Evidence map›Paper›PMID 30143231›Full record

ArticleAmerican journal of surgery2018

Metastatic squamous cell carcinoma of known and unknown primary origin treated with axillary or inguinal lymphadenectomy.

Michael M Wach, Elke van Beek, Reed Ayabe, Samantha Ruff, Zachary Brown, Debra A Goldman, Constantinos P Zambirinis, Sepideh Gholami, Melissa Pulitzer, Jonathan Hernandez and 1 more

Open access · greenAbstract read
In one paragraph

Article in American journal of surgery, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.4field-weighted citation impact, top 35% 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

4 citing papers in PubMed, 9 citations in OpenAlex.

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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

11 authors at 3 institutions in 1 country.

Michael M WachNational Cancer Institute, National Institutes of Health, USA.
Elke van BeekMemorial Sloan Kettering Cancer Center, USA.
Reed AyabeNational Cancer Institute, National Institutes of Health, USA.
Samantha RuffNational Cancer Institute, National Institutes of Health, USA.
Zachary BrownNational Cancer Institute, National Institutes of Health, USA.
Debra A GoldmanMemorial Sloan Kettering Cancer Center, USA.
Constantinos P ZambirinisMemorial Sloan Kettering Cancer Center, USA.
Sepideh GholamiMemorial Sloan Kettering Cancer Center, USA.
Melissa PulitzerMemorial Sloan Kettering Cancer Center, USA.
Jonathan HernandezNational Cancer Institute, National Institutes of Health, USA; Memorial Sloan Kettering Cancer Center, USA.
Daniel CoitMemorial Sloan Kettering Cancer Center, USA. Electronic address: coitd@mskcc.org.
Memorial Sloan Kettering Cancer Center · USNational Institutes of Health · USNational Cancer Institute · US

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Nicholas D Socci · 1985 to 2026
$347.4M
Evaluating outcomes for patients with primary-metastatic gastrointestinal cancerZIABC011861 · NCI · DIVISION OF BASIC SCIENCES - NCI · PI HERNANDEZ, JONATHAN · 2019 to 2025
$166k
NCI NIH HHS P30 CA008748
6 · The paper itself

Abstract

backgroundMetastatic squamous cell carcinoma (SCC) to the axillary or inguinal lymph nodes from an unknown primary source is rarely encountered. We sought to evaluate a cohort of patients with metastatic SCC managed by lymphadenectomy to determine their survival and to determine which clinicopathologic factors were associated with outcome.

methodsAll patients undergoing axillary or inguinal lymphadenectomy for SCC at our institution were identified retrospectively. Patients were stratified by unknown primary (UP) vs known skin primary (KP) tumors. Pertinent data on patient, tumor, and treatment variables was collected.

resultsWe identified 51 patients who met inclusion criteria. Of those, 20 patients (39%) had UP metastatic SCC and 31 patients (61%) had KP. The 5-year overall survival for UP was 65%, as compared to 49% for KP (p = 0.16). Cumulative incidence of recurrence was 46%. Cox regression failed to demonstrate a significant association between KP vs UP, HPV status, chemotherapy, or radiation with survival.

conclusionsNearly two-thirds of patients undergoing axillary or inguinal lymphadenectomy for metastatic SCC of unknown primary were alive five years following the procedure.

Indexed as

Lymph Node ExcisionAdultAgedAged, 80 and overAxillaCarcinoma, Squamous CellCohort StudiesFemaleHumansInguinal CanalLymphatic MetastasisMaleMiddle AgedNeoplasms, Unknown PrimaryRetrospective StudiesSkin Neoplasms

Identifiers

PMID30143231
PMCPMC7545876
OpenAlexW2809140344

What OpenQuestion holds

Textmetadata
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Registered trials

None linked

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.