Evidence map›Paper›PMID 39238084›Full record

ArticleInternational journal of cancer2025

Tumor deposits should not be placed in the M category of TNM: A comparative survival analysis using SEER data.

Ayse Selcen Oguz Erdogan, Femke Simmer, Iris D Nagtegaal

Abstract readComparative Study
In one paragraph

Article in International journal of cancer, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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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

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3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

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4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

3 authors.

Ayse Selcen Oguz ErdoganDepartment of Pathology, Radboud University Medical Center, Nijmegen, The Netherlands.ORCID 0000-0001-8350-8704
Femke SimmerDepartment of Pathology, Radboud University Medical Center, Nijmegen, The Netherlands.
Iris D NagtegaalDepartment of Pathology, Radboud University Medical Center, Nijmegen, The Netherlands.

Funding

KWF Kankerbestrijding KUN 2019-12640
6 · The paper itself

Abstract

Tumor deposits (TD) are tumor nodules in the lymphatic drainage area of colorectal cancer patients, and they are currently classified in the N category in the TNM classification. However, due to the associated poor prognosis, some small cohort studies suggest that TD belong in the M category. A retrospective study using The Surveillance, Epidemiology, and End Results program (SEER) data was performed in Stages III and IV colon carcinoma (CC) patients to evaluate the prognostic impact of TD. In multivariate analysis, TD have significantly negative effect on survival in both stages (Stage III HR = 1.4 [95% CI 1.4-1.5] and Stage IV HR = 1.3 [95% CI 1.2-1.3]). In Stage III, 5-year overall survival (OS) for patients with TD 49%, whereas it was 64% for patients without TD (p < .001). Additionally, in Stage IV patients without TD, the 5-year OS rates are superior at 21% compared to patients with TD, who show 5-year OS rate of 10% (p < .001). Stage III patients with TD (5-year OS 49%) have a significantly better prognosis compared to Stage IV patients (5-year OS 17%, p < .001). Therefore, despite the previous suggestions, this large scale study (n = 52,332) on outcomes in CC does not support the classification of TD in Stage IV.

Indexed as

Neoplasm StagingSEER ProgramAdultAgedAged, 80 and overColonic NeoplasmsFemaleHumansLymphatic MetastasisMaleMiddle AgedPrognosisRetrospective StudiesSurvival AnalysisSurvival Ratecolon cancermetastasisSEERTNM classificationtumor deposits

Identifiers

PMID39238084
PMCPMC11578080

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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.