Evidence map›Paper›PMID 36991168›Full record

ArticleAnnals of surgical oncology2023

Oncological Outcome After Lymph Node Dissection for Cutaneous Squamous Cell Carcinoma.

Eva A Huis In 't Veld, Thomas Boere, Charlotte L Zuur, Michel W Wouters, Alexander C J van Akkooi, John B A G Haanen, Marianne B Crijns, Myles J Smith, Antien Mooyaart, Marlies Wakkee and 6 more

Open access · hybridAbstract read
In one paragraph

Article in Annals of surgical oncology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.5field-weighted citation impact, top 17% 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, 7 citations in OpenAlex.

  1. Article
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  3. Review
  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

16 authors at 3 institutions in 2 countries.

Eva A Huis In 't Veld *Department of Surgical Oncology, Netherlands Cancer Institute, Plesmanlaan 121, 1066CX, Amsterdam, The Netherlands. e.huisintveld@erasmusmc.nl.
Thomas Boere *Department of Head and Neck Surgery, Netherlands Cancer Institute, Amsterdam, The Netherlands.
Charlotte L ZuurDepartment of Head and Neck Surgery, Netherlands Cancer Institute, Amsterdam, The Netherlands.
Michel W WoutersDepartment of Surgical Oncology, Netherlands Cancer Institute, Plesmanlaan 121, 1066CX, Amsterdam, The Netherlands.
Alexander C J van AkkooiDepartment of Surgical Oncology, Netherlands Cancer Institute, Plesmanlaan 121, 1066CX, Amsterdam, The Netherlands.
John B A G HaanenDepartment of Medical Oncology, Netherlands Cancer Institute, Amsterdam, The Netherlands.
Marianne B CrijnsDepartment of Dermatology, Netherlands Cancer Institute, Amsterdam, The Netherlands.
Myles J SmithDepartment of Surgical Oncology, Royal Marsden Hospital, London, UK.
Antien MooyaartDepartment of Pathology, Erasmus MC Cancer Institute, Rotterdam, The Netherlands.
Marlies WakkeeDepartment of Dermatology, Erasmus MC Cancer Institute, Rotterdam, The Netherlands.
Aniel SewnaikDepartment of Head and Neck Surgery, Erasmus MC Cancer Institute, Rotterdam, The Netherlands.
Dirk C StraussDepartment of Surgical Oncology, Royal Marsden Hospital, London, UK.
Dirk J GrunhagenDepartment of Surgical Oncology, Erasmus MC Cancer Institute, Rotterdam, The Netherlands.
Cornelis VerhoefDepartment of Surgical Oncology, Erasmus MC Cancer Institute, Rotterdam, The Netherlands.
Andrew J Hayes *Department of Surgical Oncology, Royal Marsden Hospital, London, UK.
Winan J van Houdt *Department of Surgical Oncology, Netherlands Cancer Institute, Plesmanlaan 121, 1066CX, Amsterdam, The Netherlands.
The Netherlands Cancer Institute · NLErasmus MC Cancer Institute · NLRoyal Marsden Hospital · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAlthough cutaneous squamous cell carcinoma (cSCC) is common, lymph node metastases are relatively rare and are usually treated with lymph node dissection (LND). The aim of this study was to describe the clinical course and prognosis after LND for cSCC at all anatomical locations.

methodsA retrospective search at three centres was performed to identify patients with lymph node metastases of cSCC who were treated with LND. Prognostic factors were identified by uni- and multivariable analysis.

resultsA total of 268 patients were identified with a median age of 74. All lymph node metastases were treated with LND, and 65% of the patients received adjuvant radiotherapy. After LND, 35% developed recurrent disease both locoregionally and distantly. Patients with more than one positive lymph node had an increased risk for recurrent disease. 165 (62%) patients died during follow-up of whom 77 (29%) due to cSCC. The 5-year OS- and DSS rate were 36% and 52%, respectively. Disease-specific survival was significantly worse in immunosuppressed patients, patients with primary tumors >2cm and patients with more than one positive lymph node.

conclusionsThis study shows that LND for patients with lymph node metastases of cSCC leads to a 5-year DSS of 52%. After LND, approximately one-third of the patients develop recurrent disease (locoregional and/or distant), which underscores the need for better systemic treatment options for locally advanced cSCC. The size of the primary tumor, more than one positive lymph node, and immunosuppression are independent predictors for risk of recurrence and disease-specific survival after LND for cSCC.

Indexed as

Carcinoma, Squamous CellSkin NeoplasmsHumansLymphatic MetastasisLymph Node ExcisionLymph NodesNeoplasm StagingRetrospective Studies

Identifiers

PMID36991168
PMCPMC10319664
OpenAlexW4361292048

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Registered trials

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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.