{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,23]],"date-time":"2026-06-23T22:56:11Z","timestamp":1782255371386,"version":"3.54.5"},"reference-count":19,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2019,10,23]],"date-time":"2019-10-23T00:00:00Z","timestamp":1571788800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100012166","name":"National Key R&D Program of China","doi-asserted-by":"crossref","award":["2018YFB1307700"],"award-info":[{"award-number":["2018YFB1307700"]}],"id":[{"id":"10.13039\/501100012166","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Int Med Res"],"published-print":{"date-parts":[[2020,2]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Examining the correct number of lymph nodes when diagnosing breast cancer invasion is still a problem. This work aimed to develop a qualification model that estimates the possibility of missing nodes and the number of lymph nodes that need to be examined.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>By analyzing lymph node invasion of 303,760 breast cancer samples with primary tumor stage and the number of examined and positive lymph nodes from the Surveillance, Epidemiology and End Results database using a beta-binomial model, the number of nodes that should be examined was quantified in different stages.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>In general, to reduce the possibility of missing positive nodes to less than 10%, 21 lymph nodes should be examined; thus, the current median of dissected nodes (12) is not adequate. The number of nodes needed to be dissected for stages T1, T2, and T3 are 8, 37, and 87, respectively. Currently, the median number of node dissections for these stages were 12, 13, and 14, respectively. The clinical significance of the nodal staging score was validated with survival information.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Currently, the number of lymph nodes dissected in breast cancer are excessive for T1 but insufficient for T2 and T3.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/0300060519879594","type":"journal-article","created":{"date-parts":[[2019,10,23]],"date-time":"2019-10-23T05:02:05Z","timestamp":1571806925000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":6,"title":["Quantifying the number of lymph nodes for examination in breast cancer"],"prefix":"10.1177","volume":"48","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1642-0168","authenticated-orcid":false,"given":"Liping","family":"Sun","sequence":"first","affiliation":[{"name":"Shanghai University of Medicine & Health Sciences, Shanghai, P.R. China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ping","family":"Li","sequence":"additional","affiliation":[{"name":"Shanghai University of Medicine & Health Sciences, Shanghai, P.R. China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"He","family":"Ren","sequence":"additional","affiliation":[{"name":"Shanghai University of Medicine & Health Sciences, Shanghai, P.R. China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gang","family":"Liu","sequence":"additional","affiliation":[{"name":"Shanghai University of Medicine & Health Sciences, Shanghai, P.R. China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lining","family":"Sun","sequence":"additional","affiliation":[{"name":"School of Mechanical and Electric Engineering, Soochow University, Suzhou, China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2019,10,23]]},"reference":[{"key":"bibr1-0300060519879594","doi-asserted-by":"publisher","DOI":"10.3322\/caac.21338"},{"key":"bibr2-0300060519879594","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.2013.53.3935"},{"key":"bibr3-0300060519879594","doi-asserted-by":"publisher","DOI":"10.1016\/j.breast.2015.03.008"},{"key":"bibr4-0300060519879594","doi-asserted-by":"publisher","DOI":"10.1186\/1748-717X-8-119"},{"key":"bibr5-0300060519879594","doi-asserted-by":"publisher","DOI":"10.1002\/bem.2250100405"},{"key":"bibr6-0300060519879594","doi-asserted-by":"publisher","DOI":"10.1159\/000356115"},{"key":"bibr7-0300060519879594","doi-asserted-by":"publisher","DOI":"10.1245\/s10434-015-4596-y"},{"key":"bibr8-0300060519879594","doi-asserted-by":"publisher","DOI":"10.18632\/oncotarget.5666"},{"key":"bibr9-0300060519879594","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM198503143121102"},{"key":"bibr10-0300060519879594","doi-asserted-by":"publisher","DOI":"10.1186\/s13014-014-0284-5"},{"key":"bibr11-0300060519879594","doi-asserted-by":"publisher","DOI":"10.1146\/annurev-med-052511-135500"},{"key":"bibr12-0300060519879594","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.2009.23.7958"},{"key":"bibr13-0300060519879594","first-page":"3581","volume":"35","author":"Fujii T","year":"2015","journal-title":"Anticancer Res"},{"key":"bibr14-0300060519879594","first-page":"185","volume":"73","author":"Ruiz U","year":"1973","journal-title":"Surgery"},{"key":"bibr15-0300060519879594","doi-asserted-by":"publisher","DOI":"10.1007\/s12282-012-0369-7"},{"key":"bibr16-0300060519879594","doi-asserted-by":"crossref","first-page":"1431","DOI":"10.1200\/JCO.2003.09.081","volume":"21","author":"Citron ML","year":"2003","journal-title":"J Clin Oncol"},{"key":"bibr17-0300060519879594","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2011.10.011"},{"key":"bibr18-0300060519879594","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.2016.67.6437"},{"key":"bibr19-0300060519879594","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2013.06.041"}],"container-title":["Journal of International Medical Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0300060519879594","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/0300060519879594","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0300060519879594","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T10:50:36Z","timestamp":1777459836000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/0300060519879594"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,10,23]]},"references-count":19,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2020,2]]}},"alternative-id":["10.1177\/0300060519879594"],"URL":"https:\/\/doi.org\/10.1177\/0300060519879594","relation":{},"ISSN":["0300-0605","1473-2300"],"issn-type":[{"value":"0300-0605","type":"print"},{"value":"1473-2300","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,10,23]]},"article-number":"0300060519879594"}}