Evidence map›Paper›PMID 31074393›Full record

SynthesisBMC surgery2019

Skip metastases to lateral cervical lymph nodes in differentiated thyroid cancer: a systematic review.

Andrea Attard, Nunzia Cinzia Paladino, Attilio Ignazio Lo Monte, Nicola Falco, Giuseppina Melfa, Giulia Rotolo, Stefano Rizzuto, Eliana Gulotta, Giuseppe Salamone, Sebastiano Bonventre and 2 more

Open access · goldAbstract readSystematic Review
In one paragraph

Synthesis in BMC surgery, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 2 pooled it
3.8field-weighted citation impact, top 6% 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

28 citing papers in PubMed, 2 syntheses or guidelines pooled it, 46 citations in OpenAlex.

  1. Pooled it
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  11. Review
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  18. [Risk factors of skip lateral cervical lymph node metastasis in papillary thyroid carcinoma].Lin chuang er bi yan hou tou jing wai ke za zhi = Journal of clinical otorhinolaryngology head and neck surgery · 2022
    Article
  19. Article
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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

12 authors at 2 institutions in 2 countries.

Andrea AttardPoliclinico "P. Giaccone", Department of general emergency and transplant surgery, Unit of general and emergency surgery, Palermo, Italy.
Nunzia Cinzia PaladinoUnit of General, Endocrine and Metabolic Surgery, CHU AP-HM Hôpital de la Conception (Marseille), 147 Boulevard Baille, 13385, Marseille cedex, France.
Attilio Ignazio Lo MontePoliclinico "P. Giaccone", Department of general emergency and transplant surgery, Unit of general and emergency surgery, Palermo, Italy.
Nicola FalcoPoliclinico "P. Giaccone", Department of general emergency and transplant surgery, Unit of general and emergency surgery, Palermo, Italy.
Giuseppina MelfaPoliclinico "P. Giaccone", Department of general emergency and transplant surgery, Unit of general and emergency surgery, Palermo, Italy.
Giulia RotoloPoliclinico "P. Giaccone", Department of general emergency and transplant surgery, Unit of general and emergency surgery, Palermo, Italy.
Stefano RizzutoPoliclinico "P. Giaccone", Department of general emergency and transplant surgery, Unit of general and emergency surgery, Palermo, Italy.
Eliana GulottaPoliclinico "P. Giaccone", Department of general emergency and transplant surgery, Unit of general and emergency surgery, Palermo, Italy.
Giuseppe SalamonePoliclinico "P. Giaccone", Department of general emergency and transplant surgery, Unit of general and emergency surgery, Palermo, Italy.
Sebastiano BonventrePoliclinico "P. Giaccone", Department of general emergency and transplant surgery, Unit of general and emergency surgery, Palermo, Italy.
Gregorio ScerrinoPoliclinico "P. Giaccone", Department of general emergency and transplant surgery, Unit of general and emergency surgery, Palermo, Italy. gregorio.scerrino@tiscali.it.ORCID http://orcid.org/0000-0002-9439-3073
Gianfranco CocorulloPoliclinico "P. Giaccone", Department of general emergency and transplant surgery, Unit of general and emergency surgery, Palermo, Italy.
Azienda Ospedaliera Universitaria Policlinico "Paolo Giaccone" di Palermo · ITHôpital de la Conception · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Papillary thyroid carcinoma is a slow-growing cancer with a generally good prognosis that sometimes have an aggressive behaviour. Metastases to neck lymph nodes is the first step of the diffusion. The central neck compartment is involved most commonly. The ipsilateral lateral neck compartments are usually involved afterwards, and the involvement of the contralateral one is considered a quite rare occurrence. In more rare cases, metastases to lateral neck compartment without central lymph node metastasis (so called "skip metastases") could be observed. Aim of this literature review study is to analyse the average incidence, pattern and risk factors of this occurrence.This study was performed according to PRISMA criteria. A final selection of 13 articles published in English language from 1997 to 2017 was performed. Any research article, review or meta-analysis was taken into consideration. Research was expanded considering the related references of articles.The incidence of skip metastases ranged from 1.6 to 21.8%. Risk factors such as age > 45 years, size < 5 mm and tumor located in the upper pole or isthmus of thyroid gland were found.Due to the frequency of skip metastases in thyroid cancer, a careful preoperative examination of lateral lymph nodes should be necessary.

Indexed as

HumansIncidenceLymphatic MetastasisLymph NodesNeckRisk FactorsThyroid Cancer, PapillaryThyroid NeoplasmsLymph node dissectionPapillary thyroid carcinomaSkip metastasis

Identifiers

PMID31074393
PMCPMC7402576
OpenAlexW2940645304

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.