Evidence map›Paper›PMID 31804771›Full record

ArticleCancer medicine2020

Desmoplastic melanoma: The role of pure and mixed subtype in sentinel lymph node biopsy and survival.

Annelien E Laeijendecker, Mary-Ann El Sharouni, Vigfús Sigurdsson, Paul J van Diest

Abstract read
In one paragraph

Article in Cancer medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing 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

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

  1. Pooled it
  2. Article
  3. Sentinel Lymph Node Biopsy in Melanoma: Overview and Updates.International journal of molecular sciences · 2025
    Review
  4. Article
  5. Review
  6. Article
  7. Primary Cutaneous Melanoma-Management in 2024.Journal of clinical medicine · 2024
    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

4 authors.

Annelien E LaeijendeckerDepartment of Dermatology, University Medical Centre Utrecht, Utrecht University, Utrecht, The Netherlands.
Mary-Ann El SharouniDepartment of Dermatology, University Medical Centre Utrecht, Utrecht University, Utrecht, The Netherlands.ORCID 0000-0003-4935-4670
Vigfús SigurdssonDepartment of Dermatology, University Medical Centre Utrecht, Utrecht University, Utrecht, The Netherlands.
Paul J van DiestDepartment of Pathology, University Medical Centre Utrecht, Utrecht University, Utrecht, The Netherlands.ORCID 0000-0003-0658-2745

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDesmoplastic melanoma (DM) is an uncommon type of melanoma. Two histological subtypes of DM can be distinguished: pure and mixed (PDM and MDM). We hypothesized that discrimination between these subtypes is associated with sentinel lymph node biopsy (SLNB) status and survival.

methodsClinicopathological data from PALGA, the Dutch Pathology Register were retrieved from patients diagnosed with DM in The Netherlands between 2000 and 2014. Clinical and pathological variables were extracted from pathology text files, including pure or mixed desmoplastic morphology. A Cox proportional hazard model was performed for overall and recurrence-free survival (OS and RFS).

resultsA total of 239 patients with DM were included, representing 0.4% of all primary cutaneous melanoma in The Netherlands. A total of 114 PDM and 125 MDM patients were identified. MDM was significantly associated with positive SLNB status (P = .035). In multivariable analysis, age (HR 1.10, 95% CI 1.07-1.14, P < .001) and ulceration (HR 1.98, 95% CI 1.05-3.75, P = .036) were significant predictors for OS. For RFS, mixed subtype (HR 2.72 95% CI 1.07-6.89, P = .035), male gender (HR 2.54, 95% CI 1.03-6.27, P = .043), and Breslow thickness (HR 1.13 per mm, 95% CI 1.05-1.21, P = .001) were significant predictors.

conclusionMDM is significantly associated with a positive SLNB status. Mixed subtype is significantly correlated with RFS, but not with OS. The distinction between pure and mixed desmoplastic subtype therefore seems to be of clinical importance.

Indexed as

AgedFemaleFollow-Up StudiesHumansLymphatic MetastasisMaleMelanomaNeoplasm Recurrence, LocalNetherlandsPrognosisRetrospective StudiesSentinel Lymph Node BiopsySkin NeoplasmsSurvival Ratedesmoplasticmelanomasentinel nodesurvival

Identifiers

PMID31804771
PMCPMC6970026

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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.