Evidence map›Paper›PMID 39920241›Full record

ArticleScientific reports2025

Clinical characteristics, metastasis patterns, and treatment outcomes of HER2-low breast cancer.

Maria Elena Lacruz, Saskia Thies, Andrea Schmidt-Pokrzywniak, Ian Wittenberg, Tobias Engler, Fabian Reinwald, Monika Klinkhammer-Schalke, Sylke Ruth Zeissig, Bianca Franke, Kerstin Weitmann and 1 more

Abstract read
In one paragraph

Article in Scientific reports, 2025. 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.

  1. Article
  2. Article
  3. Differential expression of NEAT1 and miR-506-3p in triple-negative breast cancer: potential tissue-based diagnostic biomarkers.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2026
    Article
  4. Review
  5. Article
  6. Article
  7. Article
  8. Review
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

11 authors.

Maria Elena LacruzClinical Cancer Registry Saxony-Anhalt, 06112, Halle (Saale), Germany. e.lacruz@kkr-lsa.de.ORCID 0000-0003-2036-3039
Saskia ThiesClinical Cancer Registry Saxony-Anhalt, 06112, Halle (Saale), Germany.
Andrea Schmidt-PokrzywniakClinical Cancer Registry Saxony-Anhalt, 06112, Halle (Saale), Germany.
Ian WittenbergClinical Cancer Registry Saxony-Anhalt, 06112, Halle (Saale), Germany.
Tobias EnglerDepartment of Obstetrics and Gynecology, University Hospital Tuebingen, 72076, Tuebingen, Germany.
Fabian ReinwaldCancer Registry of Rhineland-Palatinate in the Institute for Digital Health Data, 55116, Mainz, Germany.
Monika Klinkhammer-SchalkeNetwork for Care, Quality and Research in Oncology (ADT), German Cancer Registry Group of the Society of German Tumour Centers, 14057, Berlin, Germany.
Sylke Ruth ZeissigNetwork for Care, Quality and Research in Oncology (ADT), German Cancer Registry Group of the Society of German Tumour Centers, 14057, Berlin, Germany.
Bianca FrankeNetwork for Care, Quality and Research in Oncology (ADT), German Cancer Registry Group of the Society of German Tumour Centers, 14057, Berlin, Germany.
Kerstin WeitmannCancer Registry Mecklenburg-Western Pomerania, 17475, Greifswald, Germany.
Atanas IgnatovDepartment of Gynecology and Obstetrics, Otto-von-Guericke University, 39108, Magdeburg, Germany. atanas.ignatov@med.ovgu.de.ORCID 0000-0002-9006-4029

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Breast cancer (BC) is a heterogeneous disease, traditionally classified by hormone receptor and HER2 (human epidermal growth factor receptor 2) status. HER2-low, characterized by low HER2 expression without gene amplification, recently gained attention. While new therapies are promising, its clinical significance remains unclear. We analysed 241,510 BC patients diagnosed between 2000 and 2020 in Germany using data from the German Cancer Registry Group. HER2 status was determined using immunohistochemistry and fluorescence in situ hybridization results, and patients were classified as HER2-positive, HER2-low or HER2-zero. Clinical features, chemosensitivity and long-term outcomes - metastasis-free survival (MFS), recurrence-free survival (RFS), and overall survival (OS) - were analysed using Cox models. HER2-low comprised 42% of female and 47% of male patients, predominantly hormone receptor positive. Metastatic patterns in HER2-low and HER2-zero were similar but differed from HER2-positive, which showed more liver metastasis and multiple metastatic sites. HER2-positive showed worse MFS, RFS, and OS than HER2-zero and HER2-low subtypes. Pathological complete response (pCR) rates after neoadjuvant chemotherapy were highest in HER2-positive. HER2-low has higher hormone receptor positivity, distinguishing it from HER2-zero. While metastatic behaviour, treatment and long-term response in HER2-low were comparable to HER2-zero, the hormone receptor status seems to play a critical role in these outcomes.

Indexed as

Breast NeoplasmsErb-b2 Receptor Tyrosine KinasesAdultAgedBiomarkers, TumorFemaleGermanyHumansMaleMiddle AgedNeoplasm MetastasisPrognosisTreatment OutcomeBiomarkers, TumorERBB2 protein, humanErb-b2 Receptor Tyrosine KinasesBreast cancerHER2 (human epidermal growth factor receptor 2) statusMetastasisMetastasis-free survival (MFS)Overall survival (OS)Recurrence-free survival (RFS)

Identifiers

PMID39920241
PMCPMC11805968

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Registered trials

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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.