Evidence map›Paper›PMID 28758043›Full record

ArticleCase reports in urology2017

Multiple Acrometastases in a Patient with Renal Pelvic Urothelial Cancer.

Ryoko Sawada, Yusuke Shinoda, Aya Niimi, Tohru Nakagawa, Masachika Ikegami, Hiroshi Kobayashi, Sakae Tanaka, Yukio Homma, Nobuhiko Haga

Open access · goldAbstract readCase Reports
In one paragraph

Article in Case reports in urology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
0.4field-weighted citation impact, top 37% 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

1 citing paper in PubMed, 1 synthesis or guideline pooled it, 5 citations in OpenAlex.

  1. Pooled it
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

9 authors at 2 institutions in 1 country.

Ryoko SawadaDepartment of Orthopedic Surgery, The University of Tokyo Hospital, Tokyo, Japan.ORCID 0000-0002-3131-3777
Yusuke ShinodaDepartment of Orthopedic Surgery, The University of Tokyo Hospital, Tokyo, Japan.ORCID 0000-0001-5489-2751
Aya NiimiDepartment of Urology, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.
Tohru NakagawaDepartment of Urology, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.
Masachika IkegamiDepartment of Orthopedic Surgery, The University of Tokyo Hospital, Tokyo, Japan.
Hiroshi KobayashiDepartment of Orthopedic Surgery, The University of Tokyo Hospital, Tokyo, Japan.
Sakae TanakaDepartment of Orthopedic Surgery, The University of Tokyo Hospital, Tokyo, Japan.ORCID 0000-0001-9210-9414
Yukio HommaDepartment of Urology, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.
Nobuhiko HagaDepartment of Rehabilitation Medicine, The University of Tokyo Hospital, Tokyo, Japan.
University of Tokyo Hospital · JPThe University of Tokyo · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Metastasis may occur in any bone but more commonly occurs in the spine, pelvis, or other axial bones. Metastasis in peripheral bones located distal to the elbow or knee, so-called acrometastasis, is rare. Although the mechanism of acrometastasis development is not completely understood, it is thought to be the result of a massive dissemination of cancer cells; thus the prognosis of patients with acrometastasis is relatively poor. Here, we report the case of renal pelvic cancer with multiple acrometastases in both the upper and lower extremities without axial bone metastasis in a 68-year-old man. After two regimens of chemotherapy, he suffered from pain on his wrist and ankle and swelling and hemorrhage of his toe. He had no axial bone metastasis by CT but was diagnosed with multiple acrometastases by plain radiographs. Radiation therapy and disarticulation of the left big toe at the metacarpal-phalangeal joint were performed and his pain and hemorrhage were successfully controlled. Although acrometastasis from renal pelvic cancer is very rare, we should recognize that acrometastasis might occur which exists outside of the CT scanning field.

Identifiers

PMID28758043
PMCPMC5512023
OpenAlexW2732005173

What OpenQuestion holds

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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.