Evidence map›Paper›PMID 23389470›Full record

ArticleAnnals of surgical oncology2013

Desmoplastic melanoma: is there a role for sentinel lymph node biopsy?

Dale Han, Jonathan S Zager, Daohai Yu, Xiuhua Zhao, Brooke Walls, Suroosh S Marzban, Nikhil G Rao, Vernon K Sondak, Jane L Messina

Abstract read
In one paragraph

Article in Annals of surgical oncology, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 1 pooled it
–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

21 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Article
  6. Review
  7. Article
  8. Re-evaluation of Sentinel Lymph Node Biopsy for Melanoma.Current treatment options in oncology · 2021
    Review
  9. Article
  10. Article
  11. Article
  12. Desmoplastic melanoma involving head and fingers: diagnostic challenges and clinical characteristics.International journal of clinical and experimental pathology · 2019
    Article
  13. Review
  14. Article
  15. Review
  16. EANM practice guidelines for lymphoscintigraphy and sentinel lymph node biopsy in melanoma.European journal of nuclear medicine and molecular imaging · 2015
    Article
  17. Article
  18. Article
  19. Article
  20. Sentinel Node Biopsy in Melanoma: A Short Update.Dermatopathology (Basel, Switzerland)
    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

9 authors.

Dale HanDepartment of Cutaneous Oncology, Moffitt Cancer Center, Tampa, FL, USA. dale.han@moffitt.org
Jonathan S Zager
Daohai Yu
Xiuhua Zhao
Brooke Walls
Suroosh S Marzban
Nikhil G Rao
Vernon K Sondak
Jane L Messina

Funding

TRANSLATIONAL RESEARCHP30CA076292 · NCI · UNIVERSITY OF SOUTH FLORIDA · PI KENNETH Lynn WRIGHT · 1998 to 2026
$93.5M
NCI NIH HHS P30 CA076292
6 · The paper itself

Abstract

backgroundThe utility of sentinel lymph node biopsy (SLNB) for desmoplastic melanoma (DM) is debated. We describe a large single-institution experience with SLNB for DM to determine clinicopathologic factors predictive of SLN metastasis.

methodsRetrospective review identified 205 patients with DM who underwent SLNB from 1992 to 2010. Clinicopathologic characteristics were correlated with SLN status and outcome.

resultsMedian age was 66 years, and 69 % of patients were male. Median Breslow thickness was 3.7 mm. In 128 cases (62 %), histologic subtype data was available; 61 cases (47.7 %) were mixed and 67 cases (52.3 %) were pure DM. A positive SLN was found in 28 cases (13.7 %); 24.6 % of mixed and 9 % of pure DM had SLN metastases. Multivariable analysis demonstrated that after controlling for age, histologic subtype correlated with SLN status [odds ratio: 3.0 for mixed vs pure, 95 % confidence interval: 1.1-8.7; p < .05]. Completion lymph node dissection was performed in 24 of 28 positive SLN patients with 16.7 % of cases having additional nodal disease. After a median follow-up of 6.3 years, 38 patients developed recurrence and 61 patients died. Positive SLN patients had a significantly higher risk of melanoma-related death compared with negative SLN patients (p = .01).

conclusionsThe overall risk for SLN metastasis for DM is 13.7 % and is significantly higher for mixed (24.6 %) compared with pure (9.0 %) DM. We believe that these rates are sufficient to justify consideration of SLNB for both histologic variants, especially since detection of SLN disease appears to predict a higher risk for melanoma-related death.

Indexed as

Sentinel Lymph Node BiopsyAdolescentAdultAgedAged, 80 and overAge FactorsConfidence IntervalsDisease-Free SurvivalFalse Negative ReactionsFemaleFollow-Up StudiesHumansKaplan-Meier EstimateLymphatic MetastasisLymph NodesMale

Identifiers

PMID23389470
PMCPMC4503324

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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.