Evidence map›Paper›PMID 31169696›Full record

Observational studyMedicine2019

Risk factors for lymph node metastasis in duodenal neuroendocrine tumors: A retrospective, single-center study.

Sang Gyu Park, Bong Eun Lee, Gwang Ha Kim, Joon Woo Park, Moon Won Lee, Su Jin Kim, Cheol Woong Choi, Sojeong Lee, Do Youn Park

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in Medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
2.4field-weighted citation impact, top 11% 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

11 citing papers in PubMed, 20 citations in OpenAlex.

  1. Article
  2. Nonexposure full-thickness resection in a laparoscopic-endoscopic approach as a hybrid technique for nonampullary duodenal neuroendocrine tumor.VideoGIE : an official video journal of the American Society for Gastrointestinal Endoscopy · 2025
    Article
  3. Long-Term Outcomes in Patients With Non-Ampullary Duodenal Neuroendocrine Tumors.The Korean journal of helicobacter and upper gastrointestinal research · 2025
    Article
  4. How Should Incidentally Detected Non-Ampullary Duodenal Neuroendocrine Tumors Be Treated?The Korean journal of helicobacter and upper gastrointestinal research · 2025
    Article
  5. Article
  6. Article
  7. Risk factors for lymph node metastasis and indication of local resection in duodenal neuroendocrine tumors.JGH open : an open access journal of gastroenterology and hepatology · 2022
    Article
  8. Review
  9. Article
  10. Article
  11. Article
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 at 4 institutions in 2 countries.

Sang Gyu ParkDepartment of Internal Medicine, Pusan National University School of Medicine.
Bong Eun LeeDepartment of Internal Medicine, Pusan National University School of Medicine.
Gwang Ha KimDepartment of Internal Medicine, Pusan National University School of Medicine.
Joon Woo ParkDepartment of Internal Medicine, Pusan National University School of Medicine.
Moon Won LeeDepartment of Internal Medicine, Pusan National University School of Medicine.
Su Jin KimDepartment of Internal Medicine, Pusan National University School of Medicine.
Cheol Woong ChoiDepartment of Internal Medicine, Pusan National University School of Medicine.
Sojeong LeeDepartment of Pathology, Pusan National University School of Medicine, Busan, Republic of Korea.
Do Youn ParkDepartment of Pathology, Pusan National University School of Medicine, Busan, Republic of Korea.
Pusan National University · KRBiomedical Research Institute · USPusan National University Hospital · KRPusan National University Yangsan Hospital · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Duodenal neuroendocrine tumors (NETs) are rare, and risk factors associated with lymph node (LN) metastasis are still not well defined. The aim of this study was to investigate risk factors of LN metastasis in duodenal NETs based on the final histopathologic results and clinical follow-up data.This study included a total of 44 duodenal NETs in 38 patients who underwent endoscopic or surgical resection between January 2008 and December 2015. Diagnosis of duodenal NETs was confirmed based on immunohistochemical staining of chromogranin A, synaptophysin, and CD56; the clinicopathologic records were collected at the time of the initial diagnosis of duodenal NETs.Most duodenal NETs were small (≤1 cm in 33 tumors), World Health Organization (WHO) grade G1 (in 32 tumors), limited to the mucosa and/or submucosa (in 40 tumors), and located at the duodenal bulb (in 32 tumors). Of 44 tumors, lymphovascular invasion was present in 4 (9.1%), and among 38 patients, LN metastasis was detected in 4 (10.5%). LN metastases were significantly associated with the non-bulb location, tumor size >10 mm, tumor invasion into the muscularis propria or deeper, WHO grade G2, and lymphovascular invasion. During the mean follow-up period of 54.5 months (range, 24-123 months), recurrence occurred in 1 patient.Non-bulb location, tumor size >10 mm, invasion beyond the submucosa, WHO grade G2, and lymphovascular invasion are risk factors of LN metastasis in duodenal NETs. These findings can help clinicians choose the appropriate therapeutic modality for duodenal NETs.

Indexed as

AdultAgedDuodenal NeoplasmsFemaleHumansLymphatic MetastasisMaleMiddle AgedNeoplasm GradingNeoplasm InvasivenessNeoplasm Recurrence, LocalNeuroendocrine TumorsRetrospective StudiesRisk FactorsTumor Burden

Identifiers

PMID31169696
PMCPMC6571284
OpenAlexW2974196632

What OpenQuestion holds

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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.