Evidence map›Paper›PMID 29108238›Full record

ArticleOncotarget2017

Sites of extranodal involvement are prognostic in patients with stage 1 follicular lymphoma.

Aditi Shastri, Murali Janakiram, Ioannis Mantzaris, Yiting Yu, Jaime S Londono, Amit K Verma, Stefan K Barta

Abstract read
In one paragraph

Article in Oncotarget, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

6 citing papers in PubMed.

  1. Article
  2. Unusual case of follicular lymphoma of vocal cord.Virchows Archiv : an international journal of pathology · 2026
    Article
  3. Common Lymphoma in an Uncommon Location.American journal of hematology · 2025
    Article
  4. Article
  5. Article
  6. 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

7 authors.

Aditi ShastriDivision of Hematologic Malignancies, Department of Oncology, Montefiore Medical Center & Albert Einstein College of Medicine, Bronx, NY, USA.
Murali JanakiramDivision of Hematologic Malignancies, Department of Oncology, Montefiore Medical Center & Albert Einstein College of Medicine, Bronx, NY, USA.
Ioannis MantzarisDivision of Hematologic Malignancies, Department of Oncology, Montefiore Medical Center & Albert Einstein College of Medicine, Bronx, NY, USA.
Yiting YuDepartment of Biostatistics, Albert Einstein College of Medicine, Bronx, NY, USA.
Jaime S LondonoDivision of Hematologic Malignancies, Department of Oncology, Montefiore Medical Center & Albert Einstein College of Medicine, Bronx, NY, USA.
Amit K VermaDivision of Hematologic Malignancies, Department of Oncology, Montefiore Medical Center & Albert Einstein College of Medicine, Bronx, NY, USA.
Stefan K BartaDepartment of Medical Oncology, Fox Chase Cancer Center, Philadelphia, PA, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesFollicular lymphoma (FL) is the most common indolent B cell lymphoma in the United States and a quarter of patients present with stage I disease. The objective of this study was to examine if primary site of disease influences survival in early stage lymphoma.

resultsThe most common extranodal primary sites were the integumentary system (8%), followed by the GI tract (6.4%) and head & neck (5.6%). We stratified patients into a pre-rituximab era (1983-1998) and the rituximab era (1999-2011). In multivariable analysis, integumentary disease was associated with better overall survival (Hazard Ratio [HR], 0.77; Confidence Interval [CI], 0.66-0.9) while primary site FL of the nervous system (HR, 2.40; CI, 1.72-3.38) and the musculoskeletal system (HR, 2.14; CI, 1.44-3.18) were associated with worse overall survival when compared to primary nodal FL. Treatment in the pre-rituximab era, male gender and older age at diagnosis were associated with worse survival.

methodsWe queried the SEER database from 1983 to 2011. We included all adult patients (>18 years) with histologically confirmed stage I FL, active follow-up, and a single primary tumor. A total of 9,865 patients met eligibility criteria, with 2520 (25%) having an extranodal primary site. We classified the primary sites by organ or anatomic location into 11 sites.

conclusionPrimary site of disease is a prognostic factor for patients with early stage FL and may help identify subsets of patients that could benefit from early, aggressive treatment.

Indexed as

Epidemiology and End Results databaseextranodal diseasefollicular lymphomaprognosisSurveillance

Identifiers

PMID29108238
PMCPMC5667971

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