Evidence map›Paper›PMID 30688384›Full record

ArticleHead & neck2019

Depth of invasion in patients with early stage oral cancer staged by sentinel node biopsy.

Inne J den Toom, Luuk M Janssen, Robert J J van Es, K Hakki Karagozoglu, Bart de Keizer, Stijn van Weert, Stefan M Willems, Elisabeth Bloemena, C René Leemans, Remco de Bree

Open access · hybridAbstract read
In one paragraph

Article in Head & neck, 2019. 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
4.6field-weighted citation impact, top 4% 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

13 citing papers in PubMed, 36 citations in OpenAlex.

  1. Article
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  5. What is the role of sentinel lymph node biopsy in the management of oral cancer in 2020?European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2021
    Review
  6. Article
  7. Article
  8. Oral cancer: changing the aim of the biopsy in the age of precision medicine. A review.Acta otorhinolaryngologica Italica : organo ufficiale della Societa italiana di otorinolaringologia e chirurgia cervico-facciale · 2021
    Review
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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

10 authors at 4 institutions in 1 country.

Inne J den ToomDepartment of Head and Neck Surgical Oncology, UMC Utrecht Cancer Center, University Medical Center Utrecht, Utrecht, The Netherlands.
Luuk M JanssenDepartment of Head and Neck Surgical Oncology, UMC Utrecht Cancer Center, University Medical Center Utrecht, Utrecht, The Netherlands.
Robert J J van EsDepartment of Head and Neck Surgical Oncology, UMC Utrecht Cancer Center, University Medical Center Utrecht, Utrecht, The Netherlands.
K Hakki KaragozogluDepartment of Oral and Maxillofacial Surgery / Oral Pathology, VU University Medical Center/Academic Center for Dentistry (ACTA) Amsterdam, Amsterdam, The Netherlands.
Bart de KeizerDepartment of Nuclear Medicine, University Medical Center Utrecht, Utrecht, The Netherlands.
Stijn van WeertDepartment of Otolaryngology-Head and Neck Surgery, VU University Medical Center, Amsterdam, The Netherlands.
Stefan M WillemsDepartment of Pathology, University Medical Center Utrecht, Utrecht, The Netherlands.
Elisabeth BloemenaDepartment of Oral and Maxillofacial Surgery / Oral Pathology, VU University Medical Center/Academic Center for Dentistry (ACTA) Amsterdam, Amsterdam, The Netherlands.
C René LeemansDepartment of Otolaryngology-Head and Neck Surgery, VU University Medical Center, Amsterdam, The Netherlands.
Remco de BreeDepartment of Head and Neck Surgical Oncology, UMC Utrecht Cancer Center, University Medical Center Utrecht, Utrecht, The Netherlands.ORCID 0000-0001-7128-5814
University Medical Center Utrecht · NLAcademic Center for Dentistry Amsterdam · NLAmsterdam UMC Location Vrije Universiteit Amsterdam · NLUtrecht University · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTo investigate if depth of invasion (DOI) can predict occult nodal disease in patients with cT1-2N0 (7th TNM) oral squamous cell carcinoma (OSCC) staged by sentinel lymph node biopsy (SLNB).

methodsIn 199 OSCC patients, DOI measurements and SLNB were performed.

resultsMetastases were found in 64 of 199 patients (32%). Of these 64 patients, the mean DOI was 6.6 mm compared to 4.7 mm in patients without metastases (P = .003). The ROC-curve showed an area under the curve of 0.65 with a most optimal cutoff point of 3.4 mm DOI (sensitivity 83% and specificity 47%). Regional metastases were found in 15% of patients with DOI ≤ 3.4 mm.

conclusionDOI seems to be a poor predictor for regional metastasis in patients with cT1-2N0 OSCC. Therefore, staging of the neck using SLNB in patients with early stage oral cancer should also be performed in tumors with limited DOI and probably in T3 (8th TNM) OSCC ≤4 cm diameter.

Indexed as

Sentinel Lymph Node BiopsyAdultAgedAged, 80 and overCarcinoma, Squamous CellFemaleHumansMaleMiddle AgedMouth NeoplasmsNeoplasm InvasivenessNeoplasm MetastasisSensitivity and Specificitydepth of invasionlymph node metastasesOral cancersentinel lymph node biopsy

Identifiers

PMID30688384
PMCPMC6618049
OpenAlexW2911457624

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.