{"id":"https://openalex.org/W103824040","doi":null,"title":"Radiation therapy versus pelvic node resection for carcinoma of the vulva with positive groin nodes.","display_name":"Radiation therapy versus pelvic node resection for carcinoma of the vulva with positive groin nodes.","publication_year":1986,"publication_date":"1986-12-01","ids":{"openalex":"https://openalex.org/W103824040","mag":"103824040","pmid":"https://pubmed.ncbi.nlm.nih.gov/3785783"},"language":"en","primary_location":{"id":"pmid:3785783","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/3785783","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Obstetrics and gynecology","raw_type":"Clinical Trial"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5109920600","display_name":"Howard D. Homesley","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"H D Homesley","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5073135259","display_name":"Brian N. Bundy","orcid":"https://orcid.org/0000-0003-3478-714X","observed_orcids":["https://orcid.org/0000-0003-3478-714X"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"B N Bundy","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5111450893","display_name":"A Sedlis","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"A Sedlis","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"last","author":{"id":"https://openalex.org/A5111627109","display_name":"Leon L. Adcock","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"L Adcock","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]}],"institutions":[],"countries_distinct_count":0,"institutions_distinct_count":0,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":3.6157,"has_fulltext":false,"cited_by_count":397,"citation_normalized_percentile":{"value":0.917469,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":97,"max":100},"biblio":{"volume":"68","issue":"6","first_page":"733","last_page":"40"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11713","display_name":"Genital Health and Disease","score":0.9092000126838684,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11713","display_name":"Genital Health and Disease","score":0.9092000126838684,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10668","display_name":"Endometrial and Cervical Cancer Treatments","score":0.050700001418590546,"subfield":{"id":"https://openalex.org/subfields/2729","display_name":"Obstetrics and Gynecology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10307","display_name":"Head and Neck Cancer Studies","score":0.010499999858438969,"subfield":{"id":"https://openalex.org/subfields/2733","display_name":"Otorhinolaryngology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/vulvar-cancer","display_name":"vulvar cancer","score":0.9010000228881836},{"id":"https://openalex.org/keywords/squamous-cell-carcinoma","display_name":"squamous cell carcinoma","score":0.8640000224113464},{"id":"https://openalex.org/keywords/groin-lymph-node-metastasis","display_name":"groin lymph node metastasis","score":0.828000009059906},{"id":"https://openalex.org/keywords/adjuvant-radiotherapy","display_name":"adjuvant radiotherapy","score":0.8240000009536743},{"id":"https://openalex.org/keywords/radical-vulvectomy","display_name":"radical vulvectomy","score":0.949999988079071},{"id":"https://openalex.org/keywords/inguinal-lymph-node-dissection","display_name":"inguinal lymph node dissection","score":0.972000002861023},{"id":"https://openalex.org/keywords/prognostic-factors","display_name":"prognostic factors","score":0.8759999871253967},{"id":"https://openalex.org/keywords/survival","display_name":"survival","score":0.7879999876022339},{"id":"https://openalex.org/keywords/number-of-positive-lymph-nodes","display_name":"number of positive lymph nodes","score":0.7289999723434448}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9563699960708618},{"id":"https://openalex.org/C2779967601","wikidata":"https://www.wikidata.org/wiki/Q211159","display_name":"Groin","level":2,"score":0.8952661752700806},{"id":"https://openalex.org/C2908840091","wikidata":"https://www.wikidata.org/wiki/Q1568549","display_name":"Radical Vulvectomy","level":4,"score":0.7719439268112183},{"id":"https://openalex.org/C509974204","wikidata":"https://www.wikidata.org/wiki/Q180507","display_name":"Radiation therapy","level":2,"score":0.6695929169654846},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.6398324966430664},{"id":"https://openalex.org/C2776316342","wikidata":"https://www.wikidata.org/wiki/Q2192288","display_name":"Vulva","level":2,"score":0.6174085140228271},{"id":"https://openalex.org/C2778357063","wikidata":"https://www.wikidata.org/wiki/Q713102","display_name":"Pelvis","level":2,"score":0.5701826810836792},{"id":"https://openalex.org/C2780824555","wikidata":"https://www.wikidata.org/wiki/Q1809305","display_name":"Lymphadenectomy","level":3,"score":0.5389450788497925},{"id":"https://openalex.org/C168563851","wikidata":"https://www.wikidata.org/wiki/Q1436668","display_name":"Randomized controlled trial","level":2,"score":0.4899510443210602},{"id":"https://openalex.org/C2777546739","wikidata":"https://www.wikidata.org/wiki/Q33525","display_name":"Carcinoma","level":2,"score":0.47206905484199524},{"id":"https://openalex.org/C126838900","wikidata":"https://www.wikidata.org/wiki/Q77604","display_name":"Radiology","level":1,"score":0.33087730407714844},{"id":"https://openalex.org/C2780849966","wikidata":"https://www.wikidata.org/wiki/Q170758","display_name":"Lymph node","level":2,"score":0.3257536292076111},{"id":"https://openalex.org/C2780370617","wikidata":"https://www.wikidata.org/wiki/Q1908194","display_name":"Vulvar cancer","level":3,"score":0.2149721086025238},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.0997917652130127}],"mesh":[{"descriptor_ui":"D002294","descriptor_name":"Carcinoma, Squamous Cell","qualifier_ui":"Q000401","qualifier_name":"mortality","is_major_topic":false},{"descriptor_ui":"D002294","descriptor_name":"Carcinoma, Squamous Cell","qualifier_ui":"Q000473","qualifier_name":"pathology","is_major_topic":false},{"descriptor_ui":"D002294","descriptor_name":"Carcinoma, Squamous Cell","qualifier_ui":"Q000532","qualifier_name":"radiotherapy","is_major_topic":true},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006119","descriptor_name":"Groin","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008197","descriptor_name":"Lymph Node Excision","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D008207","descriptor_name":"Lymphatic Metastasis","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D009364","descriptor_name":"Neoplasm Recurrence, Local","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D011379","descriptor_name":"Prognosis","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D011446","descriptor_name":"Prospective Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D011897","descriptor_name":"Random Allocation","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D014846","descriptor_name":"Vulvar Neoplasms","qualifier_ui":"Q000401","qualifier_name":"mortality","is_major_topic":false},{"descriptor_ui":"D014846","descriptor_name":"Vulvar Neoplasms","qualifier_ui":"Q000473","qualifier_name":"pathology","is_major_topic":false},{"descriptor_ui":"D014846","descriptor_name":"Vulvar Neoplasms","qualifier_ui":"Q000532","qualifier_name":"radiotherapy","is_major_topic":true}],"locations_count":2,"locations":[{"id":"pmid:3785783","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/3785783","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Obstetrics and gynecology","raw_type":"Clinical Trial"},{"id":"mag:103824040","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/3785783","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":null,"is_accepted":false,"is_published":false,"raw_source_name":"PubMed","raw_type":null}],"best_oa_location":null,"sustainable_development_goals":[{"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3","score":0.9940000176429749}],"study_designs":[{"display_name":"Randomized Controlled Trial","id":"https://openalex.org/study-designs/randomized-controlled-trial"},{"display_name":"Clinical Trial","id":"https://openalex.org/study-designs/clinical-trial"}],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W2055092832","https://openalex.org/W1922276785","https://openalex.org/W2005334451","https://openalex.org/W1985724578","https://openalex.org/W2417458332","https://openalex.org/W4378676041","https://openalex.org/W1990845964","https://openalex.org/W2033063000","https://openalex.org/W2415404694","https://openalex.org/W4396692730"],"abstract_inverted_index":{"From":[0],"1977":[1],"to":[2,28,43,49,55,59,63,83,94,240],"1984,":[3],"114":[4,149],"eligible":[5],"patients":[6,41,92,151,192,215],"with":[7],"invasive":[8],"squamous":[9],"cell":[10],"carcinoma":[11],"of":[12,38,66,89,196,209,225],"the":[13,39,60,64,67,84,90,103,148,155,171,197,207,213,223],"vulva":[14],"and":[15,22,62,114,136,175,228,235],"positive":[16,73,106,140],"groin":[17,24,74,107,134,141,227],"nodes":[18,75,108,135],"after":[19,232],"radical":[20,233],"vulvectomy":[21,234],"bilateral":[23],"lymphadenectomy":[25,237],"were":[26,128,168],"randomized":[27,42,93,220],"receive":[29],"either":[30,109,195],"radiation":[31,44,80,157,172,188,210],"therapy":[32,45,158,173,189,211,231],"or":[33,111,131,138],"pelvic":[34,98,178,229,241],"node":[35,99,179,242],"resection.":[36,243],"Fifty-three":[37,88],"59":[40],"received":[46],"a":[47],"4500-":[48],"5000-rad":[50],"tumor":[51],"dose":[52],"in":[53,145,191],"five":[54],"6.5":[56],"weeks":[57],"bilaterally":[58],"groins":[61],"midplane":[65],"pelvis":[68],"even":[69],"if":[70],"only":[71],"unilateral":[72],"had":[76,97,194],"been":[77],"detected;":[78],"no":[79],"was":[81,117,152,190],"given":[82],"central":[85],"vulvar":[86],"area.":[87],"55":[91],"further":[95],"surgery":[96],"resection":[100,180],"performed":[101],"on":[102],"side":[104],"containing":[105],"unilaterally":[110],"bilaterally.":[112],"Acute":[113],"chronic":[115],"morbidity":[116],"similar":[118],"for":[119,147,170,177,187,212],"both":[120],"regimens.":[121],"The":[122,143,163,182],"two":[123,137,198],"major":[124,199],"poor":[125,200],"prognostic":[126,201],"factors":[127,202],"clinically":[129],"suspicious":[130],"fixed":[132],"ulcerated":[133],"more":[139],"nodes.":[142],"difference":[144],"survival":[146,166,185],"evaluable":[150],"significant,":[153],"favoring":[154],"adjunctive":[156,226],"group":[159,174],"(P":[160],"=":[161],".03).":[162],"estimated":[164],"two-year":[165],"rates":[167],"68%":[169],"54%":[176],"group.":[181],"most":[183],"dramatic":[184],"advantage":[186],"who":[193],"present;":[203],"at":[204],"this":[205,219],"time,":[206],"benefit":[208],"remaining":[214],"is":[216],"uncertain.":[217],"In":[218],"prospective":[221],"study,":[222],"addition":[224],"irradiation":[230],"inguinal":[236],"proved":[238],"superior":[239]},"counts_by_year":[{"year":2025,"cited_by_count":4},{"year":2024,"cited_by_count":7},{"year":2023,"cited_by_count":10},{"year":2022,"cited_by_count":14},{"year":2021,"cited_by_count":13},{"year":2020,"cited_by_count":13},{"year":2019,"cited_by_count":12},{"year":2018,"cited_by_count":21},{"year":2017,"cited_by_count":20},{"year":2016,"cited_by_count":18},{"year":2015,"cited_by_count":17},{"year":2014,"cited_by_count":11},{"year":2013,"cited_by_count":13},{"year":2012,"cited_by_count":20}],"updated_date":"2026-10-31T12:09:11.096373","created_date":"2016-06-24T00:00:00"}
