Evidence map›Paper›PMID 31583456›Full record

ArticleWorld journal of surgery2020

Sentinel Lymph Node Biopsy in Thyroid Cancer.

Max B Albers, Erik Nordenström, Johan Wohlfahrt, Anders Bergenfelz, Martin Almquist

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Article in World journal of surgery, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
1.9field-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

9 citing papers in PubMed, 22 citations in OpenAlex.

  1. [Clinical feasibility of imaging with indocyanine green combined with methylene blue for sentinel lymph node identification in papillary thyroid microcarcinoma].Lin chuang er bi yan hou tou jing wai ke za zhi = Journal of clinical otorhinolaryngology head and neck surgery · 2021
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  4. Sentinel lymph node detection in thyroid carcinoma using [European journal of nuclear medicine and molecular imaging · 2024
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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

5 authors at 2 institutions in 2 countries.

Max B AlbersDepartment of Surgery, Skåne University Hospital, Lund University, 22185, Lund, Sweden. albersm@med.uni-marburg.de.
Erik NordenströmDepartment of Surgery, Skåne University Hospital, Lund University, 22185, Lund, Sweden.
Johan WohlfahrtDepartment of Surgery, Skåne University Hospital, Lund University, 22185, Lund, Sweden.
Anders BergenfelzDepartment of Surgery, Skåne University Hospital, Lund University, 22185, Lund, Sweden.
Martin AlmquistDepartment of Surgery, Skåne University Hospital, Lund University, 22185, Lund, Sweden.
Lund University · SESkåne University Hospital · SE

Funding

Novartis 5th Sten Tibblin Fellowship
6 · The paper itself

Abstract

backgroundProphylactic central neck dissection in patients with papillary thyroid carcinoma is controversial. Sentinel node biopsy might be an adjunct to optimize surgical treatment for these patients. Earlier studies reported inconsistent detection rates and diagnostic value of this technique, and the role of sentinel lymph node biopsy in thyroid cancer needs to be established. PATIENTS AND

methodsDuring a single-center prospective interventional study between 2010 and 2017, sentinel lymph node biopsy using 99mTc-nanocolloidal albumin tracer was performed on patients undergoing thyroid surgery for suspected thyroid cancer by fine needle aspiration cytology. All eligible patients without clinical lymph node involvement were invited to participate. Central neck dissection was performed on all patients after the detection of sentinel lymph nodes.

resultsNinety-six patients participated in the study. The detection rates of the sentinel node were 67% and 45% by scintigraphy and intraoperative gamma probe, respectively. The detection rate was not associated with Bethesda score, malignancy, or presence of lymph node metastases. Sensitivity, negative predictive value, and accuracy were 80%, 97%, and 98%, respectively, for the sentinel node to represent the status of lymph node metastasis in the central neck compartment. The false negative rate was 20%.

conclusionSentinel lymph node biopsy had a low detection rate and only moderate sensitivity in patients with suspected thyroid carcinoma and is not a useful adjunct to surgery in the context of current treatment concepts.

Indexed as

AdolescentAdultAgedAged, 80 and overFemaleHumansLymphatic MetastasisMaleMiddle AgedProspective StudiesSentinel Lymph Node BiopsyThyroid NeoplasmsYoung Adult

Identifiers

PMID31583456
OpenAlexW2977859361

What OpenQuestion holds

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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.