Evidence map›Paper›PMID 39926214›Full record

ArticleWorld journal of gastroenterology2025

Important role of lymphovascular and perineural invasion in prognosis of colorectal cancer patients with N1c disease.

Zhi-Gang Sun, Shao-Xuan Chen, Bai-Long Sun, Da-Kui Zhang, Hong-Liang Sun, Huang Chen, Yu-Wan Hu, Tong-Yin Zhang, Zi-Han Han, Wen-Xiao Wu and 3 more

Abstract read
In one paragraph

Article in World journal of gastroenterology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing 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

13 citing papers in PubMed.

  1. Article
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  5. Review
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  7. Article
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  10. Machine Learning-Based Pathomics Signature for Perineural Invasion in Colorectal Cancer.Medical science monitor : international medical journal of experimental and clinical research · 2025
    Article
  11. Article
  12. Impact of emergency presentation on early surgical and oncological outcomes in rectosigmoid cancer: a single-center retrospective analysis.Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES · 2025
    Article
  13. 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

13 authors.

Zhi-Gang SunDepartment of General Surgery, China-Japan Friendship Hospital, Beijing 100029, China.
Shao-Xuan ChenDepartment of General Surgery, China-Japan Friendship Hospital, Beijing 100029, China.
Bai-Long SunDepartment of General Surgery, China-Japan Friendship Hospital, Beijing 100029, China.
Da-Kui ZhangDepartment of General Surgery, China-Japan Friendship Hospital, Beijing 100029, China.
Hong-Liang SunDepartment of Radiology, China-Japan Friendship Hospital, Beijing 100029, China.
Huang ChenDepartment of Pathology, China-Japan Friendship Hospital, Beijing 100029, China.
Yu-Wan HuDepartment of Radiology, China-Japan Friendship Hospital, Beijing 100029, China.
Tong-Yin ZhangDepartment of Radiology, China-Japan Friendship Hospital, Beijing 100029, China.
Zi-Han HanDepartment of General Surgery, China-Japan Friendship Hospital, Beijing 100029, China.
Wen-Xiao WuChinese Academy of Medical Science and Peking Union Medical College, Beijing 100730, China.
Zhi-Yong HouDepartment of General Surgery, China-Japan Friendship Hospital, Beijing 100029, China.
Li YaoDepartment of General Surgery, China-Japan Friendship Hospital, Beijing 100029, China.
Jian-Zheng JieDepartment of General Surgery, China-Japan Friendship Hospital, Beijing 100029, China. jianzhengjie@sohu.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLymphovascular invasion (LVI) and perineural invasion (PNI) are associated with decreased survival in colorectal cancer (CRC), but its significance in N1c stage remains to be clearly defined.

aimTo evaluate LVI and PNI as potential prognostic indicators in N1c CRC.

methodsWe retrospectively identified 107 consecutive patients who had CRC with N1c disease radically resected at our hospital. Tumors were reviewed for LVI and PNI by one pathologist blinded to the patients' outcomes. Disease-free survival (DFS), overall survival (OS) and cancer-specific survival (CSS) were determined using the Kaplan-Meier method, with LVI and PNI prognosis differences determined by multivariate analysis using the Cox multiple hazards model. Results were compared using log-rank test. The receiver operating characteristic (ROC) curve was used to evaluate the prognostic predictive ability.

resultsThe median follow-up time was 63.17 (45.33-81.37) months for DFS, with 33.64% (36/107) of patients experiencing recurrence; 21.5% of tumors were found to be LVI positive and 44.9% PNI positive. The 5-year DFS rate was greater for patients with LVI-negative tumors compared with LVI-positive tumors (74.0%

conclusionLVI and PNI could serve as independent prognostic factors of outcomes in N1c CRC patients. Patients with LVI or PNI should be given more attention during treatment.

Indexed as

Colorectal NeoplasmsPeripheral NervesAdultAgedAged, 80 and overDisease-Free SurvivalFemaleHumansKaplan-Meier EstimateLymphatic MetastasisMaleMiddle AgedNeoplasm InvasivenessNeoplasm Recurrence, LocalNeoplasm StagingPrognosisColorectal cancerLymphovascular invasionN1cPerineural invasionPrognosis

Identifiers

PMID39926214
PMCPMC11718613

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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.