Evidence map›Paper›PMID 40943419›Full record

ArticleInternational journal of molecular sciences2025

Is Radiographic Aftercare Obsolete? How Testing Positive for ctDNA Can Be a Precedent for Late Relapse, Even in Low-Risk Hormone-Receptor-Positive Breast Cancer.

Kerstin Pfister, Sophia Huesmann, Angelina Fink, Thomas W P Friedl, Franziska Mergel, Henning P Schäffler, Andreas Hartkopf, Stefan Lukac, Kristina Veselinovic, Forca Mehmeti and 10 more

Abstract readCase Reports
In one paragraph

Article in International journal of molecular sciences, 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. Review
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

20 authors.

Kerstin PfisterDepartment of Gynecology and Obstetrics, University Hospital Ulm, 89075 Ulm, Germany.ORCID 0009-0002-2831-1401
Sophia HuesmannDepartment of Gynecology and Obstetrics, University Hospital Ulm, 89075 Ulm, Germany.
Angelina FinkDepartment of Gynecology and Obstetrics, University Hospital Ulm, 89075 Ulm, Germany.
Thomas W P FriedlDepartment of Gynecology and Obstetrics, University Hospital Ulm, 89075 Ulm, Germany.ORCID 0000-0002-4773-8067
Franziska MergelDepartment of Gynecology and Obstetrics, University Hospital Ulm, 89075 Ulm, Germany.
Henning P SchäfflerDepartment of Gynecology and Obstetrics, University Hospital Ulm, 89075 Ulm, Germany.
Andreas HartkopfDepartment of Women's Health, Tübingen University, 72076 Tübingen, Germany.ORCID 0000-0003-1227-1118
Stefan LukacDepartment of Gynecology and Obstetrics, University Hospital Ulm, 89075 Ulm, Germany.ORCID 0000-0002-9336-2267
Kristina VeselinovicDepartment of Gynecology and Obstetrics, University Hospital Ulm, 89075 Ulm, Germany.ORCID 0000-0002-2959-0580
Forca MehmetiDepartment of Gynecology and Obstetrics, University Hospital Ulm, 89075 Ulm, Germany.
Nathan CampbellNeoGenomics Babraham Research Campus, Cambridge CB22 3AT, UK.
Christodoulos PipinikasNeoGenomics Babraham Research Campus, Cambridge CB22 3AT, UK.
Katharina DeiningerDepartment of Nuclear Medicine, University Hospital Ulm, 89081 Ulm, Germany.
Ambros BeerDepartment of Nuclear Medicine, University Hospital Ulm, 89081 Ulm, Germany.ORCID 0000-0001-9042-7806
Stefanie LorenzDepartment of Radiology, University Hospital Ulm, 89081 Ulm, Germany.ORCID 0009-0005-8341-1722
Meinrad BeerDepartment of Radiology, University Hospital Ulm, 89081 Ulm, Germany.ORCID 0000-0001-7523-1979
Lisa WiesmüllerDepartment of Gynecology and Obstetrics, University Hospital Ulm, 89075 Ulm, Germany.ORCID 0000-0002-2397-5041
Wolfgang JanniDepartment of Gynecology and Obstetrics, University Hospital Ulm, 89075 Ulm, Germany.
Sabine HeubleinDepartment of Gynecology and Obstetrics, University Hospital Ulm, 89075 Ulm, Germany.
Brigitte RackDepartment of Gynecology and Obstetrics, University Hospital Ulm, 89075 Ulm, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Current aftercare after early breast cancer overlooks recent evidence on circulating free tumor DNA (ctDNA). In this case report, we present a patient with low-risk hormone-receptor-positive breast cancer. ctDNA was first detected using a tumor-informed approach 12 months after the initial diagnosis and remained positive throughout adjuvant therapy with letrozole, while routine staging examinations showed no signs of relapse. Clinical relapse was ultimately identified nearly six years after the initial diagnosis, resulting in a lead time of four years and nine months. Current studies on ctDNA in the adjuvant setting have been conducted in high-risk cohorts and have shown a median molecular lead time of 8.9-12.4 months. Our study supports the need for large randomized clinical trials involving low-risk breast cancer patients to drive changes in clinical practice.

Indexed as

AftercareBreast NeoplasmsCirculating Tumor DNANeoplasm Recurrence, LocalBiomarkers, TumorFemaleHumansLetrozoleMiddle AgedReceptors, EstrogenBiomarkers, TumorCirculating Tumor DNALetrozoleReceptors, Estrogenbreast cancerctDNAliquid biopsymolecular relapseMRD

Identifiers

PMID40943419
PMCPMC12429740

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.