Evidence map›Paper›PMID 26686858›Full record

ArticleBritish journal of haematology2016

Central nervous system involvement by Waldenström macroglobulinaemia (Bing-Neel syndrome): a multi-institutional retrospective study.

Jorge J Castillo, Shirley D'Sa, Michael P Lunn, Monique C Minnema, Alessandra Tedeschi, Frederick Lansigan, M Lia Palomba, Marzia Varettoni, Ramon Garcia-Sanz, Lakshmi Nayak and 5 more

Registry-linked trialOpen access · bronzeAbstract readMulticenter Study
In one paragraph

Article in British journal of haematology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07160270 (Neuropathy in Waldenström's Macroglobulinemia), which is not on this map. Cited by 47 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
47citing papers in PubMed, 2 pooled it
5.5field-weighted citation impact, top 3% 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.

NCT07160270 recruitingnot on this mapstarted 2025, after this paper: background citation

Neuropathy in Waldenström's Macroglobulinemia: Pathophysiology, Prognosis and Treatment

Typeobservational_patient_registrySponsorRigshospitalet, DenmarkRan2025 to 2025Enrolled90ConditionsWaldenstrom Macroglobulinaemia, Peripheral Neuropathies
3 · Its place in the literature

Who cites it

47 citing papers in PubMed, 2 syntheses or guidelines pooled it, 109 citations in OpenAlex.

  1. Pooled it
  2. Guideline
  3. Article
  4. Review
  5. Article
  6. Article
  7. Article
  8. Article
  9. Waldenström Macroglobulinemia - A State-of-the-Art Review: Part 2- Focus on Therapy.Mediterranean journal of hematology and infectious diseases · 2025
    Review
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Review
  16. Article
  17. Article
  18. The performance and applied value ofAmerican journal of nuclear medicine and molecular imaging · 2023
    Article
  19. Bing-Neel Syndrome Successfully Treated with Tirabrutinib.Internal medicine (Tokyo, Japan) · 2022
    Article
  20. Review
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

15 authors at 8 institutions in 5 countries.

Jorge J CastilloDana-Farber Cancer Institute, Harvard Medical School, Boston, MA, USA.ORCID http://orcid.org/0000-0001-9490-7532
Shirley D'SaUniversity College London Hospitals, London, UK.
Michael P LunnUniversity College London Hospitals, London, UK.
Monique C MinnemaUniversity Medical Centre Utrecht, Utrecht, the Netherlands.
Alessandra TedeschiOspedale Niguarda Ca' Granda, Milano, Italy.
Frederick LansiganDartmouth-Hitchcock Medical Center, Lebanon, NH, USA.
M Lia PalombaMemorial Sloan Kettering Cancer Center, New York, NY, USA.
Marzia VarettoniPoliclinico San Matteo, Pavia, Italy.
Ramon Garcia-SanzHospital Universitario de Salamanca, Salamanca, Spain.
Lakshmi NayakDana-Farber Cancer Institute, Harvard Medical School, Boston, MA, USA.
Eudocia Q LeeDana-Farber Cancer Institute, Harvard Medical School, Boston, MA, USA.
Mikael L RinneDana-Farber Cancer Institute, Harvard Medical School, Boston, MA, USA.
Andrew D NordenDana-Farber Cancer Institute, Harvard Medical School, Boston, MA, USA.
Irene M GhobrialDana-Farber Cancer Institute, Harvard Medical School, Boston, MA, USA.
Steven P TreonDana-Farber Cancer Institute, Harvard Medical School, Boston, MA, USA.
Harvard University · USRoyal London Hospital · GBAzienda Socio Sanitaria Territoriale Grande Ospedale Metropolitano Niguarda · ITComplejo Hospitalario de Salamanca · ESDartmouth–Hitchcock Medical Center · USMemorial Sloan Kettering Cancer Center · USPoliclinico San Matteo Fondazione · ITUniversity Medical Center Utrecht · NL

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Nicholas D Socci · 1985 to 2026
$347.4M
TRANSLATIONAL CONTROL IN ADAPTATION TO HYPOXIAP01CA104838 · NCI · UNIVERSITY OF PENNSYLVANIA · PI DIEHL, JOHN ALAN · 2004 to 2018
$17.6M
Medical Research Council MR/K000608/1NCI NIH HHS P30 CA008748
6 · The paper itself

Abstract

Bing-Neel syndrome (BNS) is a rare complication seen in patients with Waldenström macroglobulinaemia (WM), in which lymphoplasmacytic lymphoma cells colonize the central nervous system. In this retrospective multi-centre study, we present the clinicopathological features, imaging findings, therapy, response and outcomes of 34 patients with BNS. The median time from WM diagnosis to BNS diagnosis was 3 years, 15% of patients were diagnosed with BNS at the time of WM diagnosis, and 22% of patients developed BNS when responding to active treatment for WM. Patients with BNS presented with variable clinical features including limb motor deficits, change in mental status and cranial nerve palsies. The diagnosis was made using a combination of cerebrospinal fluid cytology, flow cytometry and detection of the MYD88 L265 mutation, and magnetic resonance imaging. The estimated 3-year overall survival rate was 59%. Of the survivors, 40% have evidence of pathological and/or radiological persistence of disease. Age older than 65 years, platelet count lower than 100 × 10(9) /l, and treatment for WM prior to BNS diagnosis were associated with worse outcome. Exposure to rituximab for treatment of BNS was associated with a better outcome. Multi-institutional collaboration is warranted to improve treatment and outcomes in patients with BNS.

Indexed as

AdultAgedAntineoplastic AgentsCentral Nervous System NeoplasmsDisease ProgressionFemaleHumansKaplan-Meier EstimateMaleMiddle AgedPrognosisRetrospective StudiesSyndromeTreatment OutcomeWaldenstrom MacroglobulinemiaAntineoplastic AgentsBing-Neel syndromecentral nervous systemlymphoplasmacytic lymphomaWaldenström macroglobulinaemia

Identifiers

PMID26686858
PMCPMC5480405
OpenAlexW2207094072

What OpenQuestion holds

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Registered trials

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.