Evidence map›Paper›PMID 26377170›Full record

ArticleJournal of medical case reports2015

Spontaneous regression of non-small cell lung cancer after biopsy of a mediastinal lymph node metastasis: a case report.

Alberto Lopez-Pastorini, Till Plönes, Michael Brockmann, Corinna Ludwig, Frank Beckers, Erich Stoelben

Open access · goldAbstract readCase Reports
In one paragraph

Article in Journal of medical case reports, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
3.6field-weighted citation impact, top 9% 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

20 citing papers in PubMed, 29 citations in OpenAlex.

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  12. Lymph Node Metastasis after Spontaneous Regression of Non-Small Cell Lung Cancer.The Korean journal of thoracic and cardiovascular surgery · 2019
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  19. "St. Peregrine tumor" with synchronous primary renal cell carcinoma.Lung India : official organ of Indian Chest Society
    Article
  20. 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

6 authors at 1 institution in 1 country.

Alberto Lopez-PastoriniDepartment of Thoracic Surgery, University Medical Center Witten/Herdecke, Lung Clinic Merheim, Campus Cologne, Ostmerheimerstr. 200, 51109, Cologne, Germany. Alberto.Lopez@uni-wh.de.
Till PlönesDepartment of Thoracic Surgery, University Medical Center Witten/Herdecke, Lung Clinic Merheim, Campus Cologne, Ostmerheimerstr. 200, 51109, Cologne, Germany. PloenesT@kliniken-koeln.de.
Michael BrockmannDepartment of Pathology, University Medical Center Witten/Herdecke, Clinic Merheim, Campus Cologne, Ostmerheimerstr. 200, 51109, Cologne, Germany. BrockmannM@kliniken-koeln.de.
Corinna LudwigDepartment of Thoracic Surgery, University Medical Center Witten/Herdecke, Lung Clinic Merheim, Campus Cologne, Ostmerheimerstr. 200, 51109, Cologne, Germany. LudwigC@kliniken-koeln.de.
Frank BeckersDepartment of Thoracic Surgery, University Medical Center Witten/Herdecke, Lung Clinic Merheim, Campus Cologne, Ostmerheimerstr. 200, 51109, Cologne, Germany. BeckersF@kliniken-koeln.de.
Erich StoelbenDepartment of Thoracic Surgery, University Medical Center Witten/Herdecke, Lung Clinic Merheim, Campus Cologne, Ostmerheimerstr. 200, 51109, Cologne, Germany. StoelbenE@kliniken-koeln.de.
Witten/Herdecke University · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionSpontaneous regression of cancer is defined as a complete or partial, temporary or permanent disappearance of tumor in the absence of specific therapy. With only a few cases reported, spontaneous regression is extremely rare in primary lung cancer. Regarding spontaneous regression in lung cancer, recent investigations revealed the role of immunological mechanisms, thus indicating potential treatment options by specific immunotherapy in the future. CASE PRESENTATION: A 76-year-old Caucasian man with progressive dyspnea presented to our hospital. A computed tomography scan revealed a tumor mass in the upper lobe of his right lung and enlarged mediastinal lymph nodes. A biopsy of a paratracheal lymph node by mediastinoscopy disclosed metastatic lung cancer. By immunohistochemical findings the tumor was classified as large cell carcinoma. Diagnosed with clinical stage IIIA non-small cell lung cancer, a neoadjuvant therapy concept was indicated. However, before starting chemoradiation, a computed tomography scan showed a regression of both the tumor mass in the upper lobe of his right lung and the mediastinal lymphadenopathy. As a repeated computed tomography scan showed further regression, we agreed with our patient to perform routine follow-up instead of starting therapy. To date, no relapse has been reported.

conclusionsGiven the circumstances that regression started after the biopsy and involved both the tumor in the upper lobe of his right lung and the mediastinal lymph node metastases, an immune response is a reasonable explanation for the observed spontaneous regression in this case.

Indexed as

Remission, SpontaneousAgedBiopsyCarcinoma, Non-Small-Cell LungHumansLungLung NeoplasmsLymphatic MetastasisLymph NodesMaleMediastinumTomography, X-Ray Computed

Identifiers

PMID26377170
PMCPMC4573999
OpenAlexW1857904193

What OpenQuestion holds

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Registered trials

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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.