Evidence map›Paper›PMID 37541128›Full record

ArticleGynecologic oncology2023

Extensive versus focal lymphovascular invasion in squamous cell carcinoma of the cervix: A comprehensive international, multicenter, retrospective clinicopathologic study.

Aaron M Praiss, Douglas Allison, Basile Tessier-Cloutier, Jessica Flynn, Alexia Iasonos, Lien Hoang, Andrei Patrichi, Cristina Terinte, Anna Pesci, Claudia Mateoiu and 10 more

Open access · greenAbstract readMulticenter Study
In one paragraph

Article in Gynecologic 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
2.4field-weighted citation impact, top 11% 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, 11 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. 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

20 authors at 10 institutions in 6 countries.

Aaron M PraissDepartment of Surgery, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Douglas AllisonDepartment of Pathology, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Basile Tessier-CloutierDepartment of Pathology, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Jessica FlynnDepartment of Epidemiology and Biostatistics, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Alexia IasonosDepartment of Epidemiology and Biostatistics, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Lien HoangDepartment of Pathology, Vancouver General Hospital, Vancouver, BC, Canada.
Andrei PatrichiDepartment of Pathology, University of Medicine, Pharmacy, Science and Technology "George E Palade" of Targu Mures, Targu Mures, Romania.
Cristina TerinteRegional Institute of Oncology, Iasi, Romania.
Anna PesciOspedale Sacro Cuore Don Calabria, Negrar, Italy.
Claudia MateoiuDepartment of Pathology, Sahlgrenska University Hospital, Gothenburg, Sweden.
Ricardo R LastraDepartment of Pathology, University of Chicago, Chicago, IL, USA.
Lucian PuscasiuDepartment of Gynecology, University of Medicine, Pharmacy, Sciences and Technology "George E Palade" of Targu Mures, Romania.
Takako KiyokawaJikei University School of Medicine, Tokyo, Japan.
Rouba Ali-FehmiDepartment of Pathology, Wayne State University, Detroit, MI, USA.
Mira KheilDepartment of Pathology, Wayne State University, Detroit, MI, USA.
Esther OlivaMassachusetts General Hospital, Boston, MA, USA.
Kyle M DevinsMassachusetts General Hospital, Boston, MA, USA.
Nadeem R Abu-RustumDepartment of Surgery, Memorial Sloan Kettering Cancer Center, New York, NY, USA; Department of Obstetrics and Gynecology, Weill Cornell Medical College, New York, NY, USA.
Robert A SoslowDepartment of Pathology, Memorial Sloan Kettering Cancer Center, New York, NY, USA.. Electronic address: soslowr@ccf.org.
Simona StolnicuDepartment of Pathology, University of Medicine, Pharmacy, Science and Technology "George E Palade" of Targu Mures, Targu Mures, Romania.
Memorial Sloan Kettering Cancer Center · USUniversitatea de Medicină, Farmacie, Științe și Tehnologie „George Emil Palade” din Târgu Mureș · ROMassachusetts General Hospital · USWayne State University · USInstitutul Regional de Oncologie · ROJikei University School of Medicine · JPOspedale Sacro Cuore Don Calabria · ITSahlgrenska University Hospital · SEUniversity of Chicago · USVancouver General Hospital · CA

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Nicholas D Socci · 1985 to 2026
$347.4M
NCI NIH HHS P30 CA008748
6 · The paper itself

Abstract

objectiveWe evaluated clinicopathologic parameters of patients with cervical squamous cell carcinoma (SCC) who were treated with initial surgical management and assessed their relation to survival outcomes. Specifically, we evaluated the relation between extent of lymphovascular invasion (LVI) and survival outcomes.

methodsAll available tumor slides from patients with initially surgically treated cervical SCC were collected from 10 institutions and retrospectively analyzed. Standard clinicopathological parameters, tumor stroma, and extent of LVI were assessed (focal: <5 spaces, extensive: ≥5 spaces). PFS and OS were evaluated using Kaplan-Meier methodology. Univariable and multivariable Cox proportional hazards models were created to determine prognostic survival-related risk factors.

resultsA total of 670 tumor samples were included in the analysis. Median age at diagnosis was 47 years (IQR: 38-60), 457 patients (72%) had a 2018 International Federation of Gynecology and Obstetrics (FIGO) stage I tumor, and 155 tumors (28%) were flat and/or ulcerated. There were 303 nonkeratinizing tumors (51%), 237 keratinizing tumors (40%), and 356 histologic grade 2 tumors (61%). Quantifiable LVI was present in 321 cases (51%; 23% focal and 33% extensive). On multivariable analysis for PFS, extensive and focal LVI had worse outcomes compared to negative LVI (HR: 2.38 [95% CI: 1.26-4.47] and HR: 1.54 [95% CI: 0.76-3.11], respectively; P = 0.02). The difference did not reach statistical significance for OS.

conclusionPresence of LVI is a prognostic marker for patients with cervical SCC. Quantification (extensive vs. focal vs. negative) of LVI may be an important biomarker for oncologic outcome.

Indexed as

Carcinoma, Squamous CellUterine Cervical NeoplasmsAdultCervix UteriFemaleHumansLymphatic MetastasisMiddle AgedNeoplasm InvasivenessNeoplasm StagingPrognosisRetrospective StudiesCervixLymphovascular invasionPrognosisSquamous cell carcinoma

Identifiers

PMID37541128
PMCPMC10809424
OpenAlexW4385513487

What OpenQuestion holds

Textmetadata
LicenceTDM
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.