Evidence map›Paper›PMID 40389463›Full record

ArticleNPJ breast cancer2025

Impact of margin distance on recurrence and survival following breast-conserving surgery after neoadjuvant systemic therapy.

C Florin Pop, Clémence Ortega, Mathilde Lecomte, Paulus Kristanto, Chirine Khaled, Filip De Neubourg, Antoine Desmet, Evandro De Azambuja, Denis Larsimont, Isabelle Veys

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 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

7 citing papers in PubMed.

  1. Article
  2. Article
  3. Endoscopy‑assisted breast‑conserving treatment: the first Polish review of 30 patients.Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques · 2026
    Article
  4. Article
  5. Article
  6. Article
  7. 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

10 authors.

C Florin Pop *Department of Surgical Oncology, Breast Clinic, Institut Jules Bordet, The Brussels University Hospital (HUB), Université Libre de Bruxelles, Brussels, Belgium. catalin.florin.pop@hubruxelles.be.
Clémence Ortega *Department of Surgical Oncology, Breast Clinic, Institut Jules Bordet, The Brussels University Hospital (HUB), Université Libre de Bruxelles, Brussels, Belgium.
Mathilde LecomteDepartment of Surgical Oncology, Breast Clinic, Institut Jules Bordet, The Brussels University Hospital (HUB), Université Libre de Bruxelles, Brussels, Belgium.
Paulus KristantoData Centre and Statistics Department, Institut Jules Bordet, The Brussels University Hospital (HUB), Université Libre de Bruxelles, Brussels, Belgium.
Chirine KhaledDepartment of Pathology, Institut Jules Bordet, The Brussels University Hospital (HUB), Université Libre de Bruxelles, Brussels, Belgium.
Filip De NeubourgDepartment of Surgical Oncology, Breast Clinic, Institut Jules Bordet, The Brussels University Hospital (HUB), Université Libre de Bruxelles, Brussels, Belgium.
Antoine DesmetDepartment of Radiation Therapy, Institut Jules Bordet, The Brussels University Hospital (HUB), Université Libre de Bruxelles, Brussels, Belgium.
Evandro De AzambujaDepartment of Medical Oncology, Institut Jules Bordet, The Brussels University Hospital (HUB), Université Libre de Bruxelles, Brussels, Belgium.
Denis LarsimontDepartment of Pathology, Institut Jules Bordet, The Brussels University Hospital (HUB), Université Libre de Bruxelles, Brussels, Belgium.
Isabelle VeysDepartment of Surgical Oncology, Breast Clinic, Institut Jules Bordet, The Brussels University Hospital (HUB), Université Libre de Bruxelles, Brussels, Belgium.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Current evidence does not support the application of "no-ink-on-tumor" negative margins following breast-conserving surgery (BCS) in breast cancer (BC) patients who have received neoadjuvant systemic treatment (NST). We compared loco-regional free survival (LRFS), disease-free survival (DFS), and overall survival (OS) based on different tumor margin distance thresholds in a cohort of 235 BC patients treated with NST and subsequent BCS between 01/2015 and 12/2019. The 5-year LRFS was 81.6% in patients with "no-ink-on-tumour", margins and 71.0% in those with positive margins (p = 0.584). Margins >1 mm were associated with superior outcomes, with a 5-year LRFS of 84.0% compared to 69.3% in patients with margins ≤1 mm (p = 0.005). Additionally, margins >1 mm were significantly correlated with longer DFS (p = 0.028) and OS (p = 0.001). These findings suggest that a surgical margin distance >1 mm provides the best LRFS, DFS, and OS outcomes for this group of BC patients.

Identifiers

PMID40389463
PMCPMC12089308

What OpenQuestion holds

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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.