Evidence map›Paper›PMID 25485216›Full record

ArticleJournal of neurological surgery reports2014

A case of stereotactic radiation in skull base solitary fibrous tumor: more harm than good?

Peter L Santa Maria, Waleed M Abuzeid, Jayakar V Nayak, Steven D Chang, Nikolas H Blevins

Open access · goldAbstract readCase Reports
In one paragraph

Article in Journal of neurological surgery reports, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
0.3field-weighted citation impact, top 40% 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

1 citing paper in PubMed, 1 synthesis or guideline pooled it, 3 citations in OpenAlex.

  1. Pooled it
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

5 authors at 1 institution in 1 country.

Peter L Santa MariaDepartment of Otolaryngology, Head and Neck Surgery, Stanford University Hospital and Clinics, Stanford, California, United States.
Waleed M AbuzeidDepartment of Otolaryngology, Head and Neck Surgery, Stanford University Hospital and Clinics, Stanford, California, United States.
Jayakar V NayakDepartment of Otolaryngology, Head and Neck Surgery, Stanford University Hospital and Clinics, Stanford, California, United States.
Steven D ChangDepartment of Neurosurgery, Head and Neck Surgery, Stanford University Hospital and Clinics, Stanford, California, United States.
Nikolas H BlevinsDepartment of Otolaryngology, Head and Neck Surgery, Stanford University Hospital and Clinics, Stanford, California, United States.
Stanford Health Care · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective Due to its location, total resection of a skull base solitary fibrous tumor (SFT) can lead to morbidity with injury to lower cranial nerves, and a decision must be made between subtotal resection with possible stereotactic radiotherapy or total resection with cranial nerve morbidity. We report the long-term outcomes and review the literature of a case of stereotactic radiation in SFT to provide evidence for making this decision. Design A retrospective case review. Setting An academic tertiary referral center. Results We present a case with > 10 years follow-up of radiation following skull base SFT, initially misdiagnosed as schwannoma, where radiotherapy did not improve recurrence or metastatic behavior and led to complications during subsequent surgical resection. Conclusions SFT often masquerades as schwannoma, especially in the skull base. Careful immunohistochemistry, including CD34 expression, is critical to the diagnosis and management. This case highlights that total tumor resection of SFT remains the gold standard of treatment. Stereotactic radiation is not recommended in the management of skull base SFT.

Indexed as

solitary fibrous tumorstereotactic radiation

Identifiers

PMID25485216
PMCPMC4242816
OpenAlexW2054211529

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.