ for interobserver agreement was very good for ER and good for PR, c-erbB2 and Ki-67. Concordance was especially low (37%) in the c-erbB2 1 + category.

conclusionOestrogen and progesterone receptor status can be safely assessed on preoperative samples. The results of this study advise caution in interpreting biopsy results regarding ER-low-positive, c-erbB2/HER and Ki-67 results due to a still suboptimal concordance. The low concordance for c-erbB2 1 + cases underlines the importance of further training in this area, in the light of the future therapeutic perspectives.

Indexed as

Breast NeoplasmsBiomarkers, TumorBiopsyErb-b2 Receptor Tyrosine KinasesFemaleHumansImmunohistochemistryKi-67 AntigenPrognosisReceptors, EstrogenReceptors, ProgesteroneBiomarkers, TumorErb-b2 Receptor Tyrosine KinasesKi-67 AntigenReceptors, EstrogenReceptors, ProgesteroneBiomarkersBreast cancerEr-low-positiveher2-lowImmunohistochemistryPreoperative diagnosis

Identifiers

PMID36802316
PMCPMC10036406
OpenAlexW4321436546

What OpenQuestion holds

Textfull text, public
LicenceCC BY
measurements read66
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.