Evidence map›Paper›PMID 24103738›Full record

ArticleRadiation oncology (London, England)2013

Radiotherapy in langerhans cell histiocytosis - a rare indication in a rare disease.

Jan Kriz, Hans Theodor Eich, Frank Bruns, Reinhard Heyd, Ulrich Schäfer, Uwe Haverkamp, Jens Büntzel, Heinrich Seegenschmiedt, Oliver Micke

Open access · goldAbstract read
In one paragraph

Article in Radiation oncology (London, England), 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
1.1field-weighted citation impact, top 22% 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

21 citing papers in PubMed, 40 citations in OpenAlex.

  1. Review
  2. [A case of adult temporal bone langerhans cell histiocytosis presenting as posterior canal dehiscence syndrome and literature review].Lin chuang er bi yan hou tou jing wai ke za zhi = Journal of clinical otorhinolaryngology head and neck surgery · 2025
    Review
  3. Review
  4. Article
  5. Article
  6. Langerhans cell histiocytosis of the skull in 23 children.European journal of medical research · 2024
    Article
  7. Article
  8. Article
  9. Article
  10. Adult Langerhans Cell Histiocytosis and the Skeleton.Journal of clinical medicine · 2022
    Review
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Outcome After Radiation Therapy for Langerhans Cell Histiocytosis Is Dependent on Site of Involvement.International journal of radiation oncology, biology, physics · 2018
    Article
  17. Radiotherapy for aneurysmal bone cysts : A rare indication.Strahlentherapie und Onkologie : Organ der Deutschen Rontgengesellschaft ... [et al] · 2017
    Review
  18. Article
  19. Article
  20. Langerhans cell histiocytosis of the sacrum.Radiology case reports · 2014
    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

9 authors at 8 institutions in 1 country.

Jan KrizKlinik für Strahlentherapie und Radioonkologie, Franziskus Hospital, Bielefeld, Germany. strahlenklinik@web.de.
Hans Theodor Eich
Frank Bruns
Reinhard Heyd
Ulrich Schäfer
Uwe Haverkamp
Jens Büntzel
Heinrich Seegenschmiedt
Oliver Micke
University Hospital Münster · DEGoethe University Frankfurt · DEKlinikum Lippe · DEKlinik und Poliklinik für Strahlentherapie und Radioonkologie · DEMammazentrum Hamburg · DEMedizinische Hochschule Hannover · DESt. Franziskus Hospital · DESüdharz Klinikum · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionLangerhans Cell Histiocytosis (LCH) represents a rare benign disorder, previously designated as "Histiocytosis X", "Type II Histiocytosis" or "Langerhans Cell Granulomatosis". Clinical presentation includes osteolysis, ulcerations of skin and soft tissues but also involvement of the CNS is described.Because treatment concepts are not well defined the German Cooperative Group on Radiotherapy for Benign Diseases performed a retrospective analysis. METHODS AND MATERIAL: Eight closely cooperating centres collected patients' data of the past 45 years. As study endpoints disease free survival, recurrent disease, death and therapy related side effects were defined.

resultsA total of 80 patients with histologically proven LCH were irradiated within the past 45 years. According to the LCH classification of Greenberger et al. 37 patients had stage Ia, 21 patients stage Ib, 13 patients stage II and 9 patients stage IIIb and the median age was 29 years. The median Follow up was 54 months (range 9-134 months). A total of 39 patients had a surgical intervention and 23 patients a chemotherapy regimen.Radiation treatment was carried out with a median total dose of 15 Gy (range 3-50.4 Gy). The median single fraction was 2 Gy (range 1.8-3 Gy).Overall, 77% patients achieved a complete remission and 12.5% achieved a partial remission. The long-term control rate reached 80%. Within an actuarial overall 5-year survival of 90% no radiogenic side and late effects ≥EORTC/RTOG II° were observed.

conclusionIn the present study a large collective of irradiated patients was analysed. Radiotherapy (RT) is a very effective and safe treatment option and even low RT doses show sufficient local control.

Indexed as

AdolescentAdultAgedAged, 80 and overChildDisease-Free SurvivalFemaleHistiocytosis, Langerhans-CellHumansKaplan-Meier EstimateMaleMiddle AgedRadiotherapy DosageRetrospective StudiesTreatment OutcomeYoung Adult

Identifiers

PMID24103738
PMCPMC3852286
OpenAlexW2154224470

What OpenQuestion holds

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LicenceCC BY
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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.