Evidence map›Paper›PMID 31132233›Full record

ArticleCancer medicine2019

Clinical significance of circulating tumor cells and tumor markers in the diagnosis of lung cancer.

Yang Li, Xudong Tian, Lei Gao, Xiaohong Jiang, Rao Fu, Tingting Zhang, Tianying Ren, Ping Hu, Yaping Wu, Peige Zhao and 1 more

Open access · goldAbstract read
In one paragraph

Article in Cancer medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed, 2 pooled it
3.7field-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

37 citing papers in PubMed, 2 syntheses or guidelines pooled it, 61 citations in OpenAlex.

  1. Pooled it
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  6. Article
  7. Review
  8. Current Evidence for a Lung Cancer Screening Program.Portuguese journal of public health · 2024
    Review
  9. Article
  10. Liquid biopsy techniques and lung cancer: diagnosis, monitoring and evaluation.Journal of experimental & clinical cancer research : CR · 2024
    Review
  11. Review
  12. Review
  13. Article
  14. SCLC: Epidemiology, Risk Factors, Genetic Susceptibility, Molecular Pathology, Screening, and Early Detection.Journal of thoracic oncology : official publication of the International Association for the Study of Lung Cancer · 2023
    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

11 authors at 1 institution in 1 country.

Yang LiZhong Yuan Academy of Biological Medicine, Liaocheng People's Hospital, Liaocheng, China.
Xudong TianDepartment of Thoracic Surgery, Liaocheng People's Hospital, Liaocheng, China.
Lei GaoZhong Yuan Academy of Biological Medicine, Liaocheng People's Hospital, Liaocheng, China.
Xiaohong JiangZhong Yuan Academy of Biological Medicine, Liaocheng People's Hospital, Liaocheng, China.
Rao FuZhong Yuan Academy of Biological Medicine, Liaocheng People's Hospital, Liaocheng, China.
Tingting ZhangZhong Yuan Academy of Biological Medicine, Liaocheng People's Hospital, Liaocheng, China.
Tianying RenZhong Yuan Academy of Biological Medicine, Liaocheng People's Hospital, Liaocheng, China.
Ping HuZhong Yuan Academy of Biological Medicine, Liaocheng People's Hospital, Liaocheng, China.
Yaping WuZhong Yuan Academy of Biological Medicine, Liaocheng People's Hospital, Liaocheng, China.
Peige ZhaoDepartment of Respiratory Medicine, Liaocheng People's Hospital, Liaocheng, China.
Dawei YangZhong Yuan Academy of Biological Medicine, Liaocheng People's Hospital, Liaocheng, China.ORCID 0000-0003-3313-6935
Liaocheng People's Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLung cancer has the highest fatality rate of all cancer types. To improve patients' survival and life quality, it is therefore very important to screen for and detect it at an early stage.

methodsA negative enrichment-fluorescence in situ hybridization (NE-FISH) approach was used to detect circulating tumor cells (CTCs) in lung cancer patients, and levels of lung cancer-associated serum markers were also measured in the peripheral blood of these same patients. The correlation between CTCs, serum cancer markers (carcinoembryonic antigen [CEA], CA 125, CYFRA 21-1, and SCC), and clinicopathological characteristics was then investigated. Moreover, the potential clinical use of the combination of CTCs and tumor markers for the diagnosis of lung cancer, especially at early stages, was also explored.

resultsCTC frequencies in lung cancer patients were significantly higher than in healthy control volunteers or patients with benign lung disease, and the area under the receiver operating characteristics curve for the control group was 0.846 (95% CI 0.796-0.887, P < 0.001). The rate of CTC positivity in lung cancer patients was 68.29% when the CTC cutoff value was 2, and the sensitivity of this means of lung cancer detection rose to 82.93% by combining CTC-based detection with measurements of serum tumor markers. Similarly, the diagnostic sensitivity of this approach in early-stage lung cancer patients (I-II) was improved from 63.93% to 78.69%. Detection of CTCs can thus assist with the identification of benign and malignant pulmonary nodules.

conclusionsIt is potentially helpful and effective to employ a combination of CTCs and serum tumor markers for the clinical diagnosis of lung cancer.

Indexed as

Biomarkers, TumorAdultAgedCell Line, TumorEarly Detection of CancerFemaleHumansIn Situ Hybridization, FluorescenceLiquid BiopsyLung NeoplasmsMaleMiddle AgedNeoplasm StagingNeoplastic Cells, CirculatingPrognosisROC CurveBiomarkers, Tumorcirculating tumor cellslung cancerNE-FISHtumor markers

Identifiers

PMID31132233
PMCPMC6639255
OpenAlexW2947449468

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.