Evidence map›Paper›PMID 34582644›Full record

ArticleAsian Pacific journal of cancer prevention : APJCP2021

Accuracy of Methylene Blue Test as Single Technique for Sentinel Lymph Node Biopsy in Early Stages Breast Cancer.

Dedy Hermansyah, Yolanda Rahayu, Arjumardi Azrah, Gracia Pricilia, Desiree Paramita, Edwin Saleh Siregar, Sufida Sufida, Albiner Simarmata

Open access · goldAbstract read
In one paragraph

Article in Asian Pacific journal of cancer prevention : APJCP, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 2 pooled it
0.3field-weighted citation impact, top 52% 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

4 citing papers in PubMed, 2 syntheses or guidelines pooled it, 7 citations in OpenAlex.

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

8 authors at 1 institution in 1 country.

Dedy HermansyahOncology Surgery Division of Department of Surgery, Faculty of Medicine, Universitas Sumatera, Indonesia.ORCID 0000000259802556
Yolanda RahayuSurgery Division of Department of Surgery, Faculty of Medicine, Universitas Sumatera Utara, Indonesia.
Arjumardi AzrahSurgery Division of Department of Surgery, Faculty of Medicine, Universitas Sumatera Utara, Indonesia.
Gracia PriciliaSurgery Division of Department of Surgery, Faculty of Medicine, Universitas Sumatera Utara, Indonesia.
Desiree ParamitaSurgery Division of Department of Surgery, Faculty of Medicine, Universitas Sumatera Utara, Indonesia.
Edwin Saleh SiregarSurgery Division of Department of Surgery, Faculty of Medicine, Universitas Sumatera Utara, Indonesia.
Sufida SufidaDepartment of Anatomical Pathology, Faculty of Medicine, Universitas Sumatera Utara, Indonesia.
Albiner SimarmataOncology Surgery Division of Department of Surgery, Faculty of Medicine, Universitas Sumatera, Indonesia.
University of North Sumatra · ID

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimSentinel Lymph Node Biopsy (SLNB) establishes as a gold standard for diagnostic lymph node involvement in early breast cancer. Most of the developed country does not have radiotracer and nuclear medicine facilities. Unless in Indonesia there is Methylene Blue as an alternative agent for SLNB. This study measure accuracy of sentinel lymph node biopsy as a single technique using the Methylene Blue test.

methodsThis cross-sectional study enrolled 60 female patients with breast cancer stage I-II. We performed SNB using 2-5 cc of 1% Methylene-blue dye (MBD) injected to periareolar tissue and proceeded with axillary lymph nodes dissection (ALND). The histopathology results of sentinel nodes (SNs) and axillary lymph nodes (ALNs) analyze for diagnostic value assessments.

resultsThe identification rate of SN was 97.62 %, and the median number of identified SNs was 4 (2-7). Sentinel node metastasis was found in (19/60) % cases and % of them were macrometastases. The sensitivity and specificity of MBD were 91.67% and 96.67% respectively. The negative predictive value (NPV) of SNs to predict axillary metastasis was 96.67% (95% CI, 81-99%).

conclusionInjection of 1% MBD as a single technique in breast cancer SNB has a favorable identification rate and predictive value.

Indexed as

Methylene BlueAdultAxillaBreast NeoplasmsCross-Sectional StudiesFemaleHumansLymph Node ExcisionLymph NodesMiddle AgedNeoplasm StagingPredictive Value of TestsSensitivity and SpecificitySentinel Lymph NodeSentinel Lymph Node BiopsyMethylene Bluebreast cancerLymph Node BiopsyMethylene Blue

Identifiers

PMID34582644
PMCPMC8850901
OpenAlexW3202520964

What OpenQuestion holds

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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.