Evidence map›Paper›PMID 40223148›Full record

ArticleScientific reports2025

Survival analysis and establishment of prognostic nomograms for primary breast signet ring cell carcinoma.

Chang Cai, Tongshun Liu, Jing Zhao, Kedong Zhang

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 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Article
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

4 authors.

Chang CaiDepartment of Radiation Oncology, First Affiliated Hospital of Soochow University, Suzhou, China.
Tongshun LiuResearch Institute of Advanced Manufacturing Technology, School of Mechanical and Electric Engineering, Soochow University, Suzhou, China.
Jing ZhaoDepartment of Radiation Oncology, First Affiliated Hospital of Soochow University, Suzhou, China. zhaojing850109@163.com.
Kedong ZhangResearch Institute of Advanced Manufacturing Technology, School of Mechanical and Electric Engineering, Soochow University, Suzhou, China. zhangkedong@suda.edu.cn.

Funding

BOXI Natural Science Cultivation Foundation of the First Affiliated Hospital of Soochow University BXQN202233National Natural Science Foundation of China 52375197
6 · The paper itself

Abstract

Primary breast signet ring cell carcinoma (BSRCC) is an extremely rare malignancy with poor prognosis. Few consensus exists regarding the prognostic factors and treatment modalities. This study aimed to develop a nomogram model to predict survival probability and guide clinical treatment for BSRCC patients. Clinicopathological data of BSRCC patients were retrieved from SEER database. Univariate and multivariate Cox regression analyses were performed to screen and identify prognostic factors. Kaplan-Meier method was used to describe the survival curve for each prognostic factor. Additionally, these factors were incorporated to construct nomograms for predicting overall survival (OS) and disease-specific survival (DSS) of BSRCC patients. The nomograms were internally validated using receiver operating characteristic (ROC) curves, calibration curves and decision curve analysis (DCA). A total of 362 eligible BSRCC patients were included in this study. Multivariate Cox analysis demonstrated that age at diagnosis, T stage, N stage, and surgery were identified as independent prognostic factors for OS, while grade, T stage, N stage, ER status, and surgery were independent DSS-related factors. Our study elucidated that surgery is the effective treatment for BSRCC, while postoperative radiotherapy does not confer additional benefit to patients. Nomograms were established to predict OS and DSS probability by incorporating independent prognostic factors among BSRCC patients. The nomograms were subsequently validated using ROC curves, calibration curves, and DCA to display the robust prognostic capability. Robust nomograms for OS and DSS of BSRCC patients were established, facilitating precise personalized risk assessment and appropriate treatment regimens in clinical practice.

Indexed as

Breast NeoplasmsCarcinoma, Signet Ring CellNomogramsAdultAgedFemaleHumansKaplan-Meier EstimateMiddle AgedNeoplasm StagingPrognosisProportional Hazards ModelsROC CurveSEER ProgramSurvival AnalysisDSSNomogramOSPrimary BSRCCPrognostic factorsSEER database

Identifiers

PMID40223148
PMCPMC11994815

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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.