Evidence map›Paper›PMID 38431780›Full record

ArticleThe oncologist2024

Treatment and Prognosis of Male Breast Cancer: A Multicentric, Retrospective Study Over 11 Years in the Czech Republic.

Zuzana Bielcikova, Milos Holanek, Iveta Selingerova, Ondrej Sorejs, Iveta Kolarova, Renata Soumarova, Jan Proks, Lucie Reifova, Vlastimila Cmejlova, Lenka Linkova and 7 more

Abstract readMulticenter Study
In one paragraph

Article in The oncologist, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing 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

8 citing papers in PubMed.

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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

17 authors.

Zuzana BielcikovaDepartment of Oncology, First Faculty of Medicine, Charles University, and General University Hospital, Prague, Czech Republic.ORCID 0000-0001-8434-9848
Milos HolanekDepartment of Comprehensive Cancer Care, Masaryk Memorial Cancer Institute, Brno, Czech Republic.
Iveta SelingerovaResearch Centre for Applied Molecular Oncology, Masaryk Memorial Cancer Institute, Brno, Czech Republic.
Ondrej SorejsDepartment of Oncology and Radiotherapeutics, Faculty of Medicine and University Hospital in Pilsen, Charles University, Pilsen, Czech Republic.
Iveta KolarovaDepartment of Oncology and Radiotherapy, Faculty of Medicine in Hradec Kralove and University Hospital in Hradec Kralove, Charles University, Hradec Kralove, Czech Republic.
Renata SoumarovaDepartment of Radiotherapy and Oncology, Third Faculty of Medicine, Charles University and Faculty Hospital Kralovske Vinohrady, Prague, Czech Republic.
Jan ProksClinic of Oncology, First Faculty of Medicine, Charles University and Thomayer University Hospital, Prague, Czech Republic.
Lucie ReifovaInstitute of Radiation Oncology, Faculty Hospital Bulovka, Prague, Czech Republic.
Vlastimila CmejlovaDepartment of Oncology, Second Medical Faculty, Charles University and University Hospital Motol, Prague, Czech Republic.
Lenka LinkovaComprehensive Oncology Center, The Liberec Regional Hospital, Liberec, Czech Republic.
Michaela ZabojnikovaOncology Department, T.Baťa Regional Hospital Zlín, Zlin, Czech Republic.
Martina ChodackaDepartment of Oncology, Hospital of Chomutov, Chomutov, Czech Republic.
Lucie JanovskaDepartment of Oncology, First Faculty of Medicine of Charles University, General University Hospital in Prague and Military University Hospital Prague, Prague, Czech Republic.
Lenka LisnerovaDepartment of Clinical Oncology, Na Homolce Hospital, Prague, Czech Republic.
Karolina KasparovaDepartment of Oncology, AntiCa, Kladno, Czech Republic.
Denisa PohankovaDepartment of Oncology and Radiotherapy, Faculty of Medicine in Hradec Kralove and University Hospital in Hradec Kralove, Charles University, Hradec Kralove, Czech Republic.
Lubos PetruzelkaDepartment of Oncology, First Faculty of Medicine, Charles University, and General University Hospital, Prague, Czech Republic.

Funding

Ministry of Health of the Czech Republic 00064165Ministry of Health of the Czech Republic-conceptual development of research organization 00064165
6 · The paper itself

Abstract

purposeMale breast cancer (MBC) is a rare, but increasingly common disease, and lacks prospective studies. Collaborative efforts are needed to understand and address MBC, including its prognosis, in different countries.

methodsWe retrospectively reviewed the clinical, histopathological, and molecular-genetic characteristics, treatments, and survival outcomes of MBC diagnosed between 2007 and 2017 in the Czech Republic. Prognostic factors of overall survival (OS), recurrence-free interval (RFi), and breast cancer-specific mortality (BCSM) were analyzed and indirectly compared to international data.

resultsWe analyzed 256 patients with MBC (median age 66 years), including 12% with de novo metastatic (M1). Of 201 non-metastatic (M0) patients, 6% were <40 years old, 29% had stage I, 55% were cN0, and 54% underwent genetic testing. Overall, 97% of tumors had estrogen receptor expression ≥10%, 61% had high Ki67 index, 40% were high-grade (G3), and 68% were luminal B-like (HER2-negative). Systemic therapies included endocrine therapy (90%) and chemotherapy (53%). Few (5%) patients discontinued adjuvant endocrine therapy for reasons other than disease relapse or death. Patients treated with aromatase inhibitors alone had significantly shorter RFi (P < .001). OS, RFi, and BCSM were associated with disease stage, T stage, N stage, progesterone receptor expression, grade, and Ki67 index. Median OS reached 122 and 42 months in M0 and de novo M1 patients, respectively.

conclusionDue to the rarity of MBC, this study highlights important findings from real clinical practice. Although the number of patients with MBC with unfavorable features was higher in this Czech dataset than in international studies, the prognosis remains consistent with real-world evidence.

Indexed as

Breast Neoplasms, MaleAdultAgedAged, 80 and overCzech RepublicHumansMaleMiddle AgedPrognosisRetrospective Studiesepidemiologygenetic testingmale breast cancerprognosisretrospective study

Identifiers

PMID38431780
PMCPMC11144991

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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.