Evidence map›Paper›PMID 29523110›Full record

ArticleBMC cancer2018

CD31 and VEGF are prognostic biomarkers in early-stage, but not in late-stage, laryngeal squamous cell carcinoma.

Anke Schlüter, Patrick Weller, Oliver Kanaan, Ivonne Nel, Lukas Heusgen, Benedikt Höing, Pia Haßkamp, Sebastian Zander, Magis Mandapathil, Nina Dominas and 5 more

Open access · goldAbstract read
In one paragraph

Article in BMC cancer, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 64 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
64citing papers in PubMed, 1 pooled it
7.4field-weighted citation impact, top 2% of its field
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

64 citing papers in PubMed, 1 synthesis or guideline pooled it, 106 citations in OpenAlex.

  1. Pooled it
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  12. Targeting the ST3 beta-galactoside alpha-2,3-sialyltransferase 1 (ST3Gal1) as a potential therapeutic strategy to overcome anti-VEGF resistance in endometrial cancer.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2025
    Article
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  14. Nutrients · 2025
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  16. Targeting Cathepsin K to Accelerate Diabetic Wound Healing.ACS pharmacology & translational science · 2025
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4 more citing papers are in PubMed but not listed here.

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

15 authors at 3 institutions in 1 country.

Anke SchlüterDepartment of Otorhinolaryngology, Head and Neck Surgery, University Hospital Essen, Essen, Germany.
Patrick WellerDepartment of Otorhinolaryngology, Head and Neck Surgery, University Hospital Essen, Essen, Germany.
Oliver KanaanDepartment of Otorhinolaryngology, Head and Neck Surgery, University Hospital Essen, Essen, Germany.
Ivonne NelMolecular Oncology Risk-Profile Evaluation, Department of Medical Oncology, West German Cancer Center, University Duisburg-Essen, 45122, Essen, Germany.
Lukas HeusgenDepartment of Otorhinolaryngology, Head and Neck Surgery, University Hospital Essen, Essen, Germany.
Benedikt HöingDepartment of Otorhinolaryngology, Head and Neck Surgery, University Hospital Essen, Essen, Germany.
Pia HaßkampDepartment of Otorhinolaryngology, Head and Neck Surgery, University Hospital Essen, Essen, Germany.
Sebastian ZanderDepartment of Otorhinolaryngology, Head and Neck Surgery, University Hospital Essen, Essen, Germany.
Magis MandapathilDepartment of Otorhinolaryngology, Head and Neck Surgery, University Hospital Essen, Essen, Germany.
Nina DominasDepartment of Otorhinolaryngology, Head and Neck Surgery, University Hospital Essen, Essen, Germany.
Judith ArnoldsDepartment of Otorhinolaryngology, Head and Neck Surgery, University Hospital Essen, Essen, Germany.
Boris A StuckDepartment of Otorhinolaryngology, Head and Neck Surgery, University Hospital Essen, Essen, Germany.
Stephan LangDepartment of Otorhinolaryngology, Head and Neck Surgery, University Hospital Essen, Essen, Germany.
Agnes BankfalviInstitute for Pathology, University Hospital Essen, Essen, Germany.
Sven BrandauDepartment of Otorhinolaryngology, Head and Neck Surgery, University Hospital Essen, Essen, Germany. sven.brandau@uk-essen.de.ORCID 0000-0002-2702-4163
Essen University Hospital · DEInternational School of Management · DEPhilipps University of Marburg · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPatients suffering from squamous cell carcinoma of the larynx (LSCC) with lymphatic metastasis have a relatively poor prognosis and often require radical therapeutic management. The mechanisms which drive metastasis to the lymph nodes are largely unknown but may be promoted by a pro-angiogenic tumor microenvironment. In this study, we examined whether the number of microvessels and the expression level of vascular endothelial growth factor (VEGF) in the primary tumor are correlated with the degree of lymph node metastasis (N-stage), tumor staging (T) and survival time in LSCC patients.

methodsTissue-Microarrays of 97 LSCC patients were analyzed using immunohistochemistry. The expression of VEGF was scored as intensity of staining (low vs high) and the number of CD31-positive vessels (median </≥7 vessels per visual field) was counted manually. Scores were correlated with N-stage, T-stage and 5-year overall survival rate.

resultsA high expression of angiogenic biomarkers was not associated with poor overall survival in the overall cohort of patients. Instead high CD31 count was associated with early stage cancer (p = 0.004) and in this subgroup high VEGF expression correlated with poor survival (p = 0.032). Additionally, in early stage cancer a high vessel count was associated with an increased recurrence rate (p = 0.004).

conclusionOnly in the early stage subgroup a high expression of angiogenic biomarkers was associated with reduced survival and an increased rate of recurrence. Thus, biomarkers of angiogenesis may be useful to identify high risk patients specifically in early stage LSCC.

Indexed as

Biomarkers, TumorCarcinoma, Squamous CellFemaleFollow-Up StudiesHumansLaryngeal NeoplasmsLymphatic MetastasisMaleMiddle AgedNeoplasm InvasivenessNeoplasm Recurrence, LocalNeoplasm StagingNeovascularization, PathologicPlatelet Endothelial Cell Adhesion Molecule-1Survival RateVascular Endothelial Growth Factor ABiomarkers, TumorPlatelet Endothelial Cell Adhesion Molecule-1Vascular Endothelial Growth Factor AVEGFA protein, humanAngiogenesisBiomarkersCD31Laryngeal squamous cell carcinomaVEGF

Identifiers

PMID29523110
PMCPMC5845191
OpenAlexW2798099837

What OpenQuestion holds

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LicenceCC BY
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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.