دورية أكاديمية
SUCCOR Nodes: May Sentinel Node Biopsy Determine the Need for Adjuvant Treatment?
| العنوان: | SUCCOR Nodes: May Sentinel Node Biopsy Determine the Need for Adjuvant Treatment? |
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| المؤلفون: | Berasaluce Gómez, Arantxa, Martín-Calvo, Nerea, Boria, Félix, Manzour, Nabil, Chacón, Enrique, Bizzarri, Nicolò, Chiva, Luis, SUCCOR Study Group included Goffin Frédéric |
| المساهمون: | Goffin, Frédéric |
| المصدر: | Annals of Surgical Oncology, 30 (8), 4975 - 4985 (2023-08) |
| بيانات النشر: | Springer Science and Business Media Deutschland GmbH, 2023. |
| سنة النشر: | 2023 |
| مصطلحات موضوعية: | Adjuvants, Immunologic, Female, Humans, Male, Neoplasm Recurrence, Local/pathology, Sentinel Lymph Node Biopsy, Lymph Nodes/surgery, Lymph Nodes/pathology, Lymph Node Excision, Lymphatic Metastasis/pathology, Neoplasm Staging, Retrospective Studies, Uterine Cervical Neoplasms/surgery, Uterine Cervical Neoplasms/pathology, Lymph Nodes, Lymphatic Metastasis, Neoplasm Recurrence, Local, Uterine Cervical Neoplasms, Surgery, Oncology, Human health sciences, Sciences de la santé humaine, Oncologie |
| الوصف: | [en] BACKGROUND: The SUCCOR cohort was developed to analyse the overall and disease-free survival at 5 years in women with FIGO 2009 stage IB1 cervical cancer. The aim of this study was to compare the use of adjuvant therapy in these women, depending on the method used to diagnose lymphatic node metastasis.PATIENTS AND METHODS: We used data from the SUCCOR cohort, which collected information from 1049 women with FIGO 2009 stage IB1 cervical cancer who were operated on between January 2013 and December 2014 in Europe. We calculated the adjusted proportion of women who received adjuvant therapy depending on the lymph node diagnosis method and compared disease free and overall survival using Cox proportional-hazards regression models. Inverse probability weighting was used to adjust for baseline potential confounders.RESULTS: The adjusted proportion of women who received adjuvant therapy was 33.8% in the sentinel node biopsy + lymphadenectomy (SNB+LA) group and 44.7% in the LA group (p = 0.02), although the proportion of positive nodal status was similar (p = 0.30). That difference was greater in women with negative nodal status and positive Sedlis criteria (difference 31.2%, p = 0.01). Here, those who underwent a SNB+LA had an increased risk of relapse [hazard ratio (HR) 2.49, 95% confidence interval (CI) 0.98-6.33, p = 0.056] and risk of death (HR 3.49, 95% CI 1.04-11.7, p = 0.042) compared with those who underwent LA.CONCLUSIONS: Women in this study were less likely to receive adjuvant therapy if their nodal invasion was determined using SNB+LA compared with LA. These results suggest a lack of therapeutic measures available when a negative result is obtained by SNB+LA, which may have an impact on the risk of recurrence and survival. |
| نوع الوثيقة: | journal article http://purl.org/coar/resource_type/c_6501Test article peer reviewed |
| اللغة: | English |
| العلاقة: | https://link.springer.com/content/pdf/10.1245/s10434-023-13529-w.pdfTest; urn:issn:1068-9265; urn:issn:1534-4681 |
| DOI: | 10.1245/s10434-023-13529-w |
| الوصول الحر: | https://orbi.uliege.be/handle/2268/309142Test |
| حقوق: | open access http://purl.org/coar/access_right/c_abf2Test info:eu-repo/semantics/openAccess |
| رقم الانضمام: | edsorb.309142 |
| قاعدة البيانات: | ORBi |
| DOI: | 10.1245/s10434-023-13529-w |
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