Evidence map›Paper›PMID 41685307›Full record

ArticleFrontiers in immunology2026

Prognostic value of lymphatic vessel density in the capsule of early-stage hepatocellular carcinoma: implications for postoperative recurrence risk.

Jin Li, Yu-Bo Liang, Xing-Ming Chen, Zhi-Yan Ou, Qing-Bo Wang, Wan-Ling Luo, Yawhan Lakang, Zi-Sheng Yang, Jin-Xiang Zuo, Yu-Kai Li and 5 more

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Article in Frontiers in immunology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed, 7 pooled it
–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

36 citing papers in PubMed, 7 syntheses or guidelines pooled it.

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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

15 authors.

Jin Li *Department of Hepatobiliary Surgery, the Second Affiliated Hospital, Kunming Medical University, Kunming, Yunnan, China.
Yu-Bo Liang *Department of Hepatobiliary Surgery, the Second Affiliated Hospital, Kunming Medical University, Kunming, Yunnan, China.
Xing-Ming Chen *Department of Hepatobiliary Surgery, the Second Affiliated Hospital, Kunming Medical University, Kunming, Yunnan, China.
Zhi-Yan Ou *Department of Pathology, the Second Affiliated Hospital, Kunming Medical University, Kunming, Yunnan, China.
Qing-Bo Wang *Department of Hepatobiliary Surgery, the Second Affiliated Hospital, Kunming Medical University, Kunming, Yunnan, China.
Wan-Ling Luo *Department of Hepatobiliary Surgery, the Second Affiliated Hospital, Kunming Medical University, Kunming, Yunnan, China.
Yawhan LakangDepartment of Hepatobiliary Surgery, the Second Affiliated Hospital, Kunming Medical University, Kunming, Yunnan, China.
Zi-Sheng YangDepartment of Hepatobiliary Surgery, the Second Affiliated Hospital, Kunming Medical University, Kunming, Yunnan, China.
Jin-Xiang ZuoDepartment of Hepatobiliary Surgery, the Second Affiliated Hospital, Kunming Medical University, Kunming, Yunnan, China.
Yu-Kai LiDepartment of International Healthcare, the First Affiliated Hospital, Kunming Medical University, Kunming, Yunnan, China.
Hao-Wen QinDepartment of Pathology, the Second Affiliated Hospital, Kunming Medical University, Kunming, Yunnan, China.
Xin-Wu LvDepartment of Pathology, the Second Affiliated Hospital, Kunming Medical University, Kunming, Yunnan, China.
Xiang KuiDepartment of Pathology, the Second Affiliated Hospital, Kunming Medical University, Kunming, Yunnan, China.
Yan WangDepartment of Pathology, the Second Affiliated Hospital, Kunming Medical University, Kunming, Yunnan, China.
Yang KeDepartment of Hepatobiliary Surgery, the Second Affiliated Hospital, Kunming Medical University, Kunming, Yunnan, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: Lymphatic vessels are present in the capsule of hepatocellular carcinoma (HCC) at an early stage, but their value in the prognosis remains unclear. The study aimed to evaluate the prognostic impact of lymphatic vessels in the tumor capsule on patients with HCC at Barcelona Clinic Liver Cancer (BCLC) stages 0-A. This is one of the first studies to investigate the tumor capsule specifically. Methods: This retrospective study included HCC patients at BCLC stages 0-A, who underwent radical liver resection between January 2017 and December 2020. Lymphatic vessel density (LVD) in the tumor capsule was determined by immunohistochemistry using anti-D2-40. Patients were stratified into the high and low LVD groups. Their overall survival (OS) and recurrence-free survival (RFS) were analyzed. The potential risk factors affecting survival and for predicting microvascular invasion (MVI) or satellite nodules were analyzed using Cox regression analysis and logistic regression analysis, respectively. Results: A total of 212 patients were included (180 male and 142 patients < 60 years old). The 1, 3, and 5-year OS were 76.5%, 52.9%, and 41.2% in the high LVD group, versus 94.4%, 76.4%, and 69.0% in the low LVD group ( Conclusions: High LVD in the tumor capsule was associated with worse OS, RFS, and intrahepatic spread (MVI and satellite nodules) in patients with HCC at BCLC stages 0-A after liver resection. Our findings suggest that assessing LVD in the tumor capsule could serve as a useful tool in predicting postoperative prognosis and guiding personalized treatment strategies for patients with early-stage HCC.

Indexed as

Carcinoma, HepatocellularLiver NeoplasmsLymphatic VesselsNeoplasm Recurrence, LocalAdultAgedFemaleHepatectomyHumansMaleMiddle AgedNeoplasm StagingPrognosisRetrospective StudiesRisk Factorsliver cancerlymphangiogenesismicrovascular invasionrelapsesatellite nodules

Identifiers

PMID41685307
PMCPMC12891066

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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.