Evidence map›Paper›PMID 28356124›Full record

ReviewItalian journal of pediatrics2017

Denosumab treatment for progressive skull base giant cell tumor of bone in a 14 year old female - a case report and literature review.

Samvel Bardakhchyan, Leo Kager, Samvel Danielyan, Armen Avagyan, Nerses Karamyan, Hovhannes Vardevanyan, Sergey Mkhitaryan, Ruzanna Papyan, Davit Zohrabyan, Liana Safaryan and 5 more

Open access · goldAbstract readCase ReportsReview
In one paragraph

Review in Italian journal of pediatrics, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
2.4field-weighted citation impact, top 12% 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, 1 synthesis or guideline pooled it, 25 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Malignant Brain and Spinal Tumors Originating from Bone or Cartilage.Advances in experimental medicine and biology · 2023
    Article
  10. Role of denosumab before resection and reconstruction in giant cell tumors of bone: a single-centered retrospective cohort study.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2022
    Article
  11. Article
  12. Article
  13. Left orbital roof giant cell tumor of bone: A case report.Surgical neurology international · 2018
    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

15 authors at 3 institutions in 2 countries.

Samvel BardakhchyanDepartment of Oncology, Yerevan State Medical University, Yerevan, Armenia.
Leo KagerDepartment of Pediatrics, St. Anna Children's Hospital, Medical University Vienna, Vienna, Austria.
Samvel DanielyanDepartment of Oncology, Yerevan State Medical University, Yerevan, Armenia.
Armen AvagyanYerevan State Medical University, Muratsan Hospital Complex, Clinic of Chemotherapy, Yerevan, Armenia.
Nerses KaramyanDepartment of Oncology, Yerevan State Medical University, Yerevan, Armenia.
Hovhannes VardevanyanArmenian Pediatric Hematology and Oncology Group, Yerevan, Armenia.
Sergey MkhitaryanDepartment of Oncology, Yerevan State Medical University, Yerevan, Armenia.
Ruzanna PapyanDepartment of Oncology, Yerevan State Medical University, Yerevan, Armenia.
Davit ZohrabyanDepartment of Oncology, Yerevan State Medical University, Yerevan, Armenia.
Liana SafaryanDepartment of Oncology, Yerevan State Medical University, Yerevan, Armenia.
Lilit SargsyanDepartment of Oncology, Yerevan State Medical University, Yerevan, Armenia.
Lilit HarutyunyanYerevan State Medical University, Muratsan Hospital Complex, Clinic of Chemotherapy, Yerevan, Armenia.
Lusine HakobyanDepartment of Oncology, Yerevan State Medical University, Yerevan, Armenia.
Samvel IskanyanYerevan State Medical University, Muratsan Hospital Complex, Clinic of Chemotherapy, Yerevan, Armenia.
Gevorg TamamyanDepartment of Oncology, Yerevan State Medical University, Yerevan, Armenia. gevorgtamamyan@gmail.com.
Yerevan State Medical University · AMAmerican University of Armenia · AMSt Anna Children's Hospital · AT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundGiant cell tumor of bone (GCT) is a rare primary bone tumor, which can metastasize and undergo malignant transformation. The standard treatment of GCT is surgery. In patients with unresectable or metastatic disease, additional therapeutic options are available. These include blocking of the receptor activator of NF-kappa B ligand (RANKL) signaling pathway, which plays a role in the pathogenesis of GCT of bone, via the anti-RANKL monoclonal antibody denosumab. CASE PRESENTATION: Herein we report on a female teenager who presented in a very poor clinical condition (cachexia, diplopia, strabismus, dysphonia with palsy of cranial nerves V, VI, VIII, IX, X, XI and XII) due to progressive disease, after incomplete resection and adjuvant radiotherapy, of a GCT which affected the cervical spine (C1 and C2) as well as the skull base; and who had an impressive clinical response to denosumab therapy. To the best of our knowledge, this is the youngest patient ever reported with a skull base tumor treated with denosumab.

conclusionIn situations when surgery can be postponed and local aggressiveness of the tumor does not urge for acute surgical intervention, upfront use of denosumab in order to reduce the tumor size might be considered. Principally, the goal of denosumab therapy is to reduce tumor size as much as possible, with the ultimate goal to make local surgery (or as in our case re-surgery) amenable. However, improvement in quality of life, as demonstrated in our patient, is also an important aspect of such targeted therapies.

Indexed as

Skull BaseAdolescentAntineoplastic AgentsBone NeoplasmsDenosumabFemaleGiant Cell Tumor of BoneHumansNeoplasm InvasivenessNeoplasm StagingQuality of LifeTreatment OutcomeAntineoplastic AgentsDenosumabDenosumabGiant cell tumor of boneSkull base

Identifiers

PMID28356124
PMCPMC5372271
OpenAlexW2602349475

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.