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. Author manuscript; available in PMC: 2015 Dec 1.
Published in final edited form as: Ann Surg Oncol. 2015 Mar 18;22(13):4392–4401. doi: 10.1245/s10434-015-4499-y

TABLE 3.

Different number (cut-off value) of positive lymph nodes deemed to be significant in the literature

Author, year No. of Cut-off Comments Risk assessment
cases values determined by
Shroff et al. 52 92 0, 1–3, or > 3 Disease-free and overall survival
Sakata et al.53 71 0, 1–3, or ≥4 The number of positive LNs better predicts the
outcome than the LN ratio
Lee et al.54 52 ≥3 In univariate analysis, the number of positive LNs,
and LN ratio and LN location are significantly
correlated with survival
Recurrence and survival
In multivariate analysis, the factor of ≥3 metastatic LNs
is the only independent prognostic factor
Choi et al.55 78 0–1 or ≥ 2 LN number and presence of metastatic LNs do not affect
overall survival
Recurrence and
overall survival
≥2 metastatic LNs significantly affects disease-free survival
Sommerville et al.56 39 0, 1–3, or > 3 >3 vs. 0 metastatic LN hazard ratio is significant Overall survival
Sierzega et al.57 111 ≥4 In univariate analysis, the presence of metastatic LNs, and
their number and ratio are significantly correlated
with survival
Overall survival
Sakata et al.58 62 0, 1–3, or ≥4 The number, not the location, of metastatic LNs independently
affects long-term survival
Overall survival

LNs lymph nodes