Evidence map›Paper›PMID 31101023›Full record

ArticleBMC cancer2019

A novel integrated platform for the identification of surgical margins in oral squamous cell carcinoma: results from a prospective single-institution series.

Alessandro Baj, Nicola Fusco, Alessandro Bolzoni, Daniela Carioli, Camilla Mazzucato, Alice Faversani, Lorenzo Bresciani, Marco Maggioni, Pasquale Capaccio

Abstract read
In one paragraph

Article in BMC cancer, 2019. 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
–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

4 citing papers in PubMed.

  1. Review
  2. Cancers · 2024
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  4. 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

9 authors.

Alessandro BajDepartment of Biomedical, Surgical, and Dental Sciences, University of Milan, Fondazione IRCCS Ca' Granda Policlinico, via Francesco Sforza, 35, 20122, Milan, Italy.
Nicola FuscoDepartment of Biomedical, Surgical, and Dental Sciences, University of Milan, Fondazione IRCCS Ca' Granda Policlinico, via Francesco Sforza, 35, 20122, Milan, Italy.
Alessandro BolzoniDepartment of Biomedical, Surgical, and Dental Sciences, University of Milan, Fondazione IRCCS Ca' Granda Policlinico, via Francesco Sforza, 35, 20122, Milan, Italy.
Daniela CarioliOtolaryngology Unit, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.
Camilla MazzucatoMaxillo-Facial Surgery and Odontostomatology Unit, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.
Alice FaversaniDepartment of Biomedical, Surgical, and Dental Sciences, University of Milan, Fondazione IRCCS Ca' Granda Policlinico, via Francesco Sforza, 35, 20122, Milan, Italy.
Lorenzo BrescianiMaxillo-Facial Surgery and Odontostomatology Unit, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.
Marco MaggioniDivision of Pathology, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.
Pasquale CapaccioDepartment of Biomedical, Surgical, and Dental Sciences, University of Milan, Fondazione IRCCS Ca' Granda Policlinico, via Francesco Sforza, 35, 20122, Milan, Italy. pasquale.capaccio@unimi.it.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe optimal surgical margins assessment is capital in oral squamous cell carcinoma (OSCC) management. We evaluated the clinical benefits of integrating intraoperative macroscopic margin (MM) assessment and narrow band imaging (NBI).

methodsSixteen OSCC patients eligible for surgery were prospectively enrolled. For each patient, 2 to 6 bioptic samples of MM and NBI margins were obtained and histologically analyzed for the presence of dysplasia and lymphocytes. Microvessel density was investigated by CD34 immunohistochemistry.

resultsTaken together, 104 specimens were analyzed, including 15% tumors, 33% MM, 33% NBI margins, and 19% MM-NBI overlapping margins. The NBI margins were closer to the lesion in 50% cases, while the same number of MM were more conservative than NBI, irrespective of the tumor site. The rate of histologically positive margins was similar among the two methods, akin to the microvessel density.

conclusionsMM assessment should be integrated but not replaced with the NBI technology to allow for more conservative surgery.

Indexed as

Margins of ExcisionNarrow Band ImagingAdultAgedAged, 80 and overAntigens, CD34Carcinoma, Squamous CellFemaleHumansImmunohistochemistryMaleMiddle AgedMouth NeoplasmsProspective StudiesAntigens, CD34Microvascular densityNarrow band imagingNBIOral squamous cell carcinomaSurgical margins

Identifiers

PMID31101023
PMCPMC6525414

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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.