Evidence map›Paper›PMID 34698993›Full record

ReviewClinical & experimental metastasis2022

The role of sentinel lymph node mapping in colon cancer: detection of micro-metastasis, effect on survival, and driver of a paradigm shift in extent of colon resection.

Sukamal Saha, Bekele Philimon, Malore Efeson, Abebe Helina, Mohamed Elgamal, Gurmessa Kiya, Suga Hilkiah, Madan Arora, David Wiese, Yoko Kitagawa

Abstract readReview
PubMed Publisher
In one paragraph

Review in Clinical & experimental metastasis, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
1.3field-weighted citation impact, top 16% 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

14 citing papers in PubMed, 18 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Cancer metastasis through the lymphatic versus blood vessels.Clinical & experimental metastasis · 2024
    Review
  6. Article
  7. Article
  8. Article
  9. Review
  10. Review
  11. Review
  12. Introduction: Novel Frontiers in Cancer Metastasis.Clinical & experimental metastasis · 2022
    Article
  13. Review
  14. Review
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 2 institutions in 2 countries.

Sukamal SahaMcLaren Regional Medical Center, Flint, MI, USA. ssahadr@aol.com.ORCID 0000-0001-5577-8248
Bekele PhilimonMyungsung Christian Medical Center (MCM), Addis Ababa, Ethiopia.
Malore EfesonMyungsung Christian Medical Center (MCM), Addis Ababa, Ethiopia.
Abebe HelinaMyungsung Christian Medical Center (MCM), Addis Ababa, Ethiopia.
Mohamed ElgamalMcLaren Regional Medical Center, Flint, MI, USA.
Gurmessa KiyaMyungsung Christian Medical Center (MCM), Addis Ababa, Ethiopia.
Suga HilkiahMyungsung Christian Medical Center (MCM), Addis Ababa, Ethiopia.
Madan AroraMcLaren Regional Medical Center, Flint, MI, USA.
David WieseMcLaren Regional Medical Center, Flint, MI, USA.
Yoko KitagawaKeio University, Minato, Japan.
McLaren Regional Medical Center · USKeio University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Unlike in breast cancer and melanoma, sentinel lymph node mapping in colon cancer is primarily used as an aid to the pathologist for accurate nodal staging. The study was undertaken to review the incidence of micro-metastasis and its impact on survival when treated with chemotherapy. The study was also undertaken to see if SLNM could guide limited colon resection in early T stage tumor as a paradigm shift. SLNM was done by subserosal injection of a blue dye. SLNs were ultra-staged by multilevel sectioning and remaining Specimen was then examined by conventional method. For the last 245 patients the specimen was divied ex vivo into two segments as segment A containing the tumor bearing portion of the colon and SLNs with attached mesentery, while segment B include distal part of the colon with attached mesentery. Nodal staging was separately examined. Of the 354 Pts, SLNM was successful in 99.9% of Pts with an average no of SLN/ Pt = 2.8 and total nodes 17.8/pt. Survival was directly related negatively with stage and nodal status. Pts with +ve LN did much better with chemotherapy than without chemotherapy. With 245 Pts, specimen A Vs B, no Pts had +ve node in specimen B with -ve LN in specimen A. SLNM results in more node/Pt, more positive node/Pt ,and more micro-metastasis who when treated with chemotherapy survive longer. Limited segmental resection in early T stage is possible when done with guidance by SLNM without compromising biology.

Indexed as

Colonic NeoplasmsSentinel Lymph NodeHumansLymphatic MetastasisLymph NodesNeoplasm StagingSentinel Lymph Node BiopsyColon cancerMicro-metastasisParadigmSentinel lymph node mappingShift in extent of colon resection

Identifiers

PMID34698993
OpenAlexW3208836028

What OpenQuestion holds

Textmetadata
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.