Evidence map›Paper›PMID 40391126›Full record

ArticleCancer management and research2025

Association of PD-L1 Expression with Lymph Node Metastasis and Clinical Stage in Ampulla of Vater Cancer: An Observational Study.

Andrianto Andrianto, Reno Rudiman, Tommy Ruchimat, Kiki Lukman, Bambang Am Am Setya Sulthana, Andriana Purnama, Alma Wijaya, Etis Primastari, Prapanca Nugraha

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Article in Cancer management and research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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2citing 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

The trial behind it

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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.

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4 · The record

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5 · Who and what money

Authors and funding

9 authors.

Andrianto AndriantoDepartment of Surgery, Faculty of Medicine, Universitas Padjadjaran, Bandung, Indonesia.
Reno RudimanDepartment of Surgery, Faculty of Medicine, Universitas Padjadjaran, Bandung, Indonesia.ORCID 0000-0001-6826-6313
Tommy RuchimatDepartment of Surgery, Dr. Hasan Sadikin General Hospital, Bandung, Indonesia.
Kiki LukmanDepartment of Surgery, Faculty of Medicine, Universitas Padjadjaran, Bandung, Indonesia.ORCID 0000-0002-9551-0972
Bambang Am Am Setya SulthanaDepartment of Surgery, Dr. Hasan Sadikin General Hospital, Bandung, Indonesia.
Andriana PurnamaDepartment of Surgery, Dr. Hasan Sadikin General Hospital, Bandung, Indonesia.
Alma WijayaDepartment of Surgery, Dr. Hasan Sadikin General Hospital, Bandung, Indonesia.
Etis PrimastariDepartment of Pathological Anatomy, Dr. Hasan Sadikin General Hospital, Bandung, Indonesia.ORCID 0000-0003-4100-799X
Prapanca NugrahaDepartment of Surgery, Faculty of Medicine, Universitas Padjadjaran, Bandung, Indonesia.ORCID 0000-0001-9701-342X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Ampulla of Vater cancer is a subtype of periampullary cancer originating from pancreatic ducts and the bile ducts. Immune checkpoint proteins, particularly Programmed Death-Ligand 1 (PD-L1), show a crucial function in influencing cancer progression, tumor microenvironment, and immune evasion. This study investigates the association between PD-L1 expression and clinical characteristics in patients with ampulla of Vater cancer. Methods: A retrospective observational study was carried out at a general hospital in West Java, Indonesia, from July 2019 to June 2024. Forty-four patients diagnosed with ampulla of Vater cancer were included. PD-L1 expression was evaluated using immunohistochemistry, and clinicopathological data were analyzed using chi-square, Mann-Whitney, and independent Results: There were 44 research subject. The PD-L1 expression was positive in 59.1% of patients and negatively associated with carcinoembryonic antigen (CEA) levels (p = 0.010). There was a significant association between PD-L1 positivity and lymph node involvement (p = 0.042) and clinical stage (p = 0.017). No significant association was found between PD-L1 expression and age, sex, histopathological grade, or distant metastasis. Conclusion: PD-L1 expression in ampulla of Vater cancer is significantly associated with higher lymph node metastasis and advanced clinical stage but not with age, sex, or tumor differentiation. These findings suggest PD-L1 as a potential prognostic marker and therapeutic target.

Indexed as

Ampulla of Vater cancerimmune checkpoint inhibitorslymphatic metastasisPD-L1 expressionperiampullary cancer

Identifiers

PMID40391126
PMCPMC12087912

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