Evidence map›Paper›PMID 40317347›Full record

ArticleFamilial cancer2025

The clinicopathological features of breast cancer in Peutz-Jeghers syndrome: results from an international survey.

Elizabeth Loehrer, Anja Wagner, Massiah Bahar, F Rubab Ramzan, Anne Marie Jelsig, Anne Goverde, Monique van Leerdam, Susanne E Korsse, Evelien Dekker, Manon C W Spaander and 4 more

Abstract read
In one paragraph

Article in Familial cancer, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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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

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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

14 authors.

Elizabeth LoehrerDepartment of Clinical Genetics, Erasmus MC Cancer Institute, Rotterdam, Netherlands.ORCID 0000-0003-1249-4442
Anja WagnerDepartment of Clinical Genetics, Erasmus MC Cancer Institute, Rotterdam, Netherlands.ORCID 0000-0001-7431-3876
Massiah BaharSt Mark's Hospital, Harrow, UK.
F Rubab RamzanRoyal Melbourne Hospital, Melbourne, Australia.
Anne Marie JelsigDepartment of Clinical Genetics, Copenhagen University Hospital - Rigshospitalet, Copenhagen, Denmark.ORCID 0000-0002-0916-4517
Anne GoverdeDepartment of Clinical Genetics, Erasmus MC Cancer Institute, Rotterdam, Netherlands.
Monique van LeerdamNetherlands Cancer Institute, Amsterdam, Netherlands.
Susanne E KorsseFrisius Medical Center, Leeuwarden, The Netherlands.
Evelien DekkerAmsterdam UMC, Amsterdam, Netherlands.ORCID 0000-0002-4363-0745
Manon C W SpaanderDepartment of Gastroenterology & Hepatology, Erasmus University Medical Center, Erasmus MC Cancer Institute, Rotterdam, the Netherlands.ORCID 0000-0002-9103-9757
John Gásdal KarstensenDepartment of Clinical Genetics, Copenhagen University Hospital - Rigshospitalet, Copenhagen, Denmark.ORCID 0000-0001-9333-0399
Veronica ZuberBreast Surgery Unit, University and Research Hospital San Raffaele, Milan, Italy.ORCID 0000-0001-6010-5953
Finlay MacraeRoyal Melbourne Hospital, Melbourne, Australia.ORCID 0000-0003-4035-9678
Andrew LatchfordSt Mark's Hospital, Harrow, UK. andrew.latchford@nhs.net.ORCID 0000-0002-8626-188X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundFemale patients with Peutz-Jeghers syndrome (PJS) have an increased risk of breast cancer (BrCa), and surveillance is recommended. However, clinicopathological features of their tumors and prognosis are lacking. To facilitate more precise future guideline development, we evaluated these data.

methodsWe conducted an international survey for InSiGHT members to collect retrospective data on PJS patients with diagnosed breast cancer.

resultsWe received 23 responses, including three centers with data on BrCa patients. All reported BrCa patients were female. In total, the cohort comprised 27 patients with 34 BrCa (five bilateral synchronous, one bilateral metachronous, and one metachronous unilateral tumours). The median age at first cancer diagnosis was 45 years (range 26-67). Most cancers were ductal carcinoma, either invasive (13) or in situ (DCIS; 19). TNM staging for invasive cancer was available in thirteen cases, of which nine were T1N0M0. Among tumors with histological reports, 14/15 were oestrogen receptor positive, 8/15 were progesterone receptor positive, and 4/15 were HER2 positive. There were no triple negative breast cancers. Twenty-five patients had follow-up data, comprising 229 patient years. Eleven patients had died of any cause during follow-up. Survival at 5 years was 73%.

conclusionOverall, breast cancers that occur in this PJS population seem to have favorable characteristics and prognosis. These data will help inform discussions about risk management in patients with PJS. Further research is needed to better understand lifetime risk, the optimal surveillance modality and its outcomes.

Indexed as

Breast NeoplasmsCarcinoma, Ductal, BreastCarcinoma, Intraductal, NoninfiltratingPeutz-Jeghers SyndromeAdultAgedErb-b2 Receptor Tyrosine KinasesFemaleHumansMiddle AgedPrognosisReceptors, EstrogenReceptors, ProgesteroneRetrospective StudiesErb-b2 Receptor Tyrosine KinasesReceptors, EstrogenReceptors, ProgesteroneBreast cancerGenetic cancer predispositionGermline pathogenic variantsHereditary cancer syndromesPeutz-Jeghers syndrome

Identifiers

PMID40317347
PMCPMC12049295

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