Evidence map›Paper›PMID 31202871›Full record

ArticleJournal of the American Academy of Dermatology2019

Reflectance confocal microscopy-guided carbon dioxide laser ablation of low-risk basal cell carcinomas: A prospective study.

Cristian Navarrete-Dechent, Miguel Cordova, Konstantinos Liopyris, Oriol Yélamos, Saud Aleissa, Brian Hibler, Heidy Sierra, Aditi Sahu, Nina Blank, Milind Rajadhyaksha and 1 more

Open access · greenAbstract read
In one paragraph

Article in Journal of the American Academy of Dermatology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
2.1field-weighted citation impact, top 13% 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

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 18 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Review
  4. Review
  5. Review
  6. Review
  7. Article
  8. Observational
  9. Known and new facts on basal cell carcinoma.Journal der Deutschen Dermatologischen Gesellschaft = Journal of the German Society of Dermatology : JDDG · 2021
    Article
  10. Observational
  11. Article
  12. 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

11 authors at 5 institutions in 4 countries.

Cristian Navarrete-DechentDermatology Service, Department of Medicine, Memorial Sloan-Kettering Cancer Center, New York, New York; Department of Dermatology, Facultad de Medicina, Pontificia Universidad Católica de Chile, Santiago, Chile.
Miguel CordovaDermatology Service, Department of Medicine, Memorial Sloan-Kettering Cancer Center, New York, New York.
Konstantinos LiopyrisDermatology Service, Department of Medicine, Memorial Sloan-Kettering Cancer Center, New York, New York.
Oriol YélamosDermatology Service, Department of Medicine, Memorial Sloan-Kettering Cancer Center, New York, New York; Dermatology Department, Hospital Clínic de Barcelona, Universitat de Barcelona, Barcelona, Spain.
Saud AleissaDermatology Service, Department of Medicine, Memorial Sloan-Kettering Cancer Center, New York, New York.
Brian HiblerDermatology Service, Department of Medicine, Memorial Sloan-Kettering Cancer Center, New York, New York; Department of Dermatology, Weill Cornell Medical College, New York, New York.
Heidy SierraDermatology Service, Department of Medicine, Memorial Sloan-Kettering Cancer Center, New York, New York; Department of Computer Science and Engineering, University of Puerto Rico Mayaguez, Mayaguez, Puerto Rico.
Aditi SahuDermatology Service, Department of Medicine, Memorial Sloan-Kettering Cancer Center, New York, New York.
Nina BlankDepartment of Dermatology, Weill Cornell Medical College, New York, New York.
Milind RajadhyakshaDermatology Service, Department of Medicine, Memorial Sloan-Kettering Cancer Center, New York, New York.
Anthony RossiDermatology Service, Department of Medicine, Memorial Sloan-Kettering Cancer Center, New York, New York; Department of Dermatology, Weill Cornell Medical College, New York, New York. Electronic address: rossia@mskcc.org.
Memorial Sloan Kettering Cancer Center · USCornell University · USHospital Clínic de Barcelona · ESPontificia Universidad Católica de Chile · CLUniversity of Puerto Rico-Mayaguez · PR

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Hongbiao Carl Lekaye · 1985 to 2026
$347.4M
NCI NIH HHS L30 CA231456NCI NIH HHS P30 CA008748
6 · The paper itself

Abstract

backgroundBasal cell carcinoma (BCC) treatment modalities can be stratified by tumor subtype and recurrence risk. The main limitation of nonsurgical treatment modalities is the lack of histopathologic confirmation. Reflectance confocal microscopy (RCM) is a noninvasive imaging device that provides quasihistologic images.

objectiveTo evaluate the feasibility and efficacy of RCM-guided carbon dioxide (CO

methodsProspective study with biopsy specimen-proven low-risk BCCs imaged with RCM. RCM was performed on these sites before and after ablation. If residual tumor was found, a new series of laser passes were performed. The patients were then monitored for recurrence clinically and with RCM.

resultsTwenty-two tumor sites in 9 patients (5 men, 4 women) were imaged and treated. Median age was 59 ± 12.9 years (range, 30-74 years). Mean tumor size was 7.7 mm (range, 5-10 mm). Residual tumor was identified in 5 of 22 cases (22.7%) under RCM on immediate first-pass postablation sites, prompting additional laser passes. Median follow-up was 28.5 months (range, 22-32 months) with no recurrences found.

conclusionsAddition of RCM to laser ablation workflow can detect subclinical persistent tumor after initial ablation and may serve as an aid to increase the efficacy of laser ablation.

Indexed as

AdultAgedBasal Cell CarcinomaBiopsyFeasibility StudiesFemaleFollow-Up StudiesHumansLasers, GasLaser TherapyMaleMicroscopy, ConfocalMiddle AgedNeoplasm Recurrence, LocalNeoplasm, ResidualProspective Studiesablationbasal cell carcinomacarbon dioxide laserdiagnosisfollow-uplaserreflectance confocal microscopytreatment

Identifiers

PMID31202871
PMCPMC6777957
OpenAlexW2951917485

What OpenQuestion holds

Textmetadata
LicenceTDM
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.