Evidence map›Paper›PMID 37507544›Full record

ArticleBritish journal of cancer2023

Immune microenvironment and lymph node yield in colorectal cancer.

Soo Hyun Lee, Amaya Pankaj, Azfar Neyaz, Yuho Ono, Steffen Rickelt, Cristina Ferrone, David Ting, Deepa T Patil, Omer Yilmaz, David Berger and 2 more

Abstract read
In one paragraph

Article in British journal of cancer, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
–field-weighted citation impact
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

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

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

17 citing papers in PubMed.

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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

12 authors.

Soo Hyun LeeDepartment of Pathology, Boston Medical Center, Boston, MA, USA.ORCID http://orcid.org/0000-0002-9622-357X
Amaya PankajMassachusetts General Hospital Cancer Center, Boston, MA, USA.
Azfar NeyazDepartment of Pathology, Massachusetts General Hospital, Boston, MA, USA.
Yuho OnoDepartment of Pathology, Beth Israel Deaconess Medical Center, Boston, MA, USA.
Steffen RickeltDavid H. Koch Institute for Integrative Cancer Research, Massachusetts Institute of Technology, Cambridge, MA, USA.
Cristina FerroneDepartment of Surgery, Massachusetts General Hospital, Boston, MA, USA.
David TingMassachusetts General Hospital Cancer Center, Boston, MA, USA.ORCID http://orcid.org/0000-0002-3261-2322
Deepa T PatilHarvard Medical School, Boston, MA, USA.ORCID http://orcid.org/0000-0001-7837-1299
Omer YilmazDepartment of Pathology, Massachusetts General Hospital, Boston, MA, USA.ORCID http://orcid.org/0000-0002-7577-4612
David BergerHarvard Medical School, Boston, MA, USA.
Vikram Deshpande *Department of Pathology, Beth Israel Deaconess Medical Center, Boston, MA, USA. Vikramdirdeshpande@gmail.com.
Osman Yılmaz *Department of Pathology, Beth Israel Deaconess Medical Center, Boston, MA, USA. osmanhy@gmail.com.ORCID http://orcid.org/0000-0001-9822-7112

Funding

Pilot & Feasibility ProgramP30DK043351 · NIDDK · MASSACHUSETTS GENERAL HOSPITAL · PI Ramnik J Xavier · 1991 to 2026
$35.3M
NIDDK NIH HHS P30 DK043351
6 · The paper itself

Abstract

backgroundLymph node (LN) harvesting is associated with outcomes in colonic cancer. We sought to interrogate whether a distinctive immune milieu of the primary tumour is associated with LN yield.

methodsA total of 926 treatment-naive patients with colorectal adenocarcinoma with more than 12 LNs (LN-high) were compared with patients with 12 or fewer LNs (LN-low). We performed immunohistochemistry and quantification on tissue microarrays for HLA class I/II proteins, beta-2-microglobulin (B2MG), CD8, CD163, LAG3, PD-L1, FoxP3, and BRAF V600E.

resultsThe LN-high group was comprised of younger patients, longer resections, larger tumours, right-sided location, and tumours with deficient mismatch repair (dMMR). The tumour microenvironment showed higher CD8+ cells infiltration and B2MG expression on tumour cells in the LN-high group compared to the LN-low group. The estimated mean disease-specific survival was higher in the LN-high group than LN-low group. On multivariate analysis for prognosis, LN yield, CD8+ cells, extramural venous invasion, perineural invasion, and AJCC stage were independent prognostic factors.

conclusionOur findings corroborate that higher LN yield is associated with a survival benefit. LN yield is associated with an immune high microenvironment, suggesting that tumour immune milieu influences the LN yield.

Indexed as

Colonic NeoplasmsColorectal NeoplasmsHumansLymph Node ExcisionLymph NodesNeoplasm StagingPrognosisTumor Microenvironment

Identifiers

PMID37507544
PMCPMC10491581

What Socratic holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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 Socratic graph.