Evidence map›Paper›PMID 26371774›Full record

ArticleThe American journal of case reports2015

Metastatic Breast Cancer in Medication-Related Osteonecrosis Around Mandibular Implants.

Gianfranco Favia, Angela Tempesta, Luisa Limongelli, Vito Crincoli, Adriano Piattelli, Eugenio Maiorano

Open access · hybridAbstract readCase Reports
In one paragraph

Article in The American journal of case reports, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 2 pooled it
1.0field-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

15 citing papers in PubMed, 2 syntheses or guidelines pooled it, 32 citations in OpenAlex.

  1. Pooled it
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  12. The role of antiresorptive drugs and medication-related osteonecrosis of the jaw in nononcologic immunosuppressed patients: A systematic review.Journal of research in medical sciences : the official journal of Isfahan University of Medical Sciences · 2021
    Review
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  14. Breast cancer epidemic in the early twenty-first century: evaluation of risk factors, cumulative questionnaires and recommendations for preventive measures.Tumour biology : the journal of the International Society for Oncodevelopmental Biology and Medicine · 2016
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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

6 authors at 2 institutions in 1 country.

Gianfranco FaviaDepartment of Interdisciplinary Medicine, Complex Operating Unit of Odontostomatology, "Aldo Moro" University, Barii, Italy.
Angela TempestaDepartment of Interdisciplinary Medicine, Complex Operating Unit of Odontostomatology, "Aldo Moro" University, Barii, Italy.
Luisa LimongelliDepartment of Interdisciplinary Medicine, Complex Operating Unit of Odontostomatology, "Aldo Moro" University, Barii, Italy.
Vito CrincoliDepartment of Interdisciplinary Medicine, Complex Operating Unit of Odontostomatology, "Aldo Moro" University, Barii, Italy.
Adriano PiattelliDepartment of Medical, Oral and Biotechnological Sciences, "G. d'Annunzio" University, Chieti, Italy.
Eugenio MaioranoDepartment of Emergency and Organ Transplantation, Operating Unit of Pathological Anatomy, "Aldo Moro" University, Barii, Italy.
University of Bari Aldo Moro · ITUniversity of Chieti-Pescara · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMany authors have considered dental implants to be unrelated to increased risk of medication-related osteonecrosis of the jaw (MRONJ). Nevertheless, more recently, more cases of peri-implant MRONJ (PI-MRONJ) have been described, thus becoming a challenging health problem. Also, metastatic cancer deposits are not infrequently found at peri-implant sites and this may represent an additional complication for such treatments. We present the case of a breast cancer patient with PI-MRONJ, presenting a clinically and radiologically undetected metastasis within the necrotic bone, and highlight the necessity of an accurate histopathological analysis. CASE REPORT: A 66-year-old female patient, who had received intravenous bisphosphonates for bone breast cancer metastases, came to our attention for a non-implant surgery-triggered PI-MRONJ. After surgical resection of the necrotic bone, conventional and immunohistochemical examinations were performed, which showed breast cancer deposits within the necrotic bone.

conclusionsCancer patients with metastatic disease, who are undergoing bisphosphonate treatment, may develop unusual complications, including MRONJ, which is a site at risk for hosting additional metastatic deposits that may be clinically and radiologically overlooked. Such risk is increased by previous or concomitant implant procedures. Consequently, clinicians should be prudent when performing implant surgery in cancer patients with advanced-stage disease and consider the possible occurrence of peri-implant metastases while planning adequate treatments in such patients.

Indexed as

AgedBisphosphonate-Associated Osteonecrosis of the JawBreast NeoplasmsDental ImplantsFemaleHumansMandibular NeoplasmsDental Implants

Identifiers

PMID26371774
PMCPMC4574514
OpenAlexW1936636811

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.