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Prognostic Value of the Number of Removed Lymph Nodes in Vulvar Squamous Cell Carcinoma Patients With Node-Positive Disease: A Population-Based Study

Overview of attention for article published in Frontiers in oncology, May 2018
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Title
Prognostic Value of the Number of Removed Lymph Nodes in Vulvar Squamous Cell Carcinoma Patients With Node-Positive Disease: A Population-Based Study
Published in
Frontiers in oncology, May 2018
DOI 10.3389/fonc.2018.00184
Pubmed ID
Authors

San-Gang Wu, Wen-Wen Zhang, Jia-Yuan Sun, Qiong-Hua Chen, Zhen-Yu He, Juan Zhou

Abstract

To investigate the effect of the number of removed lymph nodes (RLNs) on outcomes in patients with node-positive vulvar squamous cell carcinoma (SCC). This population-based retrospective study included vulvar SCC patients recorded on the surveillance, epidemiology, and end results database, who received surgery and lymphadenectomy. Cox regression proportional hazards were used for multivariate analysis. The number of RLNs was examined as a 4-level categorical variable based on quartiles. In total, 703 patients were identified. Patients with a higher RLN count had a significantly higher number of positive lymph nodes. The 3-year cause-specific survival (CSS) rates were 48.9, 65.9, 73.1, and 67.3% in patients with 1-6, 7-10, 11-16, and 17-45 RLNs, respectively (p < 0.001), and the 3-year overall survival (OS) rates were 36.1, 50.6, 61.1, and 57.6%, for the same RLN groups, respectively (p < 0.001). RLN count was an independent predictor of outcome. Using 7-10 RLNs as reference, patients with 1-6 RLNs had poor CSS [hazard ratio (HR) 1.727, 95% confidence interval (CI) 1.201-2.485, p = 0.003] and OS (HR 1.436, 95% CI 1.078-1.911, p = 0.013), while there were comparable outcomes in patients with 11-16 and 17-45 RLNs to patients with 7-10 RLNs. Adjuvant radiotherapy improved CSS (p = 0.023) and OS (p = 0.003) in patients with ≤6 RLNs, but was not associated with better outcomes in patients with >6 RLNs. The removal of more than six lymph nodes improves vulvar SCC outcomes in patients with node-positive disease.

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Mendeley readers

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The data shown below were compiled from readership statistics for 6 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 6 100%

Demographic breakdown

Readers by professional status Count As %
Student > Ph. D. Student 2 33%
Professor > Associate Professor 1 17%
Researcher 1 17%
Other 1 17%
Unknown 1 17%
Readers by discipline Count As %
Medicine and Dentistry 2 33%
Chemistry 1 17%
Unknown 3 50%
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 31 May 2018.
All research outputs
#22,905,350
of 25,540,105 outputs
Outputs from Frontiers in oncology
#16,130
of 22,658 outputs
Outputs of similar age
#302,813
of 344,671 outputs
Outputs of similar age from Frontiers in oncology
#119
of 154 outputs
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