Evidence map›Paper›PMID 36854984›Full record

ArticleArchives of gynecology and obstetrics2023

A study of recurrence, complication and survival rates in patients with early stage vulval cancer undergoing sentinel lymph node sampling: a single-centre experience.

Emmanouil Katsanevakis, Anuja Joshi, Zun Zhen Ong, Richard O'Connor, David Nunns, Ketankumar Gajjar

Abstract read
PubMed Publisher
In one paragraph

Article in Archives of gynecology and obstetrics, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. Observational
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

6 authors.

Emmanouil KatsanevakisDepartment of Gynaecological Oncology, Nottingham University Hospitals NHS Trust, Nottingham, UK. emmkatsa90@gmail.com.ORCID http://orcid.org/0000-0001-8089-8161
Anuja JoshiDepartment of Obstetrics and Gynaecology, University Hospitals of Derby and Burton NHS Trust, Derby, UK.
Zun Zhen OngDepartment of Gynaecological Oncology, Nottingham University Hospitals NHS Trust, Nottingham, UK.
Richard O'ConnorDepartment of Clinical Radiology, Nottingham University Hospitals NHS Trust, Nottingham, UK.
David NunnsDepartment of Gynaecological Oncology, Nottingham University Hospitals NHS Trust, Nottingham, UK.
Ketankumar GajjarDepartment of Gynaecological Oncology, Nottingham University Hospitals NHS Trust, Nottingham, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeGroin sentinel lymph node (SLN) identification and removal has become a standard of care for women with clinical early stage vulval cancer. There is evidence to support safe detection of the SLN with minimal morbidity. The purpose of this study is to report our experience of managing patients focusing on patient selection, adverse events, quality assurance of the procedure and any benefits and/or disadvantages to patients.

methodsThis was a retrospective study of patients with clinical early stage vulval cancer in a cancer centre over 5 years. Notes and hospital data were reviewed including admissions to emergency departments. Statistical software was used for the statistical analysis and the Kaplan Meier survival curve was generated to present survival rates.

results61 cases were analysed. A total of 156 nodes have been removed and positive nodes were identified in 14 cases. In total, 9 women (14.75%) had disease recurrence within 5 years from primary surgery. Overall, 4 patients (6.5%) developed groin recurrence. In 3 of these patients there was isolated groin recurrence (4.9%). The median length of admission was 3 days and 6 cases were managed as day cases.

conclusionsSince the closure of the GROINNS-2 trial we have continued the procedure of SLN identification for women with clinical early stage vulval cancer. We have shown high level of adherence to our protocol and survival and complication rates comparable to other studies on the same field. There were a few patients managed as day-case which was of benefit to the patients.

Indexed as

Sentinel Lymph NodeVulvar NeoplasmsFemaleHumansLymphatic MetastasisLymph Node ExcisionLymph NodesNeoplasm Recurrence, LocalRetrospective StudiesSentinel Lymph Node BiopsySurvival RateRecurrence ratesVulval cancer survival

Identifiers

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.