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280 Results Found

  • Article
  • Open Access
12 Citations
6,307 Views
15 Pages

Prognostic Value of Metastatic Lymph Node Ratio and Identification of Factors Influencing the Lymph Node Yield in Patients Undergoing Curative Colon Cancer Resection

  • Paweł Mroczkowski,
  • Samuel Kim,
  • Ronny Otto,
  • Hans Lippert and ,
  • Radosław Zajdel,
  • Karolina Zajdel and
  • Anna Merecz-Sadowska
  • + 2 authors+ 0 author

2 January 2024

Due to the impact of nodal metastasis on colon cancer prognosis, adequate regional lymph node resection and accurate pathological evaluation are required. The ratio of metastatic to examined nodes may bring an additional prognostic value to the actua...

(This article belongs to the Special Issue The Survival of Colon and Rectal Cancer)
  • Article
  • Open Access
14 Citations
4,191 Views
11 Pages

Lymph Node Ratio Predicts Recurrence in Patients with Papillary Thyroid Carcinoma with Low Lymph Node Yield

  • Il Ku Kang,
  • Joonseon Park,
  • Ja Seong Bae,
  • Jeong Soo Kim and
  • Kwangsoon Kim

27 May 2023

The American Thyroid Association risk stratification system suggests that having >5 metastatic lymph nodes (LNs) increase the recurrence risk in patients with papillary thyroid carcinoma (PTC). However, little is known about PTC with <5 harvest...

(This article belongs to the Special Issue 2nd Edition: Advances in the Management of Thyroid Cancer)
  • Article
  • Open Access
22 Citations
4,863 Views
13 Pages

4 May 2021

Background: Lymph node metastases are associated with poor prognosis in head and neck squamous cell carcinoma (HNSCC). Neck dissection (ND) is often performed prior to or after (chemo)radiation (CRT) and is an integral part of HNSCC treatment strateg...

(This article belongs to the Special Issue Surgical Treatment of Head and Neck Squamous Cell Carcinomas (HNSCC))
  • Article
  • Open Access
868 Views
15 Pages

An Above-Average Lymph Node Yield Removed During Curative Neck Dissection in Advanced Head and Neck Squamous Cell Carcinomas Improves Survival

  • Miray-Su Yılmaz Topçuoğlu,
  • Thiemo Seidler,
  • Patrick J. Schuler,
  • Christel Herold-Mende and ,
  • Rolf Warta and
  • Gerhard Dyckhoff
  • + 1 author+ 0 author

25 December 2025

Objectives: The lymph node yield of a curative neck dissection for advanced head and neck squamous cell carcinoma (HNSCC) is an important factor in improving patient outcomes. Achieving adequate resection while minimising surgical risk is important....

(This article belongs to the Section Methods and Technologies Development)
  • Article
  • Open Access
2 Citations
1,211 Views
15 Pages

A Retrospective Study Regarding the Implementation of Laparoscopy in Colon Cancer Through the Evaluation of Lymph Node Yield and Oncological Safety Margins in a Medium-Volume Center in Eastern Europe

  • Iulian Slavu,
  • Raluca Tulin,
  • Alexandru Dogaru,
  • Ileana Dima and ,
  • Cristina Orlov Slavu,
  • Marius Popescu,
  • Bogdan Nitescu,
  • Daniela-Elena Gheoca Mutu and
  • Adrian Tulin
  • + 4 authors+ 0 author

Background: Laparoscopic surgical procedures are increasingly adopted for colorectal cancer because of their advantages in perioperative outcomes. However, their implementation in medium-volume centers (<50 laparoscopic resections per year) remain...

(This article belongs to the Section Cancer Biology and Oncology)
  • Article
  • Open Access
13 Citations
4,720 Views
15 Pages

Lymph Node Yield and Lymph Node Ratio for Prognosis of Long-Term Survival in Gastric Carcinoma

  • Olof Jannasch,
  • Martin Schwanz,
  • Ronny Otto,
  • Michal Mik and ,
  • Hans Lippert and
  • Pawel Mroczkowski
  • + 1 author+ 0 author

27 January 2025

Background: Lymphadenectomy is a fundamental part of surgical strategy in patients with gastric cancer. Lymph node (LN) status is a key point in assessment of prognosis in gastric cancer. The LN ratio (LNR)—number of positive LNs/number of samp...

(This article belongs to the Special Issue Surgical Management of Gastric Cancer: New Insights and Future Prospectives)
  • Article
  • Open Access
7 Citations
1,945 Views
6 Pages

Miniforceps EBUS-Guided Lymph Node Biopsy: Impact on Diagnostic Yield

  • Aryan Shiari,
  • Lamia Aljundi,
  • Peter Boshara,
  • Rami K. Zein and
  • Mohammed Zalt

28 February 2021

Introduction: Endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) is the standard diagnostic method for sampling mediastinal and hilar lymph nodes. Non-diagnostic samples have led some pulmonologists to add a miniforceps biop...

  • Article
  • Open Access
1 Citations
1,004 Views
13 Pages

9 December 2025

Background: Oral cancer is a major global health burden with heterogeneous survival outcomes. This study aimed to identify clinicopathological factors, particularly lymph node-related parameters, associated with prognosis in patients with oral cancer...

(This article belongs to the Special Issue Diagnosis and Management in Oral and Maxillofacial Surgery)
  • Article
  • Open Access
530 Views
17 Pages

22 July 2026

Background: Pathological N staging remains central to prognostic assessment in colorectal adenocarcinoma; however, it captures nodal disease as an absolute count and does not account for the total number of examined lymph nodes. The lymph node ratio...

(This article belongs to the Section Gastroenterology & Hepatopancreatobiliary Medicine)
  • Article
  • Open Access
12 Citations
1,217 Views
9 Pages

Lymph Node Evaluation for Colon Cancer in Routine Clinical Practice: A Population-Based Study

  • J.C. Del Paggio,
  • S. Nanji,
  • X. Wei,
  • P.H. MacDonald and
  • C.M. Booth

1 February 2017

Background: Guidelines recommend that 12 or more lymph nodes (lns) be evaluated during surgical resection of colon cancer. Here, we report ln yield and its association with survival in routine practice. Methods: Electronic records of treatment were l...

  • Article
  • Open Access
4 Citations
4,038 Views
12 Pages

Clockwise Anterior-to-Posterior—Double Isolation (CAP-DI) Approach for Portal Lymphadenectomy in Biliary Tract Cancer: Technique, Yield, and Outcomes

  • Andrew J. Sinnamon,
  • Eric Luo,
  • Aileen Xu,
  • Sarah Zhu and ,
  • Jason W. Denbo,
  • Jason B. Fleming and
  • Daniel A. Anaya
  • + 2 authors+ 0 author

24 November 2022

Background: Portal lymphadenectomy (PLND) is the current standard for oncologic resection of biliary tract cancers (BTCs). However, published data show it is performed infrequently and often yields less than the recommended 6 lymph nodes. We sought t...

(This article belongs to the Special Issue Diagnosis and Therapeutic Management of Gastrointestinal Cancers)
  • Article
  • Open Access
176 Views
16 Pages

15 October 2026

Background/Objectives: The American Joint Committee on Cancer (AJCC) 8th edition subdivides node-positive periampullary adenocarcinoma into N1 and N2 by the number of positive nodes. We quantified how much this subdivision and the lymph node ratio (L...

(This article belongs to the Special Issue Surgical Oncology for Hepato-Pancreato-Biliary Cancer: 2nd Edition)
  • Article
  • Open Access
2 Citations
569 Views
15 Pages

Superior Diagnostic Yield of EBUS-Guided Cryobiopsy over Needle Aspiration in Isolated, Mass-Negative Mediastinal Lymphadenopathy: A Prospective Within-Patient Study

  • Nilüfer Yiğit,
  • Erhan Uğurlu,
  • Meryem Sanlıalp,
  • Emel Kılıçarslan and ,
  • Ilknur Hatice Akbudak and
  • Hande Senol
  • + 1 author+ 0 author

Background: Endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) is the standard minimally invasive technique for mediastinal lymph node sampling; however, its diagnostic performance is limited in diseases requiring preserved...

(This article belongs to the Section Clinical Diagnosis and Prognosis)
  • Article
  • Open Access
352 Views
23 Pages

21 September 2026

Background: Endometrial intraepithelial neoplasia/atypical endometrial hyperplasia (EIN/AEH) carries a substantial risk of concurrent endometrial carcinoma at hysterectomy. Sentinel lymph node (SLN) mapping requires cervical injection into an intact...

(This article belongs to the Special Issue Innovation in Gynecologic Cancer Surgery)
  • Systematic Review
  • Open Access
22 Citations
3,840 Views
24 Pages

Lymph Node Ratio as a Prognostic Factor in Neck Dissection in Oral Cancer Patients: A Systematic Review and Meta-Analysis

  • Zoi Gartagani,
  • Stergios Doumas,
  • Artemis Kyriakopoulou,
  • Panagiota Economopoulou and ,
  • Theodora Psaltopoulou,
  • Ioannis Kotsantis,
  • Theodoros N. Sergentanis and
  • Amanda Psyrri
  • + 3 authors+ 0 author

14 September 2022

Many studies have evaluated the clinical implications of lymph node ratio (LNR) as a prognostic factor in patients with oral squamous cell carcinoma (OSCC). The main purpose of this systematic review and meta-analysis was to address LNR as a prognost...

  • Article
  • Open Access
12 Citations
4,986 Views
11 Pages

Rectal Cancer: Are 12 Lymph Nodes the Limit?

  • Paweł Mroczkowski,
  • Łukasz Dziki,
  • Tereza Vosikova,
  • Ronny Otto and ,
  • Anna Merecz-Sadowska,
  • Radosław Zajdel,
  • Karolina Zajdel,
  • Hans Lippert and
  • Olof Jannasch
  • + 4 authors+ 0 author

30 June 2023

Lymph node dissection is a crucial element of oncologic rectal surgery. Many guidelines regard the removal of at least 12 lymph nodes as the quality criterion in rectal cancer. However, this recommendation remains controversial. This study examines t...

(This article belongs to the Section Clinical Research in Cancer)
  • Review
  • Open Access
4,239 Views
11 Pages

Lymphatic Spread of Non-Small-Cell Lung Cancer: Mechanisms, Patterns, Staging, and Diagnosis

  • Mohamed Salih Makawi,
  • Stephen Ciaccio,
  • Asad Khan,
  • Alireza Nathani and
  • Ronaldo Ortiz-Pacheco

Lung cancer is the leading cause of cancer-related death worldwide. Lymph node involvement affects staging and, therefore, prognosis. Understanding lymph node drainage, metastatic patterns, and different sampling techniques contributes to the overall...

  • Article
  • Open Access
1 Citations
1,132 Views
11 Pages

Breaking Myths: Comparable Outcomes in Lymph Node Analysis Across Surgical Methods

  • Salvatore Pezzino,
  • Tonia Luca,
  • Mariacarla Castorina,
  • Giulia Fuccio Sanzà and ,
  • Gaetano Magro,
  • Stefano Puleo,
  • Ornella Coco and
  • Sergio Castorina
  • + 3 authors+ 0 author

14 April 2025

Background/Objectives: Colorectal cancer is the third most common cancer worldwide, making lymph node recovery critical for treatment decisions and prognosis. The relationship between body mass index (BMI) and the number of lymph nodes retrieved duri...

(This article belongs to the Special Issue Advances in Abdominal Surgical Oncology and Intraperitoneal Therapies)
  • Article
  • Open Access
533 Views
16 Pages

18 May 2026

Background/Objectives: Sentinel lymph node biopsy is central to axillary staging in breast cancer, but conventional mapping often relies on radioisotopes and/or blue dye. Indocyanine green fluorescence has emerged as an alternative, although evidence...

(This article belongs to the Special Issue Minimally Invasive and Innovative Approaches in Breast Cancer Surgery: Techniques and Outcomes)
  • Article
  • Open Access
357 Views
25 Pages

Predictors of Metastatic Lymph Node Burden in Colorectal Cancer: A Negative Binomial Regression Analysis

  • Laurențiu Augustus Barbu,
  • Stelian-Stefaniță Mogoantă,
  • Tiberiu Stefăniță Țenea Cojan,
  • Nicolae-Dragoș Mărgăritescu and ,
  • Cecil Sorin Mirea,
  • Marius Cristian Marinaș and
  • Liviu Vasile
  • + 2 authors+ 0 author

9 September 2026

Background: The prognostic value of preoperative inflammatory and nutritional biomarkers in colorectal cancer has been extensively investigated, but their association with metastatic lymph node burden remains insufficiently explored. This study evalu...

(This article belongs to the Special Issue Advances in Anesthesia and Critical Care)
  • Article
  • Open Access
7 Citations
4,269 Views
15 Pages

Comparative Study of a Series of 99mTc(CO)3 Mannosylated Dextran Derivatives for Sentinel Lymph Node Detection

  • Afroditi Papasavva,
  • Antonio Shegani,
  • Christos Kiritsis,
  • Ioanna Roupa and ,
  • Myrto Ischyropoulou,
  • Konstantina Makrypidi,
  • Irineos Pilatis,
  • George Loudos,
  • Maria Pelecanou and
  • Ioannis Pirmettis
  • + 6 authors+ 1 author

7 August 2021

Sentinel lymph node detection (SLND) is rapidly entering common practice in the management of patients with tumors. The introduction of mannose molecules to 99mTc-labeled dextrans, so far, showed that the sentinel node could trap these agents due to...

(This article belongs to the Special Issue Featured Papers in Medicinal Chemistry)
  • Article
  • Open Access
568 Views
11 Pages

14 May 2026

Background: Lymph node biopsy is an important means of etiologic diagnosis for patients with fever of unknown origin (FUO) and lymphadenopathy. However, it is an invasive procedure and may yield negative results. It is worth exploring which kinds of...

(This article belongs to the Section Infectious Diseases)
  • Article
  • Open Access
7 Citations
10,391 Views
12 Pages

Detecting Abnormal Axillary Lymph Nodes on Mammograms Using a Deep Convolutional Neural Network

  • Frederik Abel,
  • Anna Landsmann,
  • Patryk Hejduk,
  • Carlotta Ruppert and ,
  • Karol Borkowski,
  • Alexander Ciritsis,
  • Cristina Rossi and
  • Andreas Boss
  • + 3 authors+ 0 author

The purpose of this study was to determine the feasibility of a deep convolutional neural network (dCNN) to accurately detect abnormal axillary lymph nodes on mammograms. In this retrospective study, 107 mammographic images in mediolateral oblique pr...

(This article belongs to the Section Medical Imaging and Theranostics)
  • Article
  • Open Access
1 Citations
765 Views
11 Pages

19 February 2026

Objective: This study aimed to evaluate and compare the diagnostic performance of computed tomography (CT), magnetic resonance imaging (MRI), and positron emission tomography-computed tomography (PET-CT) in detecting metastatic cervical lymph nodes i...

(This article belongs to the Special Issue Contemporary Oral and Maxillofacial Surgery: Expert Consensus and Best Practices)
  • Case Report
  • Open Access
1 Citations
825 Views
3 Pages

Diagnosis of Tuberculous Lymphadenitis Based on the Fine Needle Aspiration Samples Analysis

  • Adam Fangrat,
  • Joanna Domagała-Kulawik,
  • Rafał Krenke,
  • Aleksandra Safianowska and ,
  • Renata Walkiewicz and
  • Ryszarda Chazan
  • + 1 author+ 0 author

1 March 2006

Tuberculous lymphadenitis is one of the most common extrapulmonary manifestations of tuberculosis. The most common lymph nodes involved are in the cervical region. Lymphadenitis due to M. tuberculosis generally presents with enlarging neck lymph node...

  • Article
  • Open Access
924 Views
15 Pages

Combined Ultrasound and MRI Assessment in Patients Undergoing Reoperation for Recurrent Papillary Thyroid Carcinoma: Oncological Outcomes and Surgical Safety

  • Zimei Tang,
  • Jie Liu,
  • Rong Wang,
  • Gang Tian and ,
  • Anwen Ren,
  • Jiexiao Li,
  • Yiran Wang,
  • Wen Yang,
  • Peng Sun and
  • Jie Ming
  • + 7 authors+ 2 authors

Reoperation for papillary thyroid carcinoma (PTC) requires precise lymph node metastasis assessment, yet ultrasound (US) alone may be insufficient in complex or high-risk cases. This study evaluated whether supplementing US with magnetic resonance im...

(This article belongs to the Special Issue Advancements in Thyroid Cancer Management)
  • Review
  • Open Access
10 Citations
3,125 Views
16 Pages

Current Preoperative Management of Vulvar Squamous Cell Carcinoma: An Overview

  • Luigi Della Corte,
  • Valeria Cafasso,
  • Maria Chiara Guarino,
  • Giuseppe Gullo and ,
  • Gaspare Cucinella,
  • Alessandra Lopez,
  • Simona Zaami,
  • Gaetano Riemma,
  • Pierluigi Giampaolino and
  • Giuseppe Bifulco
  • + 5 authors+ 0 author

11 May 2024

Vulvar carcinoma is a rare cancer affecting the genital tract, constituting 4% of gynecological tumors. Vulvar squamous cell carcinoma (VSCC) is the most common type. Diagnosis relies on biopsy during vulvoscopy, plus imaging such as ultrasonography...

(This article belongs to the Special Issue The Role of Medical Imaging in Gynecological Cancer)
  • Article
  • Open Access
31 Citations
4,734 Views
11 Pages

Metastatic Lymph Node Ratio for Predicting Recurrence in Medullary Thyroid Cancer

  • Jinyoung Kim,
  • Jun Park,
  • Hyunju Park,
  • Min Sun Choi and ,
  • Hye Won Jang,
  • Tae Hyuk Kim,
  • Sun Wook Kim and
  • Jae Hoon Chung
  • + 3 authors+ 0 author

21 November 2021

The lymph node ratio (LNR) has been investigated as a prognostic factor in many different types of cancers, including differentiated thyroid cancer; however, reports regarding medullary thyroid cancer (MTC) are limited. Therefore, this study aims to...

  • Article
  • Open Access
436 Views
12 Pages

Associated Factors for Non-Diagnostic Cytopathology in the Endobronchial Ultrasound-Transbronchial Needle Aspiration: A Retrospective Cohort Study

  • Umran Ozden Sertcelik,
  • Ebru Sengul Parlak,
  • Habibe Hezer,
  • Eren Goktug Ceylan and ,
  • Ahmet Sertcelik and
  • Ayşegul Karalezli
  • + 1 author+ 0 author

Introduction: Endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) is widely used for diagnosing pulmonary diseases causing mediastinal lymphadenopathy. However, non-diagnostic results may occur. This study investigated factor...

(This article belongs to the Section Pathology and Molecular Diagnostics)
  • Article
  • Open Access
450 Views
18 Pages

8 August 2026

Background and Objectives: The relative prognostic information provided by different nodal metrics and the independent role of primary tumor size remain unclear in gastric cancer. This study evaluated the association of metastatic lymph node count an...

(This article belongs to the Section Oncology)
  • Systematic Review
  • Open Access
21 Citations
4,513 Views
25 Pages

Lymphatic Mapping in Colon Cancer Depending on Injection Time and Tracing Agent: A Systematic Review and Meta-Analysis of Prospective Designed Studies

  • Katharina Lucas,
  • Nathaniel Melling,
  • Anastasios D. Giannou,
  • Matthias Reeh and ,
  • Oliver Mann,
  • Thilo Hackert,
  • Jakob R. Izbicki,
  • Daniel Perez and
  • Julia K. Grass
  • + 4 authors+ 0 author

15 June 2023

An optimized lymph node yield leads to better survival in colon cancer, but extended lymphadenectomy is not associated with survival benefits. Lymphatic mapping shows several colon cancers feature aberrant drainage pathways inducing local recurrence...

(This article belongs to the Special Issue Innovations in Diagnosis and Treatment of Colon and Rectal Cancer: Preoperative Optimisation, Multidisciplinary Management, and Surgical Technology Advancement)
  • Review
  • Open Access
231 Citations
19,027 Views
28 Pages

Pathological Features and Prognostication in Colorectal Cancer

  • Kabytto Chen,
  • Geoffrey Collins,
  • Henry Wang and
  • James Wei Tatt Toh

13 December 2021

The prognostication of colorectal cancer (CRC) has traditionally relied on staging as defined by the Union for International Cancer Control (UICC) and American Joint Committee on Cancer (AJCC) TNM staging classifications. However, clinically, there a...

(This article belongs to the Section Gastrointestinal Oncology)
  • Article
  • Open Access
459 Views
14 Pages

Sentinel Lymph Node Mapping Compared with Selective Lymph Node Sampling in the Surgical Staging of Endometrial Cancer: A Prospective Observational Study

  • Vlad Alexandru Gâta,
  • Radu Alexandru Ilieș,
  • Ana Maria Mureșan-Bădescu,
  • Ștefan Țîțu and ,
  • Alexandra Timea Kirsch-Mangu,
  • Anda Gâta,
  • Delia Nicoară,
  • Alexandra Sîncrăianu,
  • Boutaina Chakir and
  • Patriciu Andrei Achimaș-Cadariu
  • + 8 authors+ 3 authors

Background/Objectives: Nowadays, lymph node assessment represents a key component in the surgical staging of endometrial cancer, as sentinel lymph node (SLN) mapping increased in adoption as an alternative to lymphadenectomy. This study aimed to comp...

(This article belongs to the Special Issue Recent Advances in the Diagnosis and Management of Gynecological Cancers)
  • Article
  • Open Access
1 Citations
896 Views
8 Pages

Transbronchial Needle Aspiration as a Diagnostic Method in Lung Cancer and Non-Malignant Mediastinal Adenopathy

  • Artur Szlubowski,
  • Jarosław Kużdżał,
  • Jerzy Soja,
  • Ewa Łączyńska and ,
  • Jolanta Hauer,
  • Piotr Kopiński,
  • Romana Tomaszewska and
  • Marcin Zieliński
  • + 3 authors+ 0 author

13 April 2007

Introduction: The aim of the study was to assess the diagnostic yield of transbronchial needle aspiration (TBNA) in mediastinal or hilar adenopathy in: lung cancer, staging of NSCLC, sarcoidosis and other non-malignant diseases. Material and methods:...

  • Article
  • Open Access
58 Citations
7,925 Views
13 Pages

Predictive Factors of Recurrence in Patients with Differentiated Thyroid Carcinoma: A Retrospective Analysis on 579 Patients

  • Fabio Medas,
  • Gian Luigi Canu,
  • Francesco Boi,
  • Maria Letizia Lai and ,
  • Enrico Erdas and
  • Pietro Giorgio Calò
  • + 1 author+ 0 author

22 August 2019

Differentiated thyroid carcinoma (DTC) is usually associated with a favorable prognosis. Nevertheless, up to 30% of patients present a local or distant recurrence. The aim of this study was to assess the incidence of recurrence after surgery for DTC...

(This article belongs to the Special Issue Thyroid Cancer)
  • Article
  • Open Access
2 Citations
1,634 Views
19 Pages

Explainability of a Deep Learning Model for Mediastinal Lymph Node Station Classification in Endobronchial Ultrasound (EBUS)

  • Øyvind Ervik,
  • Mia Rødde,
  • Erlend Fagertun Hofstad,
  • Thomas Langø and ,
  • Håkon O. Leira,
  • Tore Amundsen and
  • Hanne Sorger
  • + 2 authors+ 0 author

Accurate localization of thoracic lymph nodes during endobronchial ultrasound (EBUS) is crucial for lung cancer staging, treatment planning, and prognostication. Artificial intelligence (AI) has the potential to support this process. Deep learning (D...

(This article belongs to the Special Issue Artificial Intelligence in Medical Image Processing and Segmentation, Third Edition)
  • Article
  • Open Access
710 Views
16 Pages

1 June 2026

Background: Ivor Lewis esophagectomy for esophageal malignancies is a core element of the treatment but still comes with substantial postoperative complications. Especially within the learning curve of robotic esophagectomy, an optimal treatment path...

(This article belongs to the Section Cancer Therapy)
  • Communication
  • Open Access
2 Citations
4,298 Views
10 Pages

Novel Drug Delivery Method Targeting Para-Aortic Lymph Nodes by Retrograde Infusion of Paclitaxel into Pigs’ Thoracic Duct

  • Akira Saito,
  • Natsuka Kimura,
  • Yuji Kaneda,
  • Hideyuki Ohzawa and ,
  • Hideyo Miyato,
  • Hironori Yamaguchi,
  • Alan Kawarai Lefor,
  • Ryozo Nagai,
  • Naohiro Sata and
  • Kenichi Aizawa
  • + 6 authors+ 1 author

1 August 2022

Gastrointestinal cancer with massive nodal metastases is a lethal disease. In this study, using a porcine model, we infused the anti-cancer drug Paclitaxel (PTX) into thoracic ducts to examine the efficiency of drug delivery to intra-abdominal lymph...

  • Review
  • Open Access
10 Citations
2,017 Views
21 Pages

Optimizing Lymph Node Staging in Non-Small Cell Lung Cancer Surgery: Evidence, Guidelines, and Quality Improvement Strategies

  • Dimitrios E. Magouliotis,
  • Vasiliki Androutsopoulou,
  • Ugo Cioffi,
  • Fabrizio Minervini and ,
  • Noah Sicouri,
  • Andrew Xanthopoulos and
  • Marco Scarci
  • + 2 authors+ 0 author

20 January 2026

Lymph node evaluation is a central determinant of oncologic quality in the surgical management of non-small-cell lung cancer (NSCLC). Accurate assessment of hilar and mediastinal lymph nodes underpins pathologic staging, informs postoperative treatme...

(This article belongs to the Special Issue Innovations in Thoracic Surgery and Disease Management: Integrating Genomics, Technology, and Multidisciplinary Care)
  • Article
  • Open Access
14 Citations
4,823 Views
16 Pages

25 January 2022

Polypod-like structured nucleic acids (polypodnas), which are nanostructured DNAs, are useful for delivering cytosine-phosphate guanine oligodeoxynucleotides (CpG ODNs) to antigen-presenting cells (APCs) expressing Toll-like receptor 9 (TLR9) for imm...

(This article belongs to the Special Issue Recent Advances in Immunotheragnostics: From Molecular Basis to Targeted Pharmaceutical Design)
  • Systematic Review
  • Open Access
10 Citations
2,295 Views
14 Pages

Resection vs. Ligation vs. Preservation of the Thoracic Duct During Esophagectomy for Cancer: A Systematic Review and Meta-Analysis

  • David J. Nijssen,
  • Dillen C. van der Aa,
  • Mahsoem Ali,
  • Geert Kazemier and ,
  • Faridi S. Jamaludin,
  • Wietse J. Eshuis,
  • Mark I. van Berge Henegouwen and
  • Suzanne S. Gisbertz
  • + 3 authors+ 0 author

13 March 2025

Background/Objectives: The effect of thoracic duct (TD) management—resection, ligation, or preservation—during esophagectomy for cancer remains controversial. This systematic review and meta-analysis aimed to assess the impact of TD manag...

(This article belongs to the Special Issue Technical Advances in Esophageal Cancer Treatment)
  • Article
  • Open Access
1,601 Views
14 Pages

Minimally Invasive Versus Open Radical Antegrade Modular Pancreaticosplenectomy (RAMPS): A Multicenter Cohort Study on Surgical Radicality and Postoperative Outcomes

  • Lukas Heinrich Poelsler,
  • Ruben Bellotti,
  • Florian Primavesi,
  • Eva Maier and ,
  • Ines Fischer,
  • Helwig Wundsam,
  • Patrick Kirchweger,
  • Stefan Schneeberger,
  • Stefan Stättner and
  • Manuel Maglione
  • + 6 authors+ 1 author

15 February 2026

Introduction: Radical Antegrade Modular Pancreatosplenectomy (RAMPS) was developed to improve surgical radicality for left-sided pancreatic ductal adenocarcinoma (PDAC). Although widely accepted, the optimal surgical approach—open versus minima...

(This article belongs to the Special Issue The Progress of Pancreatectomy for Pancreatic Cancer Treatment)
  • Article
  • Open Access
3 Citations
1,270 Views
17 Pages

The Importance of the Interventional Pathologist in Fine Needle Aspiration and Core Needle Biopsy Procedures for Lymph Node Lesions: A Retrospective Analysis of Diagnostic Correlation and Proposal of a Classification System for Lymph Node Core Needle Biopsies

  • Montserrat de la Torre Serrano,
  • Ana María Colino-Gallardo,
  • Jesús Vega González,
  • Maria Reyes Bergillos Giménez and ,
  • Ramón Robledano Soldevilla,
  • Teresa Iscar Galán,
  • Julian Sanz Ortega,
  • Maria del Mar Olmo Fernández,
  • Santiago Nieto Llanos and
  • Karen Villar Zarra
  • + 5 authors+ 0 author

17 October 2025

Introduction: Pathology requires the integration of macroscopic and microscopic findings for an accurate diagnosis. Fine needle aspiration biopsy (FNA) traditionally became the domain of radiologists with the introduction of ultrasound; however, its...

(This article belongs to the Section Pathology and Molecular Diagnostics)
  • Article
  • Open Access
8 Citations
4,224 Views
12 Pages

Tumor Characteristics Associated with Axillary Nodal Positivity in Triple Negative Breast Cancer

  • Neha Chintapally,
  • Katherine Englander,
  • Julia Gallagher,
  • Kelly Elleson and ,
  • Weihong Sun,
  • Junmin Whiting,
  • Christine Laronga and
  • Marie Catherine Lee
  • + 3 authors+ 0 author

8 September 2023

Larger-size primary tumors are correlated with axillary metastases and worse outcomes. We evaluated the relationships among tumor size, location, and distance to nipple relative to axillary node metastases in triple-negative breast cancer (TNBC) pati...

(This article belongs to the Section Oncology)
  • Review
  • Open Access
450 Views
16 Pages

Current Status and Challenges of Local Resection for Early Gastric Cancer in East Asia

  • Shinichi Kinami,
  • Yasuto Tomita,
  • Koichi Okamoto and
  • Hiroyuki Takamura

9 June 2026

Background/Objectives: Standard gastrectomy with lymph node dissection up to D1+ achieves good oncologic control for early gastric cancer not amenable to endoscopic submucosal dissection, yet it frequently leads to post-gastrectomy syndromes and long...

(This article belongs to the Special Issue Current Status and Prospects of Multimodal Treatment for Upper Gastrointestinal Cancer)
  • Review
  • Open Access
4 Citations
3,283 Views
12 Pages

Is There an Oncological Benefit of Performing Bilateral Pelvic Lymph Node Dissection in Patients with Penile Cancer and Inguinal Lymph Node Metastasis?

  • Rodrigo Suarez-Ibarrola,
  • Mario Basulto-Martinez,
  • August Sigle,
  • Mohammad Abufaraj and ,
  • Christian Gratzke and
  • Arkadiusz Miernik
  • + 1 author+ 0 author

13 February 2021

We aim to review the literature for studies investigating the oncological outcomes of patients with penile cancer (PC) undergoing bilateral pelvic lymph node dissection (PLND) in the presence of inguinal lymph node metastasis (LNM) who are at risk of...

(This article belongs to the Section Nephrology & Urology)
  • Article
  • Open Access
3 Citations
3,052 Views
14 Pages

Predicting Additional Metastases in Axillary Lymph Node Dissection After Neoadjuvant Chemotherapy: Ratio of Positive/Total Sentinel Nodes

  • Isaac Cebrecos,
  • Ines Torras,
  • Helena Castillo,
  • Claudia Pumarola and ,
  • Sergi Ganau,
  • Carla Sitges,
  • Sergi Vidal-Sicart,
  • Francesco Schettini,
  • Esther Sanfeliu and
  • Eduard Mension
  • + 10 authors+ 5 authors

29 October 2024

Background/Objectives: The aim of the study was to determine the clinical value of the sentinel lymph node ratio (SLN-R) in predicting additional positive lymph nodes during axillary lymph node dissection (ALND) in breast cancer patients following ne...

(This article belongs to the Special Issue Rare Breast Tumors)
  • Article
  • Open Access
1 Citations
864 Views
8 Pages

Ultrasound Guided Transbronchial Needle Aspiration as a Diagnostic Tool for Lung Cancer and Sarcoidosis

  • Artur Szlubowski,
  • Jarosław Kużdżał,
  • Juliusz Pankowski,
  • Anna Obrochta and ,
  • Jerzy Soja,
  • Jolanta Hauer,
  • Marcin Kołodziej and
  • Marcin Zieliński
  • + 3 authors+ 0 author

22 June 2008

Introduction: The aim of the study was to assess the diagnostic yield of ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) in mediastinal or hilar adenopathy in: (1) staging of non-small cell lung cancer (NSCLC) (97); (2) other malignant...

  • Article
  • Open Access
566 Views
14 Pages

Cryobiopsy Outperforms Fine-Needle Aspiration for Mediastinal Lymphadenopathy: A Within-Patient Diagnostic Accuracy Study and Clinical Predictors of Success

  • María Hidalgo,
  • Carlos Carpio,
  • Sergio Alcolea,
  • Pablo Mariscal and ,
  • Maria Alejandra Castillo,
  • Ana Rodriguez,
  • Isabel Esteban,
  • Pilar López and
  • Rodolfo Álvarez-Sala
  • + 4 authors+ 0 author

19 July 2026

Background/Objectives: Accurate diagnosis of lymph node pathology is essential for the management of both malignant and benign diseases. This study compares the diagnostic performance of endobronchial ultrasound-guided transbronchial mediastinal cryo...

(This article belongs to the Special Issue Bronchoscopy and Interventional Pulmonology)
  • Review
  • Open Access
8 Citations
4,296 Views
13 Pages

Complete Mesocolic Excision for Colon Cancer: Insight into Potential Mechanisms of Oncologic Benefit

  • Fotios Seretis,
  • Antonia Panagaki,
  • Charalambos Seretis,
  • Maria Sotiropoulou and ,
  • Michail Psarologos,
  • Nikolaos Mamakos,
  • Konstantinos Polyzois,
  • Vasileios Drakopoulos and
  • Stylianos Kapiris
  • + 4 authors+ 0 author

21 August 2025

Background/Objectives: Complete mesocolic excision (CME) has recently been proposed as a radical operation for the treatment of colon cancer. Increasing evidence suggests a survival benefit from this operation, although the exact reasons for this rem...

(This article belongs to the Special Issue The Surgical Management of Colorectal Cancer)

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