Evidence map›Paper›PMID 39516342›Full record

ArticleBJC reports2024

Loss of vimentin expression in preoperative biopsies independently predicts poor prognosis, lymph node metastasis and recurrence in endometrial cancer.

Marta E Hjelmeland, Hilde E Lien, Hege F Berg, Kathrine Woie, Henrica M J Werner, Frédéric Amant, Ingfrid S Haldorsen, Jone Trovik, Camilla Krakstad

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Article in BJC reports, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

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0cells of the map it votes in
4citing papers in PubMed
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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

4 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

9 authors.

Marta E HjelmelandCentre for Cancer Biomarkers, Department of Clinical Science, University of Bergen, Bergen, Norway.
Hilde E LienCentre for Cancer Biomarkers, Department of Clinical Science, University of Bergen, Bergen, Norway.
Hege F BergCentre for Cancer Biomarkers, Department of Clinical Science, University of Bergen, Bergen, Norway.
Kathrine WoieDepartment of Gynecology and Obstetrics, Haukeland University Hospital, Bergen, Norway.
Henrica M J WernerDepartment of Obstetrics and Gynecology, Maastricht University Medical Center (MUMC+), Maastricht, The Netherlands.
Frédéric AmantDivision Gynecologic Oncology, UZ Leuven, Leuven, Belgium.
Ingfrid S HaldorsenDepartment of Clinical Medicine, University of Bergen, Bergen, Norway.
Jone TrovikCentre for Cancer Biomarkers, Department of Clinical Science, University of Bergen, Bergen, Norway.
Camilla KrakstadCentre for Cancer Biomarkers, Department of Clinical Science, University of Bergen, Bergen, Norway. camilla.krakstad@uib.no.

Funding

Helse Vest F-12542Kreftforeningen 223283Norges Forskningsråd 326348
6 · The paper itself

Abstract

backgroundPrecise preoperative risk classification of endometrial cancer is crucial for treatment decisions. Existing clinical markers often fail to accurately predict lymph node metastasis and recurrence risk. Loss of vimentin expression has emerged as a potential marker for predicting recurrence in low-risk endometrial cancer patients. We assessed whether vimentin expression in preoperative biopsies predicts poor prognosis and lymph node metastasis in a large multicentre cohort.

methodsVimentin expression was evaluated using immunohistochemistry in 1483 patients diagnosed with endometrial cancer across 14 hospitals in Europe. Expression levels of vimentin were analyzed in conjunction with clinical characteristics for predicting disease-specific survival and lymph node metastases.

resultsVimentin loss was significantly associated with aggressive disease and poor survival. Adjusted for clinicopathological variables, vimentin remained independently prognostic with a hazard ratio (HR) of 1.68 (95% CI 1.16-2.42, P = 0.006). Vimentin expression remained independently prognostic in endometrioid endometrial cancer- and FIGO staged 1 patient. Interestingly, vimentin loss independently predicted lymph node metastases, with an HR of 1.83 (95% CI 1.13-2.95, P = 0.014).

conclusionsLoss of vimentin in preoperative biopsies serves as an independent predictor of poor prognosis and lymph node metastases. Incorporating vimentin as a clinical marker can improve risk stratification and treatment decisions.

Identifiers

PMID39516342
PMCPMC11524127

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