Evidence map›Paper›PMID 33236521›Full record

ArticleThoracic cancer2021

Fibrous bands associated with higher Masaoka stage and poor recurrence-free survival in patients with thymoma.

Kazuhiro Minami, Naoe Jimbo, Yugo Tanaka, Takahiro Uchida, Takeshi Okamoto, Nahoko Shimizu, Takefumi Doi, Daisuke Hokka, Tomoo Itoh, Yoshimasa Maniwa

Open access · goldAbstract read
In one paragraph

Article in Thoracic cancer, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.2field-weighted citation impact, top 43% 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

2 citing papers in PubMed, 4 citations in OpenAlex.

  1. Superiority of [European journal of nuclear medicine and molecular imaging · 2023
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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

10 authors at 1 institution in 1 country.

Kazuhiro Minami *Division of Thoracic Surgery, Kobe University Graduate School of Medicine, Kobe, Japan.
Naoe Jimbo *Department of Diagnostic Pathology, Kobe University Graduate School of Medicine, Kobe, Japan.
Yugo TanakaDivision of Thoracic Surgery, Kobe University Graduate School of Medicine, Kobe, Japan.ORCID 0000-0002-6541-1754
Takahiro UchidaDivision of Thoracic Surgery, Kobe University Graduate School of Medicine, Kobe, Japan.
Takeshi OkamotoDivision of Thoracic Surgery, Kobe University Graduate School of Medicine, Kobe, Japan.
Nahoko ShimizuDivision of Thoracic Surgery, Kobe University Graduate School of Medicine, Kobe, Japan.
Takefumi DoiDivision of Thoracic Surgery, Kobe University Graduate School of Medicine, Kobe, Japan.
Daisuke HokkaDivision of Thoracic Surgery, Kobe University Graduate School of Medicine, Kobe, Japan.
Tomoo ItohDepartment of Diagnostic Pathology, Kobe University Graduate School of Medicine, Kobe, Japan.
Yoshimasa ManiwaDivision of Thoracic Surgery, Kobe University Graduate School of Medicine, Kobe, Japan.
Kobe University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundFibrous bands (FBs) are one of the histological features in tumors which can be confirmed by hematoxylin and eosin (H&E)-stained slides. FBs have been reported to correlate with malignancy in various tumors. This study aimed to investigate whether the presence of FBs is associated with malignancy in thymoma.

methodsA total of 123 consecutive patients with thymoma who underwent microscopically complete resections from January 2000 to December 2018 were enrolled into this study. H&E-stained slides of all thymoma patients were re-examined. Study patients were classified into two groups: with FBs (n = 36) and without FBs (n = 87). Clinicopathological characteristics, overall survival (OS), and recurrence-free survival (RFS) were compared between the two groups. Furthermore, multivariate analyses were performed to identify whether the presence of FBs was associated with higher Masaoka stage and poor prognosis in patients with thymoma.

resultsThe Masaoka stage was found to be higher and recurrence more likely in thymoma patients with FBs than in those without. RFS was significantly poorer in thymoma patients with FBs than in those without, although no significant difference was observed in OS between them. The presence of FBs was significantly associated with higher Masaoka stage in the multivariate analysis using logistic regression. Additionally, the presence of FBs was an independent prognostic factor for poor RFS in multivariate analysis using Cox's proportional hazards model.

conclusionsThe presence of FBs in patients with thymoma was associated with higher Masaoka stage, higher recurrence rate, and poorer RFS. KEY POINTS: SIGNIFICANT FINDINGS OF THE STUDY: Fibrous bands (FBs) are bands of fibrosis dividing tumors into different-sized irregular islands. The presence of FBs is associated with higher Masaoka stage and poor recurrence-free survival in patients with thymoma. WHAT THIS STUDY ADDS: The presence of fibrous bands might be associated with the malignant behavior of thymoma. Confirming the presence or absence of FBs may result in personalized medication for patients with thymoma.

Indexed as

AdultAgedAged, 80 and overFemaleFibrosisHumansMaleMiddle AgedNeoplasm Recurrence, LocalNeoplasm StagingThymomaYoung AdultFibrous bandshematoxylin and eosin-stained slideMasaoka stagerecurrence-free survivalthymoma

Identifiers

PMID33236521
PMCPMC7862782
OpenAlexW3108656880

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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.