Evidence map›Paper›PMID 28508145›Full record

ArticleAnnals of surgical oncology2017

Sentinel Lymph Node Biopsy for Recurrent Melanoma: A Multicenter Study.

Georgia M Beasley, Yinin Hu, Linda Youngwirth, Randall P Scheri, April K Salama, Kara Rossfeld, Syed Gardezi, Doreen M Agnese, J Harrison Howard, Douglas S Tyler and 2 more

Abstract readMulticenter Study
In one paragraph

Article in Annals of surgical oncology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the 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.

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

13 citing papers in PubMed.

  1. Trial
  2. Article
  3. Article
  4. Review
  5. Management of In-Transit Metastases.Current oncology reports · 2022
    Review
  6. Review
  7. Scientific reports · 2020
    Article
  8. Deep Learning Based on Standard H&E Images of Primary Melanoma Tumors Identifies Patients at Risk for Visceral Recurrence and Death.Clinical cancer research : an official journal of the American Association for Cancer Research · 2020
    Article
  9. Review
  10. Validation of Melanoma Immune Profile (MIP), a Prognostic Immune Gene Prediction Score for Stage II-III Melanoma.Clinical cancer research : an official journal of the American Association for Cancer Research · 2019
    Article
  11. Review
  12. Updates in adjuvant systemic therapy for melanoma.Journal of surgical oncology · 2019
    Review
  13. Contemporary Approaches to In-Transit Melanoma.Journal of oncology practice · 2018
    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

12 authors.

Georgia M BeasleyDivision of Surgical Oncology, Ohio State University Wexner Medical Center, Columbus, OH, USA. Georgia.beasley@osumc.edu.
Yinin HuDivision of Surgical Oncology, University of Virginia, Charlottesville, VA, USA.
Linda YoungwirthDepartment of Surgery, Duke University, Durham, NC, USA.
Randall P ScheriDepartment of Surgery, Duke University, Durham, NC, USA.
April K SalamaDivision of Medical Oncology, Duke University, Durham, NC, USA.
Kara RossfeldDivision of Surgical Oncology, Ohio State University Wexner Medical Center, Columbus, OH, USA.
Syed GardeziDivision of Surgical Oncology, University of Virginia, Charlottesville, VA, USA.
Doreen M AgneseDivision of Surgical Oncology, Ohio State University Wexner Medical Center, Columbus, OH, USA.
J Harrison HowardDivision of Surgical Oncology, Ohio State University Wexner Medical Center, Columbus, OH, USA.
Douglas S TylerDepartment of Surgery, University of Texas Medical Branch, Galveston, TX, USA.
Craig L SlingluffDivision of Surgical Oncology, University of Virginia, Charlottesville, VA, USA.
Alicia M TerandoDivision of Surgical Oncology, Ohio State University Wexner Medical Center, Columbus, OH, USA.

Funding

Postdoctoral Training Grant for MDs in Surgical Oncology ResearchT32CA163177 · NCI · UNIVERSITY OF VIRGINIA · PI Craig Lee Slingluff, Allan Tsung · 2011 to 2026
$4.6M
NCI NIH HHS T32 CA163177
6 · The paper itself

Abstract

backgroundSentinel lymph node biopsy (SLNB) is routinely performed for primary cutaneous melanomas; however, limited data exist for SLNB after locally recurrent (LR) or in-transit (IT) melanoma.

methodsData from three centers performing SLNB for LR/IT melanoma (1997 to the present) were reviewed, with the aim of assessing (1) success rate; (2) SLNB positivity; and (3) prognostic value of SLNB in this population.

resultsThe study cohort included 107 patients. Management of the primary melanoma included prior SLNB for 56 patients (52%), of whom 10 (18%) were positive and 12 had complete lymph node dissections (CLNDs). In the present study, SLNB was performed for IT disease (48/107, 45%) or LR melanoma (59/107, 55%). A sentinel lymph node (SLN) was removed in 96% (103/107) of cases. Nodes were not removed for four patients due to lymphoscintigraphy failures (2) or nodes not found during surgery (2). SLNB was positive in 41 patients (40%, 95% confidence interval (CI) 31.5-50.5), of whom 35 (88%) had CLND, with 13 (37%) having positive nonsentinel nodes. Median time to disease progression after LR/IT metastasis was 1.4 years (95% CI 0.75-2.0) for patients with a positive SLNB, and 5.9 years (95% CI 1.7-10.2) in SLNB-negative patients (p = 0.18). There was a trend towards improved overall survival for patients with a negative SLNB (p = 0.06).

conclusionSLNB can be successful in patients with LR/IT melanoma, even if prior SLNB was performed. In this population, the rates of SLNB positivity and nonsentinel node metastases were 40% and 37%, respectively. SLNB may guide management and prognosis after LR/IT disease.

Indexed as

Sentinel Lymph Node BiopsyDisease-Free SurvivalDisease ProgressionHumansLymphatic MetastasisLymph Node ExcisionLymphoscintigraphyMelanomaNeoplasm Recurrence, LocalNeoplastic Cells, CirculatingRetrospective StudiesSentinel Lymph NodeSkin NeoplasmsSurvival Rate

Identifiers

PMID28508145
PMCPMC9742856

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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 OpenQuestion graph.