Evidence map›Paper›PMID 20567244›Full record

ReviewNature reviews. Clinical oncology2010

Importance of tumor load in the sentinel node in melanoma: clinical dilemmas.

Alexander C J van Akkooi, Cornelis Verhoef, Alexander M M Eggermont

Registry-linked trialAbstract readReview
PubMed Publisher
In one paragraph

Review in Nature reviews. Clinical oncology, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04529915 (Multicenter Clinical Research for Early Diagnosis of Lung Cancer Using Blood Plasma), which is not on this map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing 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.

NCT04529915 unknown statusnot on this mapstarted 2020, after this paper: background citation

Multicenter Clinical Research for Early Diagnosis of Lung Cancer Using Blood Plasma

TypeobservationalSponsorKorea University Guro HospitalRan2020 to 2023Enrolled470ConditionsLung CancerArmsExosome sampling
3 · Its place in the literature

Who cites it

13 citing papers in PubMed.

  1. Article
  2. Article
  3. Current management of melanoma patients with nodal metastases.Clinical & experimental metastasis · 2022
    Review
  4. Article
  5. Article
  6. Review
  7. Review
  8. Article
  9. Article
  10. Article
  11. SLN melanoma micrometastasis predictivity of nodal status: a long term retrospective study.Journal of experimental & clinical cancer research : CR · 2013
    Article
  12. Review
  13. Review
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

3 authors.

Alexander C J van AkkooiDepartment of Surgical Oncology, Erasmus University Medical Center, Daniel den Hoed Cancer Center, Groene Hilledijk 301, Kamer A1-41, 3075 EA Rotterdam, The Netherlands. a.vanakkooi@erasmusmc.nl
Cornelis Verhoef
Alexander M M Eggermont

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

There are two hypotheses to explain melanoma dissemination: first, simultaneous lymphatic and hematogeneous spread, with regional lymph nodes as indicators of metastatic disease; and second, orderly progression, with regional lymph nodes as governors of metastatic disease. The sentinel node (SN) has been defined as the first draining lymph node from a tumor and is harvested with the use of the triple technique and is processed by an extensive pathology protocol. The SN status is a strong prognostic factor for survival (83-94% for SN negative, 56-75% SN-positive patients). False-negative rates are considerable (9-21%). Preliminary results of the MSLT-1 trial did not demonstrate a survival benefit for the SN procedure, although a subgroup analysis indicates a possible benefit. A mathematical model has demonstrated 24% prognostic false positivity. SN tumor burden represents a heterogeneous patient population and is classified most frequently with the Starz, Dewar or Rotterdam Criteria. A completion lymph-node dissection might not be indicated in all SN-positive patients. Patients classified with metastases <0.1 mm by the Rotterdam Criteria have excellent survival rates. Ultrasound-guided fine-needle aspiration cytology is emerging as a staging tool for high-risk patients, but more research is necessary before this can change clinical practice.

Indexed as

Sentinel Lymph Node BiopsyTumor BurdenDisease ProgressionHealth Status IndicatorsHumansLymphatic MetastasisLymph NodesMelanomaNeoplasm StagingNetherlandsPrognosisSkin NeoplasmsUltrasonography

Identifiers

What OpenQuestion holds

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Registered trials

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.