Evidence map›Paper›PMID 40563551›Full record

ReviewCancers2025

Perineural Invasion in Breast Cancer: A Comprehensive Review.

Hisham F Bahmad, Carter Wegner, Joana Nuraj, Rima Avellan, Jeffrey Gonzalez, Teresita Mendez, Diana Jabbour, Carmen Gomez-Fernandez

Abstract readReview
In one paragraph

Review in Cancers, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
–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

16 citing papers in PubMed, 1 synthesis or guideline pooled it.

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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

8 authors.

Hisham F BahmadDepartment of Pathology and Laboratory Medicine, University of Miami Miller School of Medicine, Miami, FL 33136, USA.ORCID 0000-0003-3799-2595
Carter WegnerHerbert Wertheim College of Medicine, Florida International University, Miami, FL 33199, USA.ORCID 0009-0000-4637-6423
Joana NurajHerbert Wertheim College of Medicine, Florida International University, Miami, FL 33199, USA.
Rima AvellanHerbert Wertheim College of Medicine, Florida International University, Miami, FL 33199, USA.
Jeffrey GonzalezHerbert Wertheim College of Medicine, Florida International University, Miami, FL 33199, USA.ORCID 0009-0001-3327-1988
Teresita MendezHerbert Wertheim College of Medicine, Florida International University, Miami, FL 33199, USA.
Diana JabbourFaculty of Medical Sciences, Lebanese University, Hadath Campus, Beirut 1003, Lebanon.
Carmen Gomez-FernandezDepartment of Pathology and Laboratory Medicine, University of Miami Miller School of Medicine, Miami, FL 33136, USA.ORCID 0000-0001-8276-2428

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Perineural invasion (PNI) is a well-recognized histopathologic feature in multiple malignancies; however, its significance in breast cancer remains relatively underexplored. This review provides a synopsis of the current knowledge on PNI in breast cancer, discussing its histopathologic features, molecular mechanisms, diagnostic challenges, and clinical relevance. PNI is most frequently observed in high-grade invasive ductal carcinoma (IDC), particularly in triple-negative and HER2-positive subtypes. It is also seen in special histological subtypes such as mixed, metaplastic, and invasive micropapillary carcinomas. Mechanistically, PNI involves tumor-neural interactions, including neurotrophic factor signaling and epithelial-mesenchymal transition, contributing to tumor progression and potential locoregional recurrence (LRR). While PNI is linked to adverse prognosis in other tumors, its independent role remains unclear in breast cancer due to limited large-scale studies. Therefore, further investigation into its prognostic significance and potential therapeutic implications is needed. Future research should focus on refining diagnostic criteria and assessing targeted therapies to mitigate PNI-associated progression. This review summarizes the current knowledge on perineural invasion (PNI) in breast cancer, addressing its histological features, molecular mechanisms, diagnostic challenges, and clinical implications.

Indexed as

breast cancerductal carcinoma in situinvasive ductal carcinomaperineural entrapmentperineural invasionreviewtumor microenvironment

Identifiers

PMID40563551
PMCPMC12190579

What OpenQuestion holds

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Registered trials

None linked

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.