Evidence map›Paper›PMID 39948079›Full record

ArticleNPJ breast cancer2025

A pooled analysis evaluating prognostic significance of Residual Cancer Burden in invasive lobular breast cancer.

Rita A Mukhtar, Soumya Gottipati, Christina Yau, Sara López-Tarruella, Helena Earl, Larry Hayward, Louise Hiller, Marie Osdoit, Marieke van der Noordaa, Diane de Croze and 36 more

Abstract read
In one paragraph

Article in NPJ breast cancer, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Trial
  2. Review
  3. Article
  4. Pitfalls in the Histological Diagnosis of Morphologic Variants of Invasive Lobular Carcinoma of the Breast.Modern pathology : an official journal of the United States and Canadian Academy of Pathology, Inc · 2025
    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

46 authors.

Rita A MukhtarUniversity of California San Francisco, San Francisco, USA. Rita.Mukhtar@ucsf.edu.ORCID http://orcid.org/0000-0001-8079-7846
Soumya GottipatiUniversity of California San Francisco, San Francisco, USA.
Christina YauUniversity of California San Francisco, San Francisco, USA.ORCID http://orcid.org/0000-0002-1937-0859
Sara López-TarruellaInstituto de Investigación Sanitaria Gregorio Marañón Madrid, Madrid, Spain.ORCID http://orcid.org/0000-0002-2606-9538
Helena EarlUniversity of Cambridge, Cambridge, UK.
Larry HaywardWestern General Hospital, Edinburgh, UK.
Louise HillerUniversity of Warwick, Coventry, UK.
Marie OsdoitInstitut Curie, Paris, France.ORCID http://orcid.org/0000-0003-1123-3400
Marieke van der NoordaaUniversité de Rouen, Rouen, France.
Diane de CrozeInstitut Curie, Paris, France.
Anne-Sophie HamyInstitut Curie, Paris, France.ORCID http://orcid.org/0000-0003-4430-3022
Marick LaéInstitut Curie, Paris, France.
Fabien ReyalInstitut Curie, Paris, France.ORCID http://orcid.org/0000-0002-2318-3589
Gabe S SonkeNetherlands Cancer Institute, Amsterdam, The Netherlands.
Tessa G SteenbruggenNetherlands Cancer Institute, Amsterdam, The Netherlands.
Maartje van SeijenNetherlands Cancer Institute, Amsterdam, The Netherlands.ORCID http://orcid.org/0000-0002-9348-239X
Jelle WesselingNetherlands Cancer Institute, Amsterdam, The Netherlands.ORCID http://orcid.org/0000-0002-8940-2676
Miguel MartínInstituto de Investigación Sanitaria Gregorio Marañón Madrid, Madrid, Spain.ORCID http://orcid.org/0000-0001-9237-3231
Maria Del Monte-MillánInstituto de Investigación Sanitaria Gregorio Marañón Madrid, Madrid, Spain.ORCID http://orcid.org/0000-0002-4499-5906
Judy C BougheyMayo Clinic, Rochester, USA.ORCID http://orcid.org/0000-0003-3820-3228
Matthew P GoetzMayo Clinic, Rochester, USA.ORCID http://orcid.org/0000-0002-4383-270X
Tanya HoskinMayo Clinic, Rochester, USA.
Vicente ValeroUniversity of Texas MD Anderson Cancer Center, Houston, USA.
Stephen B EdgeRoswell Park Cancer Institute, Buffalo, USA.
Jean E AbrahamUniversity of Cambridge, Cambridge, UK.
John M S BartlettOntario Institute for Cancer Research, Toronto, Canada.
Carlos CaldasUniversity of Cambridge, Cambridge, UK.
Janet DunnUniversity of Warwick, Coventry, UK.
Elena ProvenzanoUniversity of Cambridge, Cambridge, UK.
Stephen-John SammutUniversity of Cambridge, Cambridge, UK.
Jeremy S ThomasWestern General Hospital, Edinburgh, UK.ORCID http://orcid.org/0000-0002-4652-610X
Ashley GrahamWestern General Hospital, Edinburgh, UK.
Peter HallWestern General Hospital, Edinburgh, UK.
Lorna MackintoshWestern General Hospital, Edinburgh, UK.
Fang FanUniversity of Kansas Medical Center, Kansas City, USA.
Andrew K GodwinUniversity of Kansas Medical Center, Kansas City, USA.ORCID http://orcid.org/0000-0002-3987-9580
Kelsey SchwensenUniversity of Kansas Medical Center, Kansas City, USA.
Priyanka SharmaUniversity of Kansas Medical Center, Kansas City, USA.ORCID http://orcid.org/0000-0001-8592-2239
Angela M DeMicheleUniversity of Pennsylvania, Philadelphia, USA.ORCID http://orcid.org/0000-0003-1297-4251
Kimberly ColeYale University, New Haven, USA.
Lajos PusztaiYale University, New Haven, USA.ORCID http://orcid.org/0000-0001-9632-6686
Mi-Ok KimUniversity of California San Francisco, San Francisco, USA.
Laura J van 't VeerUniversity of California San Francisco, San Francisco, USA.ORCID http://orcid.org/0000-0002-9838-8298
David CameronWestern General Hospital, Edinburgh, UK.
Laura J EssermanUniversity of California San Francisco, San Francisco, USA.ORCID http://orcid.org/0000-0001-9202-4568
W Fraser SymmansUniversity of Texas MD Anderson Cancer Center, Houston, USA.ORCID http://orcid.org/0000-0002-1526-184X

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
The I SPY 2.2 TRIAL: Evolving to Imaging and Molecular Biomarker Response Directed Adaptive Sequential Treatment to Optimize Breast Cancer OutcomesP01CA210961 · NCI · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI LAURA J ESSERMAN, Nola M. Hylton-Watson · 2017 to 2026
$22.9M
Identifying responders to chemotherapy in invasive lobular carcinoma of the breast: development of a multivariable clinical prediction toolK08CA256047 · NCI · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI MUKHTAR, RITA · 2021 to 2025
$1.3M
NCATS NIH HHS UL1 TR001863NCI NIH HHS K08 CA256047NCI NIH HHS P01 CA210961U.S. Department of Health & Human Services | NIH | National Cancer Institute (NCI) K08CA256047
6 · The paper itself

Abstract

Residual Cancer Burden (RCB) after neoadjuvant chemotherapy (NAC) is validated to predict event-free survival (EFS) in breast cancer but has not been studied for invasive lobular carcinoma (ILC). We studied patient-level data from a pooled cohort across 12 institutions. Associations between RCB index, class, and EFS were assessed in ILC and non-ILC with mixed effect Cox models and multivariable analyses. Recursive partitioning was used in an exploratory model to stratify prognosis by RCB components. Of 5106 patients, the diagnosis was ILC in 216 and non-ILC in 4890. Increased RCB index was associated with worse EFS in both ILC and non-ILC (p = 0.002 and p < 0.001, respectively) and remained prognostic when stratified by receptor subtype and adjusted for age, grade, T category, and nodal status. Recursive partitioning demonstrated residual invasive cancer cellularity as most prognostic in ILC. These results underscore the utility of RCB for evaluating NAC response in those with ILC.

Identifiers

PMID39948079
PMCPMC11825822

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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.