Evidence map›Paper›PMID 42610982›Full record

ArticleBJS open2026

Prognostic importance of tumour deposits with and without concurrent lymph node metastases in patients with stage III colon cancer.

Clara Brinkmann, Andreas H Nordholm, Peter-Martin Krarup, Nis H Schlesinger, Anisoara Iordache, Camilla Qvortrup, Henry G Smith

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Article in BJS open, 2026. 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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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Clara BrinkmannAbdominalcenter K, Copenhagen University Hospital-Bispebjerg and Frederiksberg, Copenhagen, Denmark.ORCID 0009-0009-1624-0344
Andreas H NordholmAbdominalcenter K, Copenhagen University Hospital-Bispebjerg and Frederiksberg, Copenhagen, Denmark.
Peter-Martin KrarupAbdominalcenter K, Copenhagen University Hospital-Bispebjerg and Frederiksberg, Copenhagen, Denmark.
Nis H SchlesingerAbdominalcenter K, Copenhagen University Hospital-Bispebjerg and Frederiksberg, Copenhagen, Denmark.
Anisoara IordacheDepartment of Pathology, Copenhagen University Hospital-Rigshospitalet, Copenhagen, Denmark.
Camilla QvortrupDepartment of Oncology, Copenhagen University Hospital-Rigshospitalet, Copenhagen, Denmark.
Henry G SmithAbdominalcenter K, Copenhagen University Hospital-Bispebjerg and Frederiksberg, Copenhagen, Denmark.ORCID 0000-0003-4218-4648

Funding

Lundbeck Foundation
6 · The paper itself

Abstract

backgroundTumour deposits (TD) are associated with poor prognosis in patients with colon cancer. However, the current staging system only acknowledges TD in patients without lymph node metastases (LNM). This study investigated the prognostic impact of TD with or without LNM in patients with stage III colon cancer.

methodsThis was a national retrospective cohort study using the Danish Colorectal Cancer Group database, including patients with stage III colon cancer who underwent curative surgery between 2017 and 2022. Patients were stratified into 3 groups: TD alone; LNM alone; and TD and LNM. The primary endpoint was overall survival (OS).

resultsOf the 18 395 patients registered during the study period, 10 241 underwent surgery with curative intent and 9807 had a TD assessment. Of the 3543 stage III CRC patients included, 1091 had TD (30.8%). Of these, 884 had TD and LNM (25.0%), whereas 207 had TD alone (5.8%). Patients with TD and LNM had significantly poorer survival than those with LNM alone (5-year OS 52.2% versus 69.2%; P < 0.001). On subgroup analyses, the presence of TD was associated with poorer OS across all N categories. On multivariable analysis, TD was independently associated with all-cause mortality (hazard ratio 1.25; 95% confidence interval 1.08 to 1.43; P = 0.002). Patients with TD only were significantly less likely to receive adjuvant chemotherapy than those with LNM or TD and LNM (42.5% versus 52.2% and 55.9%, respectively; P = 0.002).

conclusionTD are common in patients with stage III colon cancer and are associated with poorer prognosis across all N categories.

Indexed as

Colonic NeoplasmsLymphatic MetastasisLymph NodesAgedAged, 80 and overDenmarkFemaleHumansMaleMiddle AgedNeoplasm StagingPrognosisRetrospective Studiescancer stagingcolorectal cancercolorectal surgeryTNM

Identifiers

PMID42610982
PMCPMC13482985

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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.