Evidence map›Paper›PMID 35073848›Full record

SynthesisBMC cancer2022

Lympho-vascular invasion impacts the prognosis in breast-conserving surgery: a systematic review and meta-analysis.

Yi-Ming Zhong, Fei Tong, Jun Shen

Open access · goldAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in BMC cancer, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed
4.2field-weighted citation impact, top 4% 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

33 citing papers in PubMed, 45 citations in OpenAlex.

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  9. Use of contrast-enhanced mammography for preoperative prediction of lymphovascular invasion status in invasive breast cancer.Cancer imaging : the official publication of the International Cancer Imaging Society · 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

3 authors at 2 institutions in 1 country.

Yi-Ming Zhong *Department of Medical Oncology, Sir Run Run Shaw Hospital, Medical School, Zhejiang University, No. 3 Road of Qingchun East, Zhejiang Province, Hangzhou, China.
Fei Tong *The People's Hospital of Longyou County, No. 373 Rongchang Road, Longyou County, Zhejiang Province, Quzhou, China.
Jun ShenDepartment of Surgical Oncology, Sir Run Run Shaw Hospital, Medical School, Zhejiang University, No. 3 Road of Qingchun East, Zhejiang Province, Hangzhou, China. shenjun0909@zju.edu.cn.
Sir Run Run Shaw Hospital · CNZhejiang University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIt is estimated that breast cancer (BC) incidence, especially that of early-stage breast cancer cases continues to rise due to increased universal screening. Breast-conserving surgery (BCS) is the main intervention for early-stage BC. Lympho-vascular invasion (LVI) is reported to influence breast cancer prognosis but its prognostic value in breast-conserving treatment is controversial.

methodsA search was conducted on the Cochrane library, PubMed, Web of Science, and EMBASE from inception to December 1

resultsOverall, 15 studies with 21,704 patients deemed eligible for this study. Event-free survival (EFS), disease-free survival (DFS), overall survival (OS), distant metastases (DM), loco-regional recurrence (LRR), local recurrence (LR), breast recurrence (BR), disease specific survival (DSS), and breast cancer specific survival (BCSS), were extracted from each study. We found that LVI leads to poor OS (HR = 1.46, 95% CI: 1.17-1.83), DM (HR = 2.08, 95% CI: 1.66-2.60) and LR (HR = 2.00, 95% CI: 1.54-2.61).

conclusionsWe confirmed that early-stage BC patients with LVI-positive have poorer OS, DFS, LRR, BCSS, DM and LR following receiving BCS than those LVI-negative patients. Mastectomy, in combination with radical systemic therapies could be considered, especially in those requiring second surgery. How to change the impact of LVI on the local recurrence rate and long-term survival in patients who undergo BCS may be a valuable research direction in the future.

Indexed as

AdultAgedBreastBreast NeoplasmsFemaleHumansLymphatic VesselsLymph NodesMastectomy, SegmentalMiddle AgedNeoplasm InvasivenessNeoplasm StagingNeovascularization, PathologicPrognosisSurvival RateTreatment OutcomeBreast cancerBreast-conserving surgeryLympho-vascular invasionPrognosis

Identifiers

PMID35073848
PMCPMC8787911
OpenAlexW4207024070

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.