Evidence map›Paper›PMID 31785002›Full record

ArticleEuropean journal of haematology2020

Prognostic impact of abdominal lymph node involvement in diffuse large B-cell lymphoma.

Maysaa Abdulla, Priscilla Guglielmo, Peter Hollander, Gunnar Åström, Håkan Ahlström, Gunilla Enblad, Rose-Marie Amini

Abstract read
In one paragraph

Article in European journal of haematology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
–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

5 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. 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

7 authors.

Maysaa AbdullaClinical and Experimental Pathology, Department of Immunology, Genetics and Pathology, Uppsala University and University Hospital, Uppsala, Sweden.ORCID https://orcid.org/0000-0002-0766-0656
Priscilla GuglielmoDepartment of Surgical Sciences, Radiology, Uppsala University and University Hospital, Uppsala, Sweden.
Peter HollanderClinical and Experimental Pathology, Department of Immunology, Genetics and Pathology, Uppsala University and University Hospital, Uppsala, Sweden.ORCID https://orcid.org/0000-0002-0226-5681
Gunnar ÅströmDepartment of Surgical Sciences, Radiology, Uppsala University and University Hospital, Uppsala, Sweden.
Håkan AhlströmDepartment of Surgical Sciences, Radiology, Uppsala University and University Hospital, Uppsala, Sweden.
Gunilla EnbladExperimental and Clinical Oncology, Department of Immunology, Genetics and Pathology, Uppsala University, Uppsala, Sweden.
Rose-Marie AminiClinical and Experimental Pathology, Department of Immunology, Genetics and Pathology, Uppsala University and University Hospital, Uppsala, Sweden.ORCID https://orcid.org/0000-0003-0901-5252

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe prognostic value of site of nodal involvement in diffuse large B-cell lymphomas (DLBCL) is mainly unknown. We aimed to determine the prognostic significance of nodal abdominal involvement in relation to tumour cell markers and clinical characteristics of 249 DLBCL patients in a retrospective single-centre study.

methodsContrast-enhanced computed tomography (CT) of the abdomen and thorax revealed pathologically enlarged abdominal lymph nodes in 156 patients, while in 93 patients there were no pathologically enlarged lymph nodes in the abdomen. In 81 cases, the diagnosis of DLBCL was verified by histopathological biopsy obtained from abdominal lymph node.

resultsPatients with abdominal nodal disease had inferior lymphoma-specific survival (P = .04) and presented with higher age-adjusted IPI (P < .001), lactate dehydrogenase (P < .001) and more often advanced stage (P < .001), bulky disease (P < .001), B symptoms (P < .001), and double expression of MYC and BCL2 (P = .02) compared to patients without nodal abdominal involvement, but less often extranodal involvement (P < .02). The worst outcome was observed in those where the abdominal nodal involvement was verified by histopathological biopsy.

conclusionDiffuse large B-cell lymphomas patients with abdominal nodal disease had inferior outcome and more aggressive behaviour, reflected both in clinical and biological characteristics.

Indexed as

AbdomenAdultAgedAged, 80 and overBiomarkers, TumorBiopsyFemaleHumansImmunohistochemistryLymphatic MetastasisLymph NodesLymphoma, Large B-Cell, DiffuseMaleMiddle AgedMultimodal ImagingNeoplasm StagingBiomarkers, Tumorabdominal lymph nodeBCL2DLBCLMYCsurvival

Identifiers

PMID31785002
PMCPMC7065091

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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.