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Detection of disseminated tumor cells in lymph nodes from patients with early stage non-small cell lung cancer

Overview of attention for article published in Diagnostic Pathology, June 2016
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Title
Detection of disseminated tumor cells in lymph nodes from patients with early stage non-small cell lung cancer
Published in
Diagnostic Pathology, June 2016
DOI 10.1186/s13000-016-0504-4
Pubmed ID
Authors

Ane Kongsgaard Rud, Kjetil Boye, Øystein Fodstad, Siri Juell, Lars H. Jørgensen, Steinar Solberg, Åslaug Helland, Odd Terje Brustugun, Gunhild Mari Mælandsmo

Abstract

The regional lymph node involvement is a major prognostic factor in patients with non-small cell lung cancer (NSCLC) undergoing surgical resection. Disease relapse is common, suggesting that early disseminated disease is already present in the regional lymph nodes at the time of surgery, and that the current nodal staging classification might be suboptimal. Early detection of disseminated tumor cells (DTCs) in lymph nodes could potentially enable identification of subcategories of patients with high risk of disease relapse. Lymph node samples were collected from 128 NSCLC patients at the time of surgery and the presence of DTCs determined by immunomagnetic selection (IMS) using the MOC31 antibody recognizing EpCAM. Results obtained with IMS were compared to the pathological staging obtained by histopathology. Associations between the presence of DTCs and clinicopathological variables and patient outcome were investigated. DTCs were detected in 40 % of the lymph node samples by IMS. Their presence was significantly associated with pN status as assessed by histopathology, and samples from 83 % of the patients with lymph node metastases (pN1-2) had detectable DTCs. In the group of patients who were negative for lymph node metastases by standard histopathology (pN0) DTCs were detected in 32 %. The presence of DTCs was not associated with any other clinicopathological variables. Patients with IMS-positive samples showed decreased relapse free survival compared to patients with IMS-negative samples, but the difference was not statistically significant. The pN status was significantly associated with both relapse free and overall survival, but the presence of DTCs had no prognostic impact in the subcategory of patients with pN0 status. Our findings do not support further development of lymph node DTC detection for clinical use in early stage NSCLC.

Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 22 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 22 100%

Demographic breakdown

Readers by professional status Count As %
Researcher 5 23%
Student > Bachelor 4 18%
Student > Ph. D. Student 3 14%
Other 2 9%
Student > Master 2 9%
Other 3 14%
Unknown 3 14%
Readers by discipline Count As %
Medicine and Dentistry 8 36%
Biochemistry, Genetics and Molecular Biology 4 18%
Engineering 2 9%
Psychology 1 5%
Chemistry 1 5%
Other 1 5%
Unknown 5 23%
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 23 June 2016.
All research outputs
#20,334,427
of 22,879,161 outputs
Outputs from Diagnostic Pathology
#949
of 1,131 outputs
Outputs of similar age
#305,136
of 352,647 outputs
Outputs of similar age from Diagnostic Pathology
#7
of 9 outputs
Altmetric has tracked 22,879,161 research outputs across all sources so far. This one is in the 1st percentile – i.e., 1% of other outputs scored the same or lower than it.
So far Altmetric has tracked 1,131 research outputs from this source. They receive a mean Attention Score of 2.8. This one is in the 1st percentile – i.e., 1% of its peers scored the same or lower than it.
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We're also able to compare this research output to 9 others from the same source and published within six weeks on either side of this one. This one has scored higher than 2 of them.