Evidence map›Paper›PMID 25337285›Full record

ArticleInternational journal of clinical and experimental pathology2014

A case of secondary plasma cell leukemia resistant to novel agents, in which stringent complete remission was achieved and maintained for a long period of time after VAD therapy and tandem autologous transplantation.

Yasunobu Sekiguchi, Asami Shimada, Mutsumi Wakabayashi, Keiji Sugimoto, Shigeki Tomita, Hiroshi Izumi, Noriko Nakamura, Tomohiro Sawada, Yasunori Ohta, Norio Komatsu and 1 more

Open access · greenAbstract readCase Reports
In one paragraph

Article in International journal of clinical and experimental pathology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.4field-weighted citation impact, top 35% 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

3 citing papers in PubMed, 5 citations in OpenAlex.

  1. Article
  2. Article
  3. A Rare Case of Primary Plasma Cell Leukaemia with Monosomy X.Journal of clinical and diagnostic research : JCDR · 2017
    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

11 authors at 1 institution in 1 country.

Yasunobu SekiguchiDepartment of Hematology, Juntendo University Urayasu Hospital Japan.
Asami ShimadaDepartment of Hematology, Juntendo University Urayasu Hospital Japan ; Department of Hematology, Juntendo University Hospital Japan.
Mutsumi WakabayashiDepartment of Hematology, Juntendo University Urayasu Hospital Japan.
Keiji SugimotoDepartment of Hematology, Juntendo University Urayasu Hospital Japan.
Shigeki TomitaDepartment of Pathology, Juntendo University Urayasu Hospital Japan.
Hiroshi IzumiDepartment of Pathology, Juntendo University Urayasu Hospital Japan.
Noriko NakamuraDepartment of Clinical Laboratory, Juntendo University Urayasu Hospital Japan.
Tomohiro SawadaDepartment of Clinical Laboratory, Juntendo University Urayasu Hospital Japan.
Yasunori OhtaDepartment of Pathology, Research Hospital, The Institute of Medical Science, The University of Tokyo Japan.
Norio KomatsuDepartment of Hematology, Juntendo University Hospital Japan.
Masaaki NoguchiDepartment of Hematology, Juntendo University Urayasu Hospital Japan.
Juntendo University Urayasu Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

A 61-year-old woman was diagnosed in June 2011 as having immunoglobulin G (IgG) ĸ-type multiple myeloma (MM), stage II, according to the International Staging System (ISS). Chromosome analysis showed a complex karyotype, including t(11;14) and del 13q. Analysis of the cell surface markers revealed that the cells were positive for mature plasma cell-1 (MPC-1), and negative for cluster of differentiation (CD) 45 and CD49e, suggestive of an intermediate level of maturity of the cells. The disease was refractory to bortezomib-dexamethasone (BD) therapy and progressed to plasma cell leukemia despite the treatment. Treatment was therefore switched to lenalidomide-dexamethasone (RD) therapy, however, the condition again proved to be refractory to this therapy. A partial response (PR) was achieved with vincristine-doxorubicin-dexamethasone (VAD) therapy. The residual plasma cells became CD45-positive, suggesting a change of the cells from an intermediate level of maturity to mature cells. In December, autologous peripheral blood stem cell transplantation (Auto-PBSCT) was performed after high-dose melphalan therapy (melphalan 200 mg/m(2)) as pretreatment. PR was observed and a second Auto-PBSCT was performed in July 2012. Stringent complete remission (sCR) has been maintained for 2 years since, without any further treatment. This is the first reported case of secondary plasma cell leukemia (sPCL) resistant to new drugs that was successfully treated by high-dose melphalan in combination with VAD therapy and Auto-PBSCT.

Indexed as

Drug Resistance, NeoplasmDrug SubstitutionPeripheral Blood Stem Cell TransplantationAntineoplastic Combined Chemotherapy ProtocolsBiomarkers, TumorBone Marrow ExaminationBoronic AcidsBortezomibDexamethasoneDoxorubicinFemaleHumansImmunohistochemistryLenalidomideLeukemia, Plasma CellLeukocyte Common AntigensBiomarkers, TumorBoronic AcidsBortezomibDexamethasoneDoxorubicinLenalidomideLeukocyte Common AntigensPTPRC protein, humanPyrazinesThalidomideVincristineBortezomibhigh-dose chemotherapy in combination with autologous peripheral blood stem cell transplantationlenalidomideVAD therapy

Identifiers

PMID25337285
PMCPMC4203256
OpenAlexW2220977678

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.