Evidence map›Paper›PMID 41827756›Full record

ReviewCancers2026

From Feasibility to Individualization: Surgery for Breast Cancer Liver and Lung Metastases.

Martina Greco, Calogero Cipolla, Chiara Mesi, Alessio Ciminna, Daniela Sambataro, Giuseppa Scandurra, Simona Lupo, Gaspare Cannata, Luca Giacomelli, Vittorio Gebbia and 1 more

Abstract readReview
In one paragraph

Review in Cancers, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

11 authors.

Martina GrecoUOC Medical Oncology, AOUP Paolo Giaccone Palermo, 90127 Palermo, Italy.
Calogero CipollaBreast Unit, AOUP Paolo Giaccone Palermo, 90127 Palermo, Italy.ORCID 0000-0003-4396-3563
Chiara MesiUOC Medical Oncology, AOUP Paolo Giaccone Palermo, 90127 Palermo, Italy.ORCID 0009-0000-4445-3288
Alessio CiminnaUOC Medical Oncology, AOUP Paolo Giaccone Palermo, 90127 Palermo, Italy.
Daniela SambataroMedical Oncology, Department of Medicine and Surgery, Kore University of Enna, 94100 Enna, Italy.ORCID 0009-0008-3909-9833
Giuseppa ScandurraMedical Oncology, Department of Medicine and Surgery, Kore University of Enna, 94100 Enna, Italy.ORCID 0000-0001-8025-581X
Simona LupoBreast Unit, AOUP Paolo Giaccone Palermo, 90127 Palermo, Italy.
Gaspare CannataBreast Unit, AOUP Paolo Giaccone Palermo, 90127 Palermo, Italy.ORCID 0000-0002-6873-8218
Luca GiacomelliPolistudium SRL, 20121 Milan, Italy.
Vittorio GebbiaMedical Oncology, Department of Medicine and Surgery, Kore University of Enna, 94100 Enna, Italy.ORCID 0000-0001-8406-9416
Maria Rosaria ValerioMedical Oncology Unit, Ospedale Umberto I, 94100 Enna, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Surgical resection of liver and lung metastases in breast cancer is increasingly considered a viable option for select patients with oligometastatic disease. Historically regarded as palliative, surgery is now supported by retrospective data suggesting potential survival benefits, particularly in patients with hormone receptor-positive or HER2-positive tumors, long disease-free intervals, and limited metastatic burden. This narrative review summarizes recent evidence on the surgical management of breast cancer metastases to the liver and lung, with a focus on patient selection, perioperative outcomes, and long-term survival. Liver metastasectomy has shown 5-year overall survival rates of up to 60% in well-selected patients, while pulmonary metastasectomy is associated with comparable outcomes when resection is complete and nodal involvement is absent. Minimally invasive techniques and non-surgical approaches, such as microwave ablation and stereotactic radiotherapy, expand treatment options for patients unfit for surgery. The review also explores emerging tools influencing surgical decision-making, including circulating tumor DNA for minimal residual disease detection, transcriptomic profiling to predict organotropism, and artificial intelligence (AI)-driven platforms that assist with surgical planning and multidisciplinary case evaluation. While prospective validation remains limited, these technologies may help redefine surgical candidacy through biologically informed algorithms. Ultimately, the integration of surgery within a multimodal, personalized treatment strategy-guided by systemic control, tumor biology, and evolving digital tools-represents an evolving and biologically informed direction for rigorously selected patients with visceral breast cancer metastases.

Indexed as

ablationartificial intelligencebreast cancerctDNAliver metastaseslung metastasesmetastasectomy

Identifiers

PMID41827756
PMCPMC12985290

What OpenQuestion holds

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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.