Evidence map›Paper›PMID 28275600›Full record

ArticleOcular oncology and pathology2017

Tyrosine Kinase Inhibitors in the Treatment of Choroidal Metastases from Non-Small-Cell Lung Cancer: A Case Report and Review of Literature.

Akshay Gopinathan Nair, Haresh T Asnani, Vinod C Mehta, Siddharth V Mehta, Rima S Pathak, Amit H Palkar, Indumati Gopinathan

Open access · bronzeAbstract readCase Reports
In one paragraph

Article in Ocular oncology and pathology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.5field-weighted citation impact, top 28% 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

4 citing papers in PubMed, 17 citations in OpenAlex.

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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

7 authors at 3 institutions in 1 country.

Akshay Gopinathan NairAdvanced Eye Hospital and Institute, Mumbai, India; Aditya Jyot Eye Hospital, Mumbai, India; Mehta Eye Clinic Pvt. Ltd, Mumbai, India; Lokmanya Tilak Municipal Medical College and Hospital, Mumbai, India.
Haresh T AsnaniAdvanced Eye Hospital and Institute, Mumbai, India; Mehta Eye Clinic Pvt. Ltd, Mumbai, India.
Vinod C MehtaMehta Eye Clinic Pvt. Ltd, Mumbai, India.
Siddharth V MehtaMehta Eye Clinic Pvt. Ltd, Mumbai, India.
Rima S PathakTata Memorial Cancer Hospital, Mumbai, India; British Columbia Cancer Agency, Abbotsford, B.C., Canada.
Amit H PalkarLokmanya Tilak Municipal Medical College and Hospital, Mumbai, India.
Indumati GopinathanClinico-Path Labs, Mumbai, India.
GenePath Dx (India) · INLokmanya Tilak Municipal General Hospital and Lokmanya Tilak Municipal Medical College · INTata Memorial Hospital · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundChoroidal metastases being the sole presenting feature of lung cancer is rare. Erlotinib, a tyrosine kinase inhibitor (TKI), is used in the treatment of lung adenocarcinoma where tumor cells exhibit epidermal growth factor receptor (EGFR) mutations. We report a case of metastatic non-small-cell lung cancer (NSCLC) with choroidal metastasis, which was the sole presenting feature and which responded to erlotinib.

methodsWe performed a retrospective case review. CASE: A 78-year-old man presented with a choroidal mass which was found to be the presenting feature of metastatic NSCLC. Our patient, a nonsmoker, had disseminated bony metastases, and therefore was advised to undergo palliative chemotherapy, which he refused. He was therefore instituted on oral erlotinib.

resultsTumor cells expressing EGFR mutations are known to be susceptible to TKIs. Even though the tumor in our case showed no mutation, i.e. was classified as 'wild-type', our patient showed a dramatic response to erlotinib. At 1 year, the choroidal lesion had regressed and visual acuity had recovered.

conclusionsTKIs may be beneficial in patients with choroidal metastases from NSCLC, especially those in which an EGFR mutation is noted. Even in the absence of such mutations, choroidal metastases may show a favorable effect in response to TKIs, such as erlotinib.

Indexed as

ChoroidalEpidermal growth factor receptorErlotinibLung cancerMetastasesNon-small-cell lung cancerTargeted therapyTyrosine kinase inhibitors

Identifiers

PMID28275600
PMCPMC5319000
OpenAlexW2520171120

What OpenQuestion holds

Textmetadata
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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.