Evidence map›Paper›PMID 37730204›Full record

Observational studyJournal of cutaneous pathology2023

Cytologic atypia of benign inflammatory versus neoplastic cutaneous squamous lesions.

Fatema Khamdan, McKenzie A Dirr, Pelin Sagut, Caroline J Brailsford, Jacob A Williams, Paul J Nietert, Dirk M Elston

Abstract readObservational Study
In one paragraph

Observational study in Journal of cutaneous pathology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Signaling pathways and targeted interventions for precancers.Signal transduction and targeted therapy · 2026
    Review
  2. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors.

Fatema KhamdanDepartment of Dermatology and Dermatologic Surgery, Medical University of South Carolina, Charleston, South Carolina, USA.
McKenzie A DirrCollege of Medicine, Medical University of South Carolina, Charleston, South Carolina, USA.ORCID https://orcid.org/0000-0002-5293-3262
Pelin SagutDepartment of Dermatology and Dermatologic Surgery, Medical University of South Carolina, Charleston, South Carolina, USA.
Caroline J BrailsfordCollege of Medicine, Medical University of South Carolina, Charleston, South Carolina, USA.ORCID https://orcid.org/0000-0003-3320-7596
Jacob A WilliamsDepartment of Public Health Sciences, Medical University of South Carolina, South Carolina, USA.
Paul J NietertDepartment of Public Health Sciences, Medical University of South Carolina, South Carolina, USA.ORCID https://orcid.org/0000-0002-3933-4986
Dirk M ElstonDepartment of Dermatology and Dermatologic Surgery, Medical University of South Carolina, Charleston, South Carolina, USA.

Funding

South Carolina Clinical & Translational Research Institute (SCTR)UL1TR001450 · NCATS · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI BRADY, KATHLEEN T., FLUME, PATRICK A · 2015 to 2024
$41.1M
NCATS NIH HHS UL1 TR001450
6 · The paper itself

Abstract

backgroundCytologic atypia encompasses several features of abnormal cellular morphology. We sought to quantify these features in benign and premalignant/malignant squamous cell lesions to better characterize criteria for malignancy.

methodsWe conducted a rater-blinded observational study in which histopathology slides were evaluated under light microscopy, and the presence and relative quantity of 24 distinct cytological features were recorded, along with respective diagnoses. Each slide was evaluated, and the ratings were recorded and analyzed.

resultsThe most helpful findings, whose presence in high numbers indicates an increased likelihood that the tissue sample is premalignant/malignant, were: (1) pleomorphic parakeratosis; (2) pleomorphic nuclei in the epithelium; (3) irregular nuclei; (4) thick refractile nuclear envelope; (5) presence of nuclear hyperchromasia (dark gray); (6) peripheral nucleoli; and (7) nucleolar stems. Higher values of round or oval nuclear shape and vesicular nuclei increase the likelihood that the tissue sample is benign.

conclusionsCertain nuclear features have a higher association with premalignancy/malignancy and may guide histologic evaluation of a given lesion. These findings can be used in combination with architectural features and clinical history to add to a complete diagnostic picture.

Indexed as

Carcinoma, Squamous CellParakeratosisPrecancerous ConditionsCell NucleusHumanscytologic atypiainflammatory skin diseasekeratinocytesquamous cell carcinoma

Identifiers

PMID37730204
PMCPMC10685324

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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.