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ReviewIndian journal of hematology & blood transfusion : an official journal of Indian Society of Hematology and Blood Transfusion2015

Myeloid Sarcoma: An Unusual Case of Mediastinal Mass and Malignant Pleural Effusion with Review of Literature.

Kamal Kant Sahu, Ruchita Tyagi, Arjun Datt Law, Alka Khadwal, Gaurav Prakash, Arvind Rajwanshi, Subhash Chander Varma, Pankaj Malhotra

Open access · bronzeAbstract readReview
In one paragraph

Review in Indian journal of hematology & blood transfusion : an official journal of Indian Society of Hematology and Blood Transfusion, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
2.1field-weighted citation impact, top 13% 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

14 citing papers in PubMed, 22 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Review
  11. Cardiac Myeloid Sarcoma: Review of Literature.Journal of clinical and diagnostic research : JCDR · 2017
    Review
  12. Myeloid Sarcoma Of Vulva: A Short Update.Indian journal of hematology & blood transfusion : an official journal of Indian Society of Hematology and Blood Transfusion · 2016
    Article
  13. Shoulder Myeloid Sarcoma: An Initial Presentation of CML Blast Crisis.Indian journal of hematology & blood transfusion : an official journal of Indian Society of Hematology and Blood Transfusion · 2016
    Article
  14. 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

8 authors at 1 institution in 1 country.

Kamal Kant SahuDepartment of Internal Medicine, Postgraduate Institute of Medical Education and Research, Chandigarh, 160012 India.
Ruchita TyagiDepartment of Cytology and Gynecologic pathology, Postgraduate institute of Medical Education and Research, Chandigarh, 160012 India.
Arjun Datt LawDepartment of Internal Medicine, Postgraduate Institute of Medical Education and Research, Chandigarh, 160012 India.
Alka KhadwalDepartment of Internal Medicine, Postgraduate Institute of Medical Education and Research, Chandigarh, 160012 India.
Gaurav PrakashDepartment of Internal Medicine, Postgraduate Institute of Medical Education and Research, Chandigarh, 160012 India.
Arvind RajwanshiDepartment of Cytology and Gynecologic pathology, Postgraduate institute of Medical Education and Research, Chandigarh, 160012 India.
Subhash Chander VarmaDepartment of Internal Medicine, Postgraduate Institute of Medical Education and Research, Chandigarh, 160012 India.
Pankaj MalhotraDepartment of Internal Medicine, Postgraduate Institute of Medical Education and Research, Chandigarh, 160012 India.
Post Graduate Institute of Medical Education and Research · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Myeloid sarcoma is an extramedullary tumor seen most commonly in patients with acute myeloid leukemia and less frequently in chronic myeloid leukemia, myelodysplastic syndrome and rarely, in an isolated form without any other underlying malignancy. Malignant pleural effusion in hematological malignancies is rare when compared with solid tumors. We present an unusual case of myeloid sarcoma in which a mediastinal mass with pleural effusion was the initial presentation. A 27 year old gentleman presented with complaints of fever, chest pain and swelling in the anterior chest wall for 6 months. Examination revealed a lump measuring 5 × 5 cm on the left side of the chest wall. Hematological evaluation showed hemoglobin-14.2 g/dL, platelet count-233 × 10(9)/L, TLC-117 × 10(6)/L with normal differential counts. Contrast enhanced computerised tomography (CECT) confirmed the presence of a soft tissue mass in the superior mediastinum abutting against the chest wall. Core biopsy was suggestive of myeloid sarcoma and immunohistochemistry was positive for myeloperoxidase and negative for CD3, CD 20 and CD 23. Pleural fluid analysis showed the presence of malignant cells. Bone marrow examination did not show an excess of blasts. A final diagnosis of extramedullary myeloid sarcoma with malignant pleural effusion was made. The patient was given induction chemotherapy (3 + 7 regimen) with daunorubicin and cytosine arabinoside. Repeat CECT done on day 28 showed complete resolution of pleural effusion and significant reduction in the size of mediastinal mass. The patient has successfully completed three cycles of consolidation therapy following which there has been complete resolution of the mass. He remains asymptomatic on close follow up.

Indexed as

Acute myeloid leukemiaMalignant cytologyMyeloid sarcoma

Identifiers

PMID26306072
PMCPMC4542764
OpenAlexW2092422045

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.