Evidence map›Paper›PMID 42251047›Full record

ArticleNPJ breast cancer2026

The clinical relevance of apocrine morphology in breast cancer depends on the estrogen receptor status.

Kei Kawashima, Masanori Oshi, Akimitsu Yamada, Kazutaka Narui, Zunairah Shah, Thaer Khoury, Itaru Endo, Kazuaki Takabe

Abstract read
In one paragraph

Article in NPJ breast cancer, 2026. 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. Article
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.

Kei KawashimaDepartment of Surgical Oncology, Roswell Park Comprehensive Cancer Center, Buffalo, NY, USA.
Masanori OshiDepartment of Gastroenterological Surgery, Yokohama City University Graduate School of Medicine, Yokohama, Japan.
Akimitsu YamadaDepartment of Gastroenterological Surgery, Yokohama City University Graduate School of Medicine, Yokohama, Japan.
Kazutaka NaruiDepartment of Breast and Thyroid Surgery, Yokohama City University Medical Center, Yokohama, Japan.
Zunairah ShahDepartment of Medicine, Roswell Park Comprehensive Cancer Center, Buffalo, NY, USA.
Thaer KhouryDepartment of Pathology, Roswell Park Comprehensive Cancer Center, Buffalo, NY, USA.
Itaru EndoDepartment of Gastroenterological Surgery, Yokohama City University Graduate School of Medicine, Yokohama, Japan.
Kazuaki TakabeDepartment of Surgical Oncology, Roswell Park Comprehensive Cancer Center, Buffalo, NY, USA. kazuaki.takabe@roswellpark.org.

Funding

Two-Spirit Films in Indigenous Cancer HealthP30CA016056 · NCI · ROSWELL PARK CANCER INSTITUTE CORP · PI CANDACE S JOHNSON · 1985 to 2026
$116.6M
Impact of Circulating Myeloid Cell Clusters on Anti-Tumor ImmunityR01CA250412 · NCI · ROSWELL PARK CANCER INSTITUTE CORP · PI ABRAMS, SCOTT I., EVANS, SHARON S · 2021 to 2025
$3.4M
Dissecting Molecular Mechanisms of Tumor-Induced Myeloid-Mediated Immune Suppression in Triple-Negative Breast CancerR01CA287731 · NCI · UNIVERSITY OF TOLEDO HEALTH SCI CAMPUS · PI Scott I. Abrams, Jianmin Zhang · 2024 to 2026
$2.8M
Leveraging the GTP Biosynthetic Pathway for Anti-Tumor TherapiesR37CA248018 · NCI · ROSWELL PARK CANCER INSTITUTE CORP · PI Anna Bianchi-Smiraglia · 2021 to 2026
$2.3M
NCI NIH HHS P30 CA016056NCI NIH HHS R01 CA250412NCI NIH HHS R01 CA287731NCI NIH HHS R37 CA248018
6 · The paper itself

Abstract

Apocrine morphology is a distinctive histopathological feature of breast cancer associated with unique clinical behavior, particularly in estrogen receptor (ER)-negative tumors. However, its molecular basis remains unclear and its relevance in ER-positive breast cancer has not been systematically examined. We performed an integrative analysis of breast cancer patients from the SEER database (n = 226,584) and The Cancer Genome Atlas (TCGA; n = 1017), incorporating clinicopathological, transcriptomic, and genomic data. Apocrine carcinoma was associated with favorable prognosis in ER-negative but worse survival in ER-positive breast cancer. Molecular and AR-related classifications did not fully recapitulate apocrine morphology. In ER-negative tumors, apocrine morphology correlated with lower proliferation and reduced predicted chemotherapy sensitivity. Conversely, in ER-positive tumors, apocrine morphology was associated with increased proliferation, enhanced immune-related signaling, and greater genomic instability. In conclusion, apocrine morphology represents an ER-dependent biological state with distinct prognostic and molecular implications.

Identifiers

PMID42251047
PMCPMC13562696

What OpenQuestion holds

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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.