Evidence map›Paper›PMID 42118669›Full record

Observational studyCancer control : journal of the Moffitt Cancer Center

The Prognosis of Patients With Large Cell Carcinoma of the Cervix: A Retrospective Study of the SEER Database and a Chinese Multi-Center Registry.

Yaxin Kang, Liangwu Zhuang, Lele Chang, Jing Liu, Cong Wang, Qin Xu

Abstract readMulticenter StudyObservational Study
In one paragraph

Observational study in Cancer control : journal of the Moffitt Cancer Center. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0cells of the map it votes in
0citing papers in PubMed
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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

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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

6 authors.

Yaxin KangDepartment of Gynecology, Clinical Oncology School of Fujian Medical University, Fujian Cancer Hospital, Fuzhou, China.
Liangwu ZhuangThe Affiliated People's Hospital of Fujian University of Traditional Chinese Medicine, Fuzhou, China.
Lele ChangDepartment of Gynecology, Clinical Oncology School of Fujian Medical University, Fujian Cancer Hospital, Fuzhou, China.
Jing LiuDepartment of Gynecology, Clinical Oncology School of Fujian Medical University, Fujian Cancer Hospital, Fuzhou, China.
Cong WangDepartment of Gynecologic Oncology, Shandong Cancer Hospital and Institute, Shandong First Medical University and Shandong Academy of Medical Sciences, Jinan, China.
Qin XuDepartment of Gynecology, Clinical Oncology School of Fujian Medical University, Fujian Cancer Hospital, Fuzhou, China.ORCID 0009-0004-5916-9828

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

IntroductionLarge cell neuroendocrine carcinoma of the cervix (LCNEC), a rare and aggressive malignancy, has poor survival. Due to the scarcity of specific treatment guidelines and the limitations of small retrospective studies, this study aims to assess prognostic factors and treatment outcomes in cervical LCNEC using data from both the SEER database and a Chinese multicenter registry.MethodsThis retrospective multicenter cohort study included 130 patients diagnosed with cervical LCNEC between 2004 and 2021, including 87 from the SEER database and 43 from the Chinese registry. We compared clinicopathological variables, treatment approaches such as surgery, chemotherapy, radiotherapy and survival outcomes. Kaplan-Meier and Cox regression analyses were employed to identify prognostic factors.ResultsThe Chinese cohort exhibited a lower proportion of metastatic cases (13.95% compared to 49.43%, p<0.001), earlier disease stages (AJCC IV: 13.95% vs. 49.43%, p<0.001), and higher rates of surgery (76.74% vs. 56.32%, p=0.023) and chemotherapy (93.02% vs. 83.91%, p=0.147). The median overall survival was 22.0 months (95% CI: 17.0-29.5), with the Chinese cohort demonstrating superior 5-year survival (44.0% vs. 27.3%, p<0.001). Surgery was found to reduce the risk of mortality in both cohorts, particularly for locally advanced disease. Chemotherapy improved survival in the SEER cohort, while radiotherapy showed no significant benefit. Advanced T-stage and nodal involvement were identified as predictors of poor prognosis.ConclusionSurgery and chemotherapy remain cornerstone interventions for survival improvement, with surgical resection showing particularly pronounced benefits in locally advanced cases. Prospective studies are needed to optimize guidelines.

Indexed as

Carcinoma, Large CellUterine Cervical NeoplasmsAdultAgedChinaFemaleHumansMiddle AgedNeoplasm StagingPrognosisRegistriesRetrospective StudiesSEER ProgramChinese multi-center registrylarge cell neuroendocrine carcinoma of the cervix (LCNEC)prognosisSEER databasesurgery

Identifiers

PMID42118669
PMCPMC13172726

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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.