Evidence map›Paper›PMID 41020087›Full record

ArticleJournal of medicine and life2025

Ki-67 correlations in breast cancer.

Ruxandra Vatavu, Ana Maria Dumitrescu, Cristinel Ionel Stan, Ana Maria Haliciu, Anca Sava

Abstract read
In one paragraph

Article in Journal of medicine and life, 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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0citing papers in PubMed
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1 · What the graph read from it

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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

5 authors.

Ruxandra VatavuDoctoral School, Grigore T. Popa University of Medicine and Pharmacy, Iasi, Romania.
Ana Maria DumitrescuDoctoral School, Grigore T. Popa University of Medicine and Pharmacy, Iasi, Romania.
Cristinel Ionel StanDepartment of Morpho-Functional Sciences I, Grigore T. Popa University of Medicine and Pharmacy, Iasi, Romania.
Ana Maria HaliciuDepartment of Morpho-Functional Sciences I, Grigore T. Popa University of Medicine and Pharmacy, Iasi, Romania.
Anca SavaDepartment of Morpho-Functional Sciences I, Grigore T. Popa University of Medicine and Pharmacy, Iasi, Romania.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Brain metastases from breast cancer represent a serious complication, associated with reduced survival and impaired quality of life. Increased patient survival and the limited ability of the blood-brain barrier to be crossed by systemic therapies have led to a rising incidence of these lesions. The molecular profile of metastases may differ from that of the primary tumor in approximately 29% of cases, significantly influencing the choice of targeted treatment. In this retrospective study, we included 100 women who underwent craniotomy for breast cancer brain metastases between 2015 and 2020 at the Prof. Dr. Nicolae Oblu Neurosurgery Clinic, Iași. We recorded demographics (age, residence), latency from primary diagnosis to brain metastasis, and MRI features (number, location, edema, hemorrhage). Histopathology and immunohistochemistry included GATA3, CK5/6, ER, PR, HER2, and Ki-67 using standardized protocols. ER/PR positivity was defined as ≥1% nuclear staining; HER2 was scored 0-3+ per ASCO/CAP; Ki-67 was reported as a percentage index. The most frequent metastatic subtypes were HER2-positive (32%) and triple-negative (25%). The mean Ki-67 index was 48.2% and showed a significant inverse correlation with the time from primary breast cancer diagnosis to brain metastasis (r = -0.57; P < 0.001). Higher Ki-67 values were associated with hemorrhagic lesions, while lower values occurred in solitary metastases. Patients receiving hormonal therapy had longer median survival (29.5 months) compared to those receiving targeted therapy (11.9 months; P < 0.001). Immunohistochemical profiling of brain metastases from breast cancer, focusing on ER, PR, HER2, and Ki-67, revealed specific correlations between tumor proliferation, time to metastasis, and neuroimaging features such as hemorrhage and lesion location. HER2-positive and triple-negative subtypes showed higher brain metastatic potential and poorer outcomes with targeted therapy, while luminal tumors responded better to hormonal treatment. The inverse correlation between Ki-67 and metastasis latency, as well as its association with aggressive imaging phenotypes, represents an original contribution of this study, underscoring the need for tailored therapeutic strategies based on combined pathological and imaging data.

Indexed as

BrainBrain NeoplasmsBreast NeoplasmsKi-67 AntigenAdultAgedCraniotomyFemaleHumansMiddle AgedNeuroimagingRetrospective StudiesTriple Negative Breast NeoplasmsKi-67 Antigenbrain metastasesbreast cancerHER2immunohistochemistryKi-67

Identifiers

PMID41020087
PMCPMC12467500

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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.