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Updated: Jun 27, 2026

Quantification of Tumor Cell Adhesion in Lymph Node Cryosections
Published on: February 9, 2020
Is lymph node count an ideal quality indicator for cancer care?
1Department of Surgery and the Keenan Research Centre at the Li Ka Shing Knowledge Institute St Michael's Hospital, Toronto, Ontario, Canada. baxtern@smh.toronto.on.ca
Increasing lymph node counts may not improve patient outcomes. This article explores potential issues with using lymph node count as a cancer quality indicator.
Area of Science:
- Oncology
- Surgical Quality Improvement
Background:
- Lymph node count is appealing as a quality indicator due to ease of measurement.
- It is associated with survival in many cancers and has shown success in quality programs.
Purpose of the Study:
- To discuss potential pitfalls in using lymph node count as a quality indicator.
Main Methods:
- Literature review and critical analysis of existing data.
Main Results:
- Improvements in patient outcomes by increasing lymph node counts have not yet been demonstrated.
Conclusions:
- Further research is needed to validate lymph node count as a reliable quality indicator.
- Potential pitfalls may limit its utility in quality improvement initiatives.
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