Evidence map›Paper›PMID 28713152›Full record

ArticleThe American journal of case reports2017

Metastatic Anaplastic Lymphoma Kinase-1 (ALK-1)-Rearranged Inflammatory Myofibroblastic Sarcoma to the Brain with Leptomeningeal Involvement: Favorable Response to Serial ALK Inhibitors: A Case Report.

Cai Yuan, Muchou J Ma, John V Parker, Tarek M Mekhail

Open access · hybridAbstract readCase Reports
In one paragraph

Article in The American journal of case reports, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
1.7field-weighted citation impact, top 15% 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

11 citing papers in PubMed, 26 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Review
  5. Update of Diagnosis and Targeted Therapy for ALKCurrent treatment options in oncology · 2023
    Review
  6. Article
  7. Article
  8. Article
  9. Article
  10. Review
  11. 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

4 authors at 2 institutions in 1 country.

Cai YuanDepartment of Internal Medicine, Florida Hospital Internal Medicine Residency, Orlando, FL, USA.
Muchou J MaDepartment of Pathology, Florida Hospital, Orlando, FL, USA.
John V ParkerDepartment of Obstetrics and Gynecology, Florida Hospital, Orlando, FL, USA.
Tarek M MekhailFlorida Hospital Cancer Institute, Orlando, FL, USA.
AdventHealth Orlando · USFlorida Hospital Cancer Institute · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND ALK gene rearrangements as oncogenic drivers have been described in many cancers, including inflammatory myofibroblastic sarcoma (IMS). The first-generation ALK inhibitor was limited in its ability to cross the blood-brain-barrier to treat brain metastasis. Drug-resistance invariably develops over time in ALK-rearranged tumors, which leads to disease progression. The newer generations of ALK inhibitors are designed to have higher potency in ALK inhibition and improved CNS penetration. CASE REPORT We report a rare case of pulmonary IMS with ALK-1 gene rearrangement and multiple brain metastases as initial presentation. After the primary lung tumor and the larger brain metastases were resected, control of residual CNS disease and subsequent progression and CNS spread was achieved with favorable clinical response by all three generations of ALK inhibitors. CONCLUSIONS ALK inhibitors may be an effective therapy for this rare and unusual form of ALK-1-rearranged cancer, even in the presence of multifocal CNS metastases with leptomeningeal involvement.

Indexed as

AdolescentAminopyridinesAnaplastic Lymphoma KinaseBrain NeoplasmsCrizotinibFemaleGene RearrangementHumansLactamsLactams, MacrocyclicLung NeoplasmsMeningeal NeoplasmsMyofibroblastsProtein Kinase InhibitorsPyrazolesPyridinesALK protein, humanAminopyridinesAnaplastic Lymphoma KinaseceritinibCrizotinibLactamsLactams, MacrocycliclorlatinibProtein Kinase InhibitorsPyrazolesPyridinesPyrimidinesReceptor Protein-Tyrosine KinasesSulfones

Identifiers

PMID28713152
PMCPMC5528006
OpenAlexW2734926149

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.