Evidence map›Paper›PMID 40924327›Full record

ArticleJournal of neuro-oncology2025

Clinical-pathological patterns and prognosis of young women with breast cancer brain metastases: a single-center retrospective study.

Isabella Kojundzic, Jamie Lee Fritz, Badr Id Said, Sandy Vuong, Hany Soliman, Marguerite Ennis, Ellen Warner, Katarzyna Joanna Jerzak

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Article in Journal of neuro-oncology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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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

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Isabella KojundzicFaculty of Medicine, University of Ottawa, Ottawa, ON, Canada.
Jamie Lee FritzSunnybrook Research Institute, University of Toronto, Toronto, ON, Canada.
Badr Id SaidDepartment of Radiation Oncology, Sunnybrook Odette Cancer Centre, University of Toronto, Toronto, ON, Canada.
Sandy VuongDivision of Medical Oncology, Sunnybrook Odette Cancer Centre, University of Toronto, Toronto, ON, Canada.
Hany SolimanDepartment of Radiation Oncology, Sunnybrook Odette Cancer Centre, University of Toronto, Toronto, ON, Canada.
Marguerite EnnisApplied Statistician, Markham, ON, Canada.
Ellen WarnerDivision of Medical Oncology, Sunnybrook Odette Cancer Centre, University of Toronto, Toronto, ON, Canada.
Katarzyna Joanna JerzakSunnybrook Research Institute, University of Toronto, Toronto, ON, Canada. katarzyna.jerzak@sunnybrook.ca.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeBreast cancer (BC) is the most frequent cancer among women and the second leading cause of central nervous system (CNS) metastases. While the epidemiology of CNS metastases from BC has been well described, little is known about the treatment patterns and outcomes of young women < 40 years of age with BC that is metastatic to the CNS.

methodsIn this retrospective analysis, we identified patients with metastatic breast cancer (MBC) to the CNS who were treated at the Sunnybrook Odette Cancer Center, Toronto, Canada between 2008 and 2018. Young women were defined as those who were < 40 years of age at the time of diagnosis of CNS metastases. Descriptive statistics were completed, and survival analyses performed.

resultsSimilar clinical and pathological characteristics were observed among young and older women with CNS metastases. However, young women were significantly more likely to develop leptomeningeal metastatic disease (LMD) than older women (39.6% vs. 22.3%, p = 0.004). Additionally, young women were significantly more likely to be re-treated for CNS metastases (43.4% vs. 24.5%, p = 0.003). There was no significant difference in median brain-specific progression-free survival (bs-PFS) (log-rank p = 0.35) or overall survival (OS) (log-rank p value = 0.52) between young and older women.

conclusionsWomen < 40 years of age were more likely to develop LMD than women ≥ 40 years of age. Although young women were also more likely to be re-treated for progression of CNS metastases, their bs-PFS and OS were not inferior to those ≥ 40 years of age.

Indexed as

Brain NeoplasmsBreast NeoplasmsAdultAgedAge FactorsFemaleFollow-Up StudiesHumansMiddle AgedPrognosisRetrospective StudiesSurvival RateYoung AdultAgeBrain metastasesBreast cancerLeptomeningeal diseasePrognostic factorsYoung women

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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.