Evidence map›Paper›PMID 37417941›Full record

ArticleClinical cancer research : an official journal of the American Association for Cancer Research2023

A Prognostic Model Based on Residual Cancer Burden and Tumor-Infiltrating Lymphocytes on Residual Disease after Neoadjuvant Therapy in HER2+ Breast Cancer.

Federica Miglietta, Moira Ragazzi, Bethania Fernandes, Gaia Griguolo, Davide Massa, Fabio Girardi, Michele Bottosso, Alessandra Bisagni, Giovanni Zarrilli, Francesca Porra and 11 more

Open access · hybridAbstract read
In one paragraph

Article in Clinical cancer research : an official journal of the American Association for Cancer Research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
2.9field-weighted citation impact, top 9% of its field
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

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 12 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. RareOncology letters · 2026
    Article
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  5. Review
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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

21 authors at 5 institutions in 1 country.

Federica MigliettaDepartment of Surgery, Oncology and Gastroenterology, University of Padova, Padova, Italy.ORCID 0000-0001-6203-874X
Moira RagazziPathology Unit, Arcispedale Santa Maria Nuova, Azienda USL-IRCCS di Reggio Emilia, Reggio Emilia, Italy.ORCID 0000-0002-8761-9265
Bethania FernandesHumanitas Clinical and Research Center - IRCCS, Rozzano (MI), Italy.ORCID 0000-0002-4327-1586
Gaia GriguoloDepartment of Surgery, Oncology and Gastroenterology, University of Padova, Padova, Italy.ORCID 0000-0002-8782-4509
Davide MassaDepartment of Surgery, Oncology and Gastroenterology, University of Padova, Padova, Italy.ORCID 0000-0002-1390-4055
Fabio GirardiIstituto Oncologico Veneto - IOV IRCCS, Padova, Italy.ORCID 0000-0001-7094-7986
Michele BottossoDepartment of Surgery, Oncology and Gastroenterology, University of Padova, Padova, Italy.ORCID 0000-0002-8098-1819
Alessandra BisagniPathology Unit, Arcispedale Santa Maria Nuova, Azienda USL-IRCCS di Reggio Emilia, Reggio Emilia, Italy.ORCID 0000-0001-8484-7871
Giovanni ZarrilliDepartment of Medicine (DIMED), Surgical Pathology & Cytopathology Unit, University of Padova, Padova, Italy.ORCID 0009-0008-9253-6326
Francesca PorraDepartment of Surgery, Oncology and Gastroenterology, University of Padova, Padova, Italy.ORCID 0009-0008-4560-6678
Daniela IannacconeDepartment of Surgery, Oncology and Gastroenterology, University of Padova, Padova, Italy.ORCID 0000-0002-1231-7895
Leocadia DoreHumanitas Clinical and Research Center - IRCCS, Rozzano (MI), Italy.ORCID 0009-0000-8837-9657
Mariangela GaudioHumanitas Clinical and Research Center - IRCCS, Rozzano (MI), Italy.ORCID 0000-0003-1004-2063
Giacomo SantandreaPathology Unit, Arcispedale Santa Maria Nuova, Azienda USL-IRCCS di Reggio Emilia, Reggio Emilia, Italy.ORCID 0000-0001-5487-0683
Matteo FassanIstituto Oncologico Veneto - IOV IRCCS, Padova, Italy.ORCID 0000-0001-6515-5482
Marcello Lo MeleDepartment of Medicine (DIMED), Surgical Pathology & Cytopathology Unit, University of Padova, Padova, Italy.ORCID 0009-0008-2476-6947
Rita De SanctisHumanitas Clinical and Research Center - IRCCS, Rozzano (MI), Italy.ORCID 0000-0003-3202-1933
Alberto ZambelliHumanitas Clinical and Research Center - IRCCS, Rozzano (MI), Italy.ORCID 0000-0002-1374-1831
Giancarlo BisagniOncology Unit, Arcispedale Santa Maria Nuova, Azienda USL-IRCCS di Reggio Emilia, Reggio Emilia, Italy.ORCID 0000-0003-1042-3771
Valentina GuarneriDepartment of Surgery, Oncology and Gastroenterology, University of Padova, Padova, Italy.ORCID 0000-0002-2375-8397
Maria Vittoria DieciDepartment of Surgery, Oncology and Gastroenterology, University of Padova, Padova, Italy.ORCID 0000-0002-3967-9861
University of Padua · ITHumanitas University · ITOspedale Santa Maria · ITUniversity of Modena and Reggio Emilia · ITIstituto Oncologico Veneto · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeWe aim to evaluate the prognostic significance of tumor-infiltrating lymphocyte on residual disease (RD-TIL) in HER2+ patients with breast cancer who failed to achieve pathologic complete response (pCR) after anti-HER2+ chemotherapy (CT)-based neoadjuvant treatment (NAT). We assessed the feasibility of combining the prognostic information provided by residual cancer burden (RCB) and RD-TILs into a composite score (RCB+TIL). EXPERIMENTAL

designHER2+ patients with breast cancer treated with CT+anti-HER2-based NAT at three institutions were retrospectively included. RCB and TIL levels were evaluated on hematoxylin and eosin-stained slides from surgical samples according to available recommendations. Overall survival (OS) was used as an outcome measure.

resultsA total of 295 patients were included, of whom 195 had RD. RCB was significantly associated with OS. Higher RD-TILs were significantly associated with poorer OS as compared with lower RD-TILs (15% cutoff). In multivariate analysis, both RCB and RD-TIL maintained their independent prognostic value. A combined score, RCB+TIL, was calculated from the estimated coefficient of RD-TILs and the RCB index in a bivariate logistic model for OS. The RCB+TIL score was significantly associated with OS. The C-index for OS of the RCB+TIL score was numerically higher than that of RCB and significantly higher than that of RD-TILs.

conclusionsWe have reported an independent prognostic impact of RD-TILs after anti-HER2+CT NAT, which might underlie an imbalance of the RD microenvironment towards immunosuppressive features. We provided a new composite prognostic score based on RCB+TIL, which was significantly associated with OS and proved to be more informative than the isolated evaluation of RCB and RD-TILs.

Indexed as

Breast NeoplasmsAntineoplastic Combined Chemotherapy ProtocolsErb-b2 Receptor Tyrosine KinasesFemaleHumansLymphocytes, Tumor-InfiltratingNeoadjuvant TherapyNeoplasm, ResidualPrognosisRetrospective StudiesTumor MicroenvironmentErb-b2 Receptor Tyrosine Kinases

Identifiers

PMID37417941
PMCPMC10472099
OpenAlexW4383484472

What Socratic holds

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LicenceCC BY-NC-ND
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Registered trials

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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 Socratic graph.