Evidence map›Paper›PMID 12222839›Full record

ArticleJournal of neuro-oncology2002

Good clinical course in infants with desmoplastic cerebral neuroepithelial tumor treated by surgery alone.

Kazuhiko Sugiyama, Kazunori Arita, Takeshi Shima, Mitsuo Nakaoka, Takashi Matsuoka, Eiji Taniguchi, Tatsunori Okamura, Humiyuki Yamasaki, Yoshinori Kajiwara, Kaoru Kurisu

Abstract read
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In one paragraph

Article in Journal of neuro-oncology, 2002. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
0.5field-weighted citation impact, top 34% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 1 synthesis or guideline pooled it, 52 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Article
  5. Desmoplastic infantile astrocytoma and ganglioglioma: a series of 12 patients treated at a single institution.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2021
    Article
  6. Review
  7. Desmoplastic infantile ganglioglioma.The Pan African medical journal · 2019
    Article
  8. Article
  9. Article
  10. Perinatal (fetal and neonatal) astrocytoma: a review.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2016
    Review
  11. Desmoplastic astrocytoma: new insights into its clinical profile, diagnosis, and treatment.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2016
    Review
  12. Review
  13. Review
  14. Article
  15. Article
  16. A non-infantile case of desmoplastic infantile astrocytoma.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2004
    Article
  17. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 3 institutions in 1 country.

Kazuhiko SugiyamaDepartment of Neurosurgery, Hiroshima University Medical Hospital, Japan. brain@hiroshima-u.ac.jp
Kazunori Arita
Takeshi Shima
Mitsuo Nakaoka
Takashi Matsuoka
Eiji Taniguchi
Tatsunori Okamura
Humiyuki Yamasaki
Yoshinori Kajiwara
Kaoru Kurisu
Hiroshima University Hospital · JPMatsue Red Cross Hospital · JPChugoku Rosai Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We investigated why surgery alone provides for a benign clinical course in patients with desmoplastic infantile ganglioglioma and astrocytoma (DIG/A). The clinical course of 4, less than six-month-old girls, surgically treated at our institutions, was evaluated retrospectively. All presented with the clinical symptom of increasing head circumference. CT and MRI scans revealed a solid tumor attached to the dura that was surrounded by large, multiple cysts, in fronto-temporo-parietal lobe. Gross total removal succeeded in all 4 cases because the solid components of the tumor were very firm in contrast to the soft adjacent brain tissue. Microscopically, the surgical specimens consisted almost entirely of dense fibrous connective tissue containing generally elongate cells with inconspicuous cytoplasm. Most of these cells were immunopositive for GFAP. There was no evidence of tumor cells in the cyst wall. In 3 cases, some small neurons were positive for neurofilament immunostain. A high proportion of undifferentiated small cells in a less demoplastic area far from the dura were immunopositive for MIB-1. All of the 4 patients have been free of recurrence for more than five years. In patients with DIG/A, there are 5 reasons for a good clinical course. [1] At surgery, the tumor margin is clearly discernible because of the difference between the solid tumor and the soft adjacent brain tissue. [2] The tumor is located in the superficial cerebral hemisphere. [3] Large, multiple cysts surround the tumor. [4] The growth point appears to be adjacent to the cysts. [5] The cyst walls are free of invading tumor cells.

Indexed as

AstrocytomaBrain NeoplasmsFemaleGangliogliomaGlial Fibrillary Acidic ProteinHumansInfantMagnetic Resonance ImagingTomography, X-Ray ComputedTreatment OutcomeGlial Fibrillary Acidic Protein

Identifiers

PMID12222839
OpenAlexW203228710

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.