Evidence map›Paper›PMID 41385066›Full record

ArticleAnnals of surgical oncology2026

Evaluation of Changes in Squamous Cell Carcinoma Antigen Levels After Neoadjuvant Chemotherapy to Support Preoperative Diagnosis of Adjacent Organ Invasion in Locally Advanced Esophageal Squamous Cell Carcinoma.

Takafumi Suzuki, Hironori Tsujimoto, Yoshihisa Yaguchi, Keita Kouzu, Seiichiro Fujishima, Risa Kariya, Naoyuki Uehata, Asuma Ide, Hiroki Tashiro, Yoji Kishi and 1 more

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Article in Annals of surgical oncology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

11 authors.

Takafumi SuzukiDepartment of Surgery, National Defense Medical College, Saitama, Japan.
Hironori TsujimotoDepartment of Surgery, National Defense Medical College, Saitama, Japan. tsujihi@ndmc.ac.jp.ORCID http://orcid.org/0000-0002-2808-4723
Yoshihisa YaguchiDepartment of Surgery, National Defense Medical College, Saitama, Japan.
Keita KouzuDepartment of Surgery, National Defense Medical College, Saitama, Japan.
Seiichiro FujishimaDepartment of Surgery, National Defense Medical College, Saitama, Japan.
Risa KariyaDepartment of Surgery, National Defense Medical College, Saitama, Japan.
Naoyuki UehataDepartment of Surgery, National Defense Medical College, Saitama, Japan.
Asuma IdeDepartment of Surgery, National Defense Medical College, Saitama, Japan.
Hiroki TashiroDepartment of Surgery, National Defense Medical College, Saitama, Japan.
Yoji KishiDepartment of Surgery, National Defense Medical College, Saitama, Japan.
Hideki UenoDepartment of Surgery, National Defense Medical College, Saitama, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThis study aimed to determine whether serum squamous cell carcinoma antigen (SCC) value before and after neoadjuvant chemotherapy (NAC) can help to predict pT4 locally advanced esophageal squamous cell cancer (ESCC).

methodsThe study included 117 ycT3 ESCC patients who received NAC and underwent esophagectomy. The patients were categorized into ycT3r and ycT3br groups according to the 12th edition of the Japanese Classification of Esophageal Cancer. All SCC values before NAC (pre-SCC) and after NAC (post-SCC) as well as the difference between post-SCC and pre-SCC values (ΔSCC) were examined to determine their association with pT4.

resultsPre-SCC levels did not differ significantly across pT stage (P = 0.267), whereas post-SCC levels showed a significant pT stage-dependent variation (P = 0.005). Only pT4 patients exhibited a positive ΔSCC value and showed significant pT-dependent variation (P = 0.002). The highest area under the receiver operating characteristic (ROC) curve for predicting pT4 was achieved by ΔSCC, at 0.779 (P < 0.001), followed by post- and pre-SCC, using the cutoff value of 0.4 determined by the Youden index. Multivariate analysis identified ycT3br (P = 0.004) and ΔSCC ≥0.4 (P = 0.003) as independent predictors for pT4. Among the patients with ycT3r and ΔSCC <0.4, 98.8% had a diagnosis of pT3, yielding a higher negative predictive value for adjacent organ invasion than ycT staging would have alone (92.4%). Among those with ycT3br and ΔSCC ≥0.4, 50% had a diagnosis of pT4, showing a higher positive predictive value for adjacent organ invasion than ycT staging would have alone (32.4%).

conclusionsIntegrating ΔSCC into CT-based assessment may improve predictive ability for pT4.

Indexed as

Antigens, NeoplasmAntineoplastic Combined Chemotherapy ProtocolsBiomarkers, TumorCarcinoma, Squamous CellEsophageal NeoplasmsNeoadjuvant TherapySerpinsAdultAgedChemotherapy, AdjuvantEsophageal Squamous Cell CarcinomaEsophagectomyFemaleFollow-Up StudiesHumansMaleAntigens, NeoplasmBiomarkers, TumorSerpinssquamous cell carcinoma-related antigenAdjacent organ invasionEsophageal squamous cell cancerNeoadjuvant chemotherapySCCTumor staging

Identifiers

PMID41385066

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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.