Evidence map›Paper›PMID 34056541›Full record

ArticleJNCI cancer spectrum2021

Histopathological Growth Patterns and Survival After Resection of Colorectal Liver Metastasis: An External Validation Study.

Diederik J Höppener, Boris Galjart, Pieter M H Nierop, Florian E Buisman, Eric P van der Stok, Robert R J Coebergh van den Braak, Martin J van Amerongen, Vinod P Balachandran, William R Jarnagin, T Peter Kingham and 9 more

Open access · goldAbstract readMulticenter StudyValidation Study
In one paragraph

Article in JNCI cancer spectrum, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed
4.9field-weighted citation impact, top 3% 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

32 citing papers in PubMed, 53 citations in OpenAlex.

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  2. Immune phenotype and RAS/BRAF status predict outcomes after lung metastasectomy for colorectal cancer.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2026
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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

19 authors at 5 institutions in 3 countries.

Diederik J HöppenerDepartment of Surgical Oncology and Gastrointestinal Surgery, Erasmus MC Cancer Institute, Rotterdam, the Netherlands.
Boris GaljartDepartment of Surgical Oncology and Gastrointestinal Surgery, Erasmus MC Cancer Institute, Rotterdam, the Netherlands.ORCID 0000-0002-1639-9648
Pieter M H NieropDepartment of Surgical Oncology and Gastrointestinal Surgery, Erasmus MC Cancer Institute, Rotterdam, the Netherlands.
Florian E BuismanDepartment of Surgical Oncology and Gastrointestinal Surgery, Erasmus MC Cancer Institute, Rotterdam, the Netherlands.ORCID 0000-0002-2516-4058
Eric P van der StokDepartment of Surgical Oncology and Gastrointestinal Surgery, Erasmus MC Cancer Institute, Rotterdam, the Netherlands.
Robert R J Coebergh van den BraakDepartment of Surgical Oncology and Gastrointestinal Surgery, Erasmus MC Cancer Institute, Rotterdam, the Netherlands.ORCID 0000-0001-9310-6629
Martin J van AmerongenDepartment of Radiology, Radboud University Medical Center, Nijmegen, the Netherlands.
Vinod P BalachandranDepartment of Surgery, Memorial Sloan Kettering Cancer Center, New York, NY, USA.ORCID 0000-0002-2956-223X
William R JarnaginDepartment of Surgery, Memorial Sloan Kettering Cancer Center, New York, NY, USA.ORCID 0000-0002-1635-5768
T Peter KinghamDepartment of Surgery, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Michail DoukasDepartment of Pathology, Erasmus MC, Rotterdam, the Netherlands.ORCID 0000-0002-8611-840X
Jinru ShiaDepartment of Pathology, Memorial Sloan Kettering Cancer Center, New York, NY, USA.ORCID 0000-0002-4351-2511
Iris D NagtegaalDepartment of Pathology, Radboud University Medical Center, Nijmegen, the Netherlands.ORCID 0000-0003-0887-4127
Peter B VermeulenTranslational Cancer Research Unit (GZA Hospitals and University of Antwerp), Antwerp, Belgium.ORCID 0000-0002-5676-3141
Bas Groot KoerkampDepartment of Surgery, Erasmus MC, Rotterdam, the Netherlands.
Dirk J GrünhagenDepartment of Surgical Oncology and Gastrointestinal Surgery, Erasmus MC Cancer Institute, Rotterdam, the Netherlands.
Johannes H W de WiltDepartment of Surgery, Radboud University Medical Center, Nijmegen, the Netherlands.ORCID 0000-0001-6773-9668
Michael I D'AngelicaDepartment of Surgery, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Cornelis VerhoefDepartment of Surgical Oncology and Gastrointestinal Surgery, Erasmus MC Cancer Institute, Rotterdam, the Netherlands.ORCID 0000-0001-9980-8613
Erasmus MC Cancer Institute · NLMemorial Sloan Kettering Cancer Center · USRadboud University Nijmegen · NLErasmus MC · NLUniversity of Antwerp · BE

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Hongbiao Carl Lekaye · 1985 to 2026
$347.4M
NCI NIH HHS P30 CA008748
6 · The paper itself

Abstract

Background: After resection of colorectal cancer liver metastases (CRLM), 2 main histopathological growth patterns can be observed: a desmoplastic and a nondesmoplastic subtype. The desmoplastic subtype has been associated with superior survival. These findings require external validation. Methods: An international multicenter retrospective cohort study was conducted in patients treated surgically for CRLM at 3 tertiary hospitals in the United States and the Netherlands. Determination of histopathological growth patterns was performed on hematoxylin and eosin-stained sections of resected CRLM according to international guidelines. Patients displaying a desmoplastic histopathological phenotype (only desmoplastic growth observed) were compared with patients with a nondesmoplastic phenotype (any nondesmoplastic growth observed). Cutoff analyses on the extent of nondesmoplastic growth were performed. Overall survival (OS) and disease-free survival (DFS) were estimated using Kaplan-Meier and multivariable Cox analysis. All statistical tests were 2-sided. Results: In total 780 patients were eligible. A desmoplastic phenotype was observed in 19.1% and was associated with microsatellite instability (14.6% vs 3.6%, Conclusions: This external validation study confirms the remarkably good prognosis after surgery for CRLM in patients with a desmoplastic phenotype. The extent of nondesmoplastic growth does not affect prognosis.

Indexed as

Antineoplastic AgentsColorectal NeoplasmsConfidence IntervalsDisease-Free SurvivalFemaleHumansKaplan-Meier EstimateLiver NeoplasmsMaleMicrosatellite InstabilityNetherlandsPhenotypeProto-Oncogene Proteins B-rafProto-Oncogene Proteins p21(ras)Retrospective StudiesUnited StatesAntineoplastic AgentsBRAF protein, humanKRAS protein, humanProto-Oncogene Proteins B-rafProto-Oncogene Proteins p21(ras)

Identifiers

PMID34056541
PMCPMC8152695
OpenAlexW3136646547

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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.