Evidence map›Paper›PMID 34671190›Full record

ArticleSarcoma2021

The Utility of Chest Imaging for Surveillance of Atypical Lipomatous Tumors.

Alexander L Lazarides, Harrison R Ferlauto, Zachary D C Burke, Anthony M Griffin, Bruce D Leckey, Nicholas M Bernthal, Jay S Wunder, Peter C Ferguson, Julia D Visgauss, Brian E Brigman and 1 more

Open access · hybridAbstract read
In one paragraph

Article in Sarcoma, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.7field-weighted citation impact, top 27% 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

5 citing papers in PubMed, 5 citations in OpenAlex.

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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

11 authors at 3 institutions in 2 countries.

Alexander L LazaridesDepartment of Orthopaedic Surgery, Duke University Medical Center, Durham, NC, USA.ORCID https://orcid.org/0000-0003-0704-1529
Harrison R FerlautoDepartment of Orthopaedic Surgery, Duke University Medical Center, Durham, NC, USA.ORCID https://orcid.org/0000-0002-0304-0302
Zachary D C BurkeDepartment of Orthopedic Surgery, University of California Los Angeles Hospital, Los Angeles, CA, USA.
Anthony M GriffinDepartment of Orthopedic Surgery, Mt Sinai Hospital, Toronto, Canada.ORCID https://orcid.org/0000-0003-4462-3974
Bruce D LeckeyDepartment of Pathology, Duke University Medical Center, Durham, NC, USA.
Nicholas M BernthalDepartment of Orthopedic Surgery, University of California Los Angeles Hospital, Los Angeles, CA, USA.ORCID https://orcid.org/0000-0003-3338-5878
Jay S WunderDepartment of Orthopedic Surgery, Mt Sinai Hospital, Toronto, Canada.ORCID https://orcid.org/0000-0002-5978-9400
Peter C FergusonDepartment of Orthopedic Surgery, Mt Sinai Hospital, Toronto, Canada.
Julia D VisgaussDepartment of Orthopaedic Surgery, Duke University Medical Center, Durham, NC, USA.
Brian E BrigmanDepartment of Orthopaedic Surgery, Duke University Medical Center, Durham, NC, USA.
William C EwardDepartment of Orthopaedic Surgery, Duke University Medical Center, Durham, NC, USA.ORCID https://orcid.org/0000-0002-4553-1943
Duke Medical Center · USMount Sinai Hospital · CAUniversity of California, Los Angeles · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundUnlike other soft tissue sarcomas, atypical lipomatous tumors (ALTs) are thought to have a low propensity for metastasis. Despite this, a standard of care for pulmonary metastasis (PM) surveillance has not been established. This study aimed to evaluate the utility of chest imaging for PM surveillance following ALT excision.

methodsThis was a multi-institution, retrospective review of all patients with primary ALTs of the extremities or superficial torso who underwent excision between 2006 and 2018. Minimum follow-up was two years. Long-term survival was evaluated using the Kaplan-Meier method.

results190 patients with ALT were included. Average age was 61.7 years and average follow-up was 58.6 months (24 to 180 months). MDM2 testing was positive in 88 patients (46.3%), and 102 (53.7%) did not receive MDM2 testing. 188 patients (98.9%) had marginal excision, and 127 (66.8%) had marginal or positive margins. Patients received an average of 0.9 CT scans and 1.3 chest radiographs over the surveillance period. 10-year metastasis-free survival was 100%, with no documented deaths from disease.

conclusionsThis study suggests that chest imaging does not have a significant role in PM surveillance following ALT excision, but advanced local imaging and chest surveillance may be considered in cases of local recurrence or concern for dedifferentiation.

Identifiers

PMID34671190
PMCPMC8523289
OpenAlexW3205244254

What OpenQuestion holds

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LicenceCC BY
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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.