Evidence map›Paper›PMID 33535987›Full record

ArticleBMC cancer2021

Prognostic value of visual residual tumour cells (VRTC) for patients with esophageal squamous cell carcinomas after neoadjuvant therapy followed by surgery.

Xingxing Wang, Hao Wang, Haixing Wang, Jie Huang, Xin Wang, Zhengzeng Jiang, Lijie Tan, Dongxian Jiang, Yingyong Hou

Abstract read
In one paragraph

Article in BMC cancer, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. 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

9 authors.

Xingxing Wang *Department of Pathology, Zhongshan Hospital, Fudan University, Shanghai, 200032, People's Republic of China.
Hao Wang *Department of Thoracic surgery, Zhongshan Hospital, Fudan University, Shanghai, 200032, People's Republic of China.
Haixing WangDepartment of Pathology, Zhongshan Hospital, Fudan University, Shanghai, 200032, People's Republic of China.
Jie HuangDepartment of Pathology, Zhongshan Hospital, Fudan University, Shanghai, 200032, People's Republic of China.
Xin WangDepartment of Pathology, Zhongshan Hospital, Fudan University, Shanghai, 200032, People's Republic of China.
Zhengzeng JiangDepartment of Pathology, Zhongshan Hospital, Fudan University, Shanghai, 200032, People's Republic of China.
Lijie TanDepartment of Thoracic surgery, Zhongshan Hospital, Fudan University, Shanghai, 200032, People's Republic of China.
Dongxian JiangDepartment of Pathology, Zhongshan Hospital, Fudan University, Shanghai, 200032, People's Republic of China. jiangdongxian3@aliyun.com.
Yingyong HouDepartment of Pathology, Zhongshan Hospital, Fudan University, Shanghai, 200032, People's Republic of China. houyingyong@aliyun.com.

Funding

National Natural Science Foundation of China (CN) 81702372Natural Science Foundation of Shanghai 18ZR1406800Shanghai Municipal Commission of Science and Technology 19441904000Shanghai Municipal Key Clinical Specialty shslczdzk01302Shanghai Science and Technology Development Fund 19MC1911000Xiamen Science and Technology Project of Fujian Province, China 3502Z20184003
6 · The paper itself

Abstract

backgroundWe assessed visual residual tumour cells (VRTC) with both Becker's tumour regression grading (TRG) system and Japanese TRG system in esophageal squamous cell carcinoma (ESCC) patients treated with neoadjuvant therapy followed by surgery.

methodsWe compared Becker system and Japanese system in 175 ESCC patients treated between 2009 and 2015.

resultsAccording to Becker system, the 5-year DFS/DSS rates were 70.0%/89.3, 53.8%/56.7, 43.0%/49.0, and 42.4%/39.1% for TRG 1a (VRTC 0), TRG 1b (1-10%), TRG 2 (11-50%), and TRG 3 (> 50%). According to Japanese system, the rates were 38.8%/34.1, 49.5%/58.7, 50.2%/49.0 and 70.0%/89.3% for Grade 0-1a (VRTC> 66.6%), Grade 1b (33.3-66.6%), Grade 2 (1-33.3%) and Grade 3 (0). TRG according to two systems significantly discriminate the patients' prognosis. TRG according to Becker system (HR 2.662, 95% CI 1.151-6.157), and lymph node metastasis (HR 2.567, 95% CI 1.442-4.570) were independent parameters of DSS.

conclusionsBoth Becker and Japanese system had their advantage in risk stratification of these ESCC patients. It was speculated that dividing 1-10% VRTC into a group might contribute to independently prognostic significance of Becker's TRG system. Therefore, in addition to TRG of different systems, the percentage of VRTC might be recommended in the pathologic report, which could make the results more comparable among different researches, and more understandable for oncologists in the clinical practice.

Indexed as

AdultAgedAntineoplastic Combined Chemotherapy ProtocolsChemotherapy, AdjuvantCombined Modality TherapyEsophageal NeoplasmsEsophageal Squamous Cell CarcinomaEsophagectomyFemaleFollow-Up StudiesHumansMaleMiddle AgedNeoadjuvant TherapyNeoplasm, ResidualPrognosisEsophageal squamous cell carcinoma (ESCC)Lymph node metastases (LNM)Neoadjuvant therapyTumour regression grading (TRG)Visual residual tumour cells (VRTC)

Identifiers

PMID33535987
PMCPMC7860028

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.