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The role of lymph nodes in predicting the prognosis of ampullary carcinoma after curative resection

Overview of attention for article published in World Journal of Surgical Oncology, July 2015
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Title
The role of lymph nodes in predicting the prognosis of ampullary carcinoma after curative resection
Published in
World Journal of Surgical Oncology, July 2015
DOI 10.1186/s12957-015-0643-1
Pubmed ID
Authors

Shih-Chin Chen, Yi-Ming Shyr, Shu-Cheng Chou, Shin-E Wang

Abstract

Lymph node involvement is one of the well-demonstrated prognostic factors in ampullary carcinoma. The aim of this study is to clarify the role of lymph nodes in predicting the survival outcome of ampullary carcinoma. A cohort of consecutive curative pancreaticoduodenectomies for ampullary carcinoma from 1999 to 2014 was retrospectively analyzed. The effect of node-associated variables, including lymph node status, positive lymph node number, total harvested lymph node (THLN) number, and lymph node ratio (LNR) was examined using univariate and multivariate analyses for survival outcome prediction. In 194 evaluable patients, univariate analysis demonstrated that stage, cell differentiation, perineural invasion, and nodal status were significant conventional prognostic factors. Concerning the node-associated variables, positive nodal status, positive lymph node number ≥2, THLN number <14, and LNR ≥0.15 were significantly associated with poorer survival outcomes, with a 5-year survival rate of 20.3, 38.9, 25.4, and 18 %, respectively. By multivariate analysis, nodal status and THLN number were two independent predictors of survival. The most favorable 5-year survival rate was 84.4 % in patients with negative nodal involvement and THLN number ≥14, compared with the poorest 5-year survival rate of 16.1 % in those with positive nodal status and THLN number <14. Tumor biology reflected by lymph node status is the most important independent prognostic factor; nevertheless, surgical radicality based on THLN number also plays a significant role in the survival outcome for patients with ampullary carcinoma after curative pancreaticoduodenectomy.

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Mendeley readers

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Geographical breakdown

Country Count As %
Unknown 14 100%

Demographic breakdown

Readers by professional status Count As %
Other 2 14%
Student > Postgraduate 2 14%
Student > Ph. D. Student 2 14%
Student > Doctoral Student 1 7%
Researcher 1 7%
Other 1 7%
Unknown 5 36%
Readers by discipline Count As %
Medicine and Dentistry 8 57%
Biochemistry, Genetics and Molecular Biology 1 7%
Unknown 5 36%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 25 July 2015.
All research outputs
#18,418,919
of 22,817,213 outputs
Outputs from World Journal of Surgical Oncology
#1,011
of 2,043 outputs
Outputs of similar age
#189,156
of 263,272 outputs
Outputs of similar age from World Journal of Surgical Oncology
#29
of 50 outputs
Altmetric has tracked 22,817,213 research outputs across all sources so far. This one is in the 11th percentile – i.e., 11% of other outputs scored the same or lower than it.
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