Evidence map›Paper›PMID 41749856›Full record

ArticleCancers2026

Impact of STAS on Lung Resections for Adenocarcinoma: A Retrospective Analysis.

Emily Belker, Katrin Hornemann, Peter Kleine, Peter Wild, Bart Vrugt, Kati Kiil, Waldemar Schreiner

Abstract read
In one paragraph

Article in Cancers, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. Observational
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

7 authors.

Emily BelkerDivision of Thoracic Surgery, University Hospital Frankfurt, Goethe University Frankfurt, 60596 Frankfurt am Main, Germany.
Katrin HornemannDivision of Thoracic Surgery, University Hospital Frankfurt, Goethe University Frankfurt, 60596 Frankfurt am Main, Germany.
Peter KleineDepartment of Thoracic Surgery, Sana Klinikum Offenbach, 63069 Offenbach am Main, Germany.ORCID 0009-0004-1775-1078
Peter WildDepartment of Pathology, Senckenberg Institute of Pathology, University Hospital Frankfurt, Goethe University Frankfurt, 60596 Frankfurt am Main, Germany.
Bart VrugtDepartment of Pathology, Stadtspital Zürich, 8063 Zurich, Switzerland.ORCID 0009-0008-2980-5685
Kati KiilDepartment of Pathology, Senckenberg Institute of Pathology, University Hospital Frankfurt, Goethe University Frankfurt, 60596 Frankfurt am Main, Germany.
Waldemar SchreinerDivision of Thoracic Surgery, University Hospital Frankfurt, Goethe University Frankfurt, 60596 Frankfurt am Main, Germany.ORCID 0000-0002-5866-7161

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTumor spread through air spaces (STAS) has been proposed as a histopathological marker of aggressive tumor biology in adenocarcinoma of the lung (ADCL). Its independent prognostic significance and clinical implications regarding surgical strategy remain controversial. This study evaluated clinicopathological correlates and the prognostic impact of STAS in a homogeneous cohort of resected ADCL.

methodsWe retrospectively analyzed 100 patients with primary ADCL resected between 2009 and 2018. STAS was classified as absent, low (1-4 clusters), or high (≥5) by an experienced pathologist. Associations between STAS and clinical, surgical, and pathological variables were tested with univariate analyses and multivariable logistic regression. Overall survival (OS) was evaluated using Kaplan-Meier and Cox regression.

resultsSTAS was present in 46% of tumors and was significantly associated with a higher pathological N category (pN0-pN3;

conclusionsSTAS is frequent in resected ADCL and correlates with adverse pathological features and reduced OS in univariate models. In multivariate analysis, STAS did not emerge as an independent prognostic factor. These findings support the interpretation of STAS as a marker of aggressive tumor biology rather than an independent determinant of prognosis or surgical decision-making.

Indexed as

adenocarcinoma of the lunghistopathologylimited resectionlobectomyoverall survivalprognostic factorsspread through air spaces (STAS)sublobar resectionsurgical oncology

Identifiers

PMID41749856
PMCPMC12938626

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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.