Open research questions in Breast Lesions and Carcinomas
113 unresolved questions extracted from the limitations and future-work sections of 427 Breast Lesions and Carcinomas papers in our library. Each links back to the study that raised it.
What the literature leaves open
CONCLUSIONS: While the management of common breast cancers has become increasingly sophisticated, rare subtypes continue to pose challenges due to limited research and small patient populations.
Future research should focus on clinical trials and collaborative efforts to refine treatment strategies and improve outcomes for these rare subtypes.
CONCLUSIONS: Current IGM treatment evidence is limited, based on case reports and small series.
Idiopathic Granulomatous Mastitis as a Benign Condition Mimicking Inflammatory Breast Cancer: Current Status, Knowledge Gaps and Rationale for the GRAMAREG Study (EUBREAST-15) · 2024 · DOISteroid responses suggest an autoimmune component, though specific markers are lacking.
Idiopathic Granulomatous Mastitis as a Benign Condition Mimicking Inflammatory Breast Cancer: Current Status, Knowledge Gaps and Rationale for the GRAMAREG Study (EUBREAST-15) · 2024 · DOIThe clinical and pathological features of apocrine carcinoma are not well understood. The molecular mechanisms underlying apocrine carcinoma are not well understood.
Clinicopathological observation and initial exploration of characteristic biomarkers in breast apocrine carcinoma · 2026 · DOIThe effect size (Hodges-Lehmann location difference) and its bootstrap 95% CI are provided in Supplementary table S2 (with both two-sided p values and FDR-adjusted *q* values reported) HIF-1α in breast apocrine carcinoma is relatively scarce.
Clinicopathological observation and initial exploration of characteristic biomarkers in breast apocrine carcinoma · 2026 · DOIThe lack of validated serological biomarkers for personalized surveillance strategies in benign breast hyperplasia. The need for a prognostic biomarker to predict radiological regression.
Predicting radiological regression in benign breast hyperplasia: the prolactin-to-estradiol ratio as a prognostic biomarker · 2026 · DOIThe 5.3% loss to follow-up was not fully characterized in terms of baseline characteristics, outcome status, or patterns. Future studies must conduct and report detailed missing data analysis for the prolactin-to-estradiol ratio cohort, including sensitivity analyses comparing completers versus non-completers to assess potential bias in radiological regression prediction.
Predicting radiological regression in benign breast hyperplasia: the prolactin-to-estradiol ratio as a prognostic biomarker · 2026 · DOIThere is a lack of awareness about breast diseases in developing countries. Delayed presentation and lack of screening facilities contribute to poor disease outcomes.
Clinico-epidemiological Study of Female Breast Diseases in a Tertiary Care Center of South-Eastern Rajasthan · 2026 · DOIFurther accumulation of well-documented cases is necessary to define optimal treatment strategies for HER2-positive pure mucinous breast carcinoma. Studies should investigate the potential for discordance between radiologic and pathologic findings in this rare subtype.
Therapeutic response to neoadjuvant chemotherapy in HER2-positive pure mucinous breast cancer: a case report · 2026 · DOILimited evidence is available on the response to neoadjuvant systemic therapy in HER2-positive pure mucinous breast carcinoma. The rarity of this subtype makes it difficult to accumulate large numbers of cases for study.
Therapeutic response to neoadjuvant chemotherapy in HER2-positive pure mucinous breast cancer: a case report · 2026 · DOIThe rarity of the disease, which makes it difficult to conduct large-scale studies. The lack of defined management guidelines. The need for early diagnosis and treatment.
An Unusual Destination: Neuroendocrine Carcinoma Arising in the Breast, an Uncommon and Aggressive Entity · 2026 · DOIThe lack of defined management guidelines for neuroendocrine-differentiated breast carcinoma. The limited number of reported cases of this disease. The need for further research on the diagnosis and treatment of this disease.
An Unusual Destination: Neuroendocrine Carcinoma Arising in the Breast, an Uncommon and Aggressive Entity · 2026 · DOIThere is a lack of reports on treatment outcomes for pregnancy-associated breast cancer in patients with hereditary breast and ovarian cancer syndrome. The optimal timing for performing risk-reducing salpingo-oophorectomy in BRCA1 variant carriers is still unclear.
Case Report: A case of a pregnancy-associated breast cancer patient with a pathogenic variant in BRCA1 who underwent staged risk-reducing salpingo-oophorectomy and contralateral risk-reducing mastectomy · 2026 · DOIThe exact etiology and pathogenesis of primary squamous cell carcinoma of the breast remain unclear. There is a need for further studies on the diagnosis and treatment of this rare disease. The paper highlights the importance of thorough clinical workup and histopathological evaluation in patients presenting with long-standing breast lumps.
The molecular basis of apocrine morphology remains unclear. The relevance of apocrine morphology in ER-positive breast cancer has not been systematically examined.
The clinical relevance of apocrine morphology in breast cancer depends on the estrogen receptor status · 2026 · DOIThe review is based on existing literature and does not provide new primary data. The search was limited to English and Chinese literature. The review does not provide a quantitative meta-analysis of the included studies.
Plasma cell mastitis: a comprehensive review of etiological advances and future directions · 2026 · DOIThe exact cause of PCM remains clinically challenging. The role of microbial factors in the pathogenesis of PCM is controversial. There is a lack of standardized treatment methods for PCM.
Plasma cell mastitis: a comprehensive review of etiological advances and future directions · 2026 · DOIWhether the immunohistochemical (IHC) phenotype of breast cancer is associated with the anatomical site of metastasis has been characterized mainly in high-income, registry-based populations, while data from ecologically stressed and medically under-served regions such as the Lower Aral Sea basin are lacking.
Immunohistochemical phenotype is associated with metastatic site in breast cancer: a retrospective pathomorphological study of women from the Lower Aral Sea region, Uzbekistan · 2026 · DOIDiagnostic and screening limitations in resource-limited settings. Lack of mammography and other diagnostic infrastructure in Somalia. Limited access to healthcare services and specialized care in Somalia.
The study is limited to a single tertiary hospital in Somalia, which may not be representative of the entire country. The study's sample size is relatively small, with 234 patient records analyzed. The lack of mammography and other diagnostic infrastructure in Somalia may have impacted the study's findings.
Future studies should integrate considerations of technological innovation, clinical decision-making, cost-effectiveness, and environmental responsibility. Subgroup analyses should distinguish between early and recent CNB studies.
The comparison between VABB and CNB is not well-established. The environmental impact of VABB is not well-studied.
Diagnostic challenges due to potential differences in tumor biology and histology. Therapeutic challenges due to the need for individualized treatment planning.
Synchronous bilateral breast malignancies: Diagnostic implications of histologic diversity · 2026 · DOIThe lack of reporting likely results from poor awareness of this entity. The paper does not provide a large sample size or long-term follow-up. The diagnosis may be challenging due to the nonspecific imaging features.
Clear cell hidradenoma of the breast: An uncommon mimicker of primary breast malignancy · 2026 · DOI
Most-cited papers in Breast Lesions and Carcinomas
- Molecular portraits of human breast tumours · Nature · 2000 · 12,828 citations
- THE DISTRIBUTION OF SECONDARY GROWTHS IN CANCER OF THE BREAST. · The Lancet · 1889 · 2,485 citations
- Combined Screening With Ultrasound and Mammography vs Mammography Alone in Women at Elevated Risk of Breast Cancer · JAMA · 2008 · 1,283 citations
- ON THE TREATMENT OF INOPERABLE CASES OF CARCINOMA OF THE MAMMA: SUGGESTIONS FOR A NEW METHOD OF TREATMENT, WITH ILLUSTRATIVE CASES.1 · The Lancet · 1896 · 1,161 citations
- Detection of Breast Cancer With Addition of Annual Screening Ultrasound or a Single Screening MRI to Mammography in Women With Elevated Breast Cancer Risk · JAMA · 2012 · 1,020 citations
- ON THE TREATMENT OF INOPERABLE CASES OF CARCINOMA OF THE MAMMA: SUGGESTIONS FOR A NEW METHOD OF TREATMENT, WITH ILLUSTRATIVE CASES. · The Lancet · 1896 · 273 citations
- Natural History of Untreated Breast Cancer (1805-1933) · BMJ · 1962 · 184 citations
- Gatekeepers of the Future. · Vocational education journal · 1990 · 149 citations
- Host Resistance and Survival in Carcinoma of Breast: A Study of 104 Cases of Medullary Carcinoma in a Series of 1,411 Cases of Breast Cancer Followed for 20 years · BMJ · 1970 · 123 citations
- Benign Breast Disease in Women · Deutsches Ärzteblatt international · 2019 · 83 citations
Most recent work
- CAR Practice Guidelines on Breast Imaging and Interventions: Breast Ultrasound · Canadian Association of Radiologists Journal · 2026
- AI-FLEET: Phase I—Multimodal Deep Learning Model for Phyllodes Tumor Classification · Annals of Surgical Oncology · 2026
- Familial clustering of fibroadenoma: A rare breast entity · IP Journal of diagnostic pathology and oncology/IP journal of diagnostic pathology and oncology/Journal of diagnostic pathology and oncology · 2026
- Risk Stratification of Atypical Breast Lesions Diagnosed on Core Needle Biopsy: Toward Selective Surgical Excision · Annals of Surgical Oncology · 2026
- Preoperative Overestimation of Disease Extent and Discordance-Driven Mastectomy: A Retrospective Review of 245 Cases · Annals of Surgical Oncology · 2026
- Beyond the Mass: A Pictorial Review of Nonmass Lesions on Breast Ultrasound Using BI-RADS v2025 · American Journal of Roentgenology · 2026
- Risk Stratification of Fibroepithelial Breast Lesions: Clinical and Ultrasound Features Associated with Fibroadenoma and Phyllodes Tumors · Annals of Surgical Oncology · 2026
- Socioeconomic Status and Survival in Sarcomas of the Breast: Nationwide Cohort Study · Annals of Surgical Oncology · 2026
- Clinicopathological observation and initial exploration of characteristic biomarkers in breast apocrine carcinoma · Journal of Translational Medicine · 2026
- Artificial intelligence modelling in grading breast phyllodes tumours · Histopathology · 2026
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