Evidence map›Paper›PMID 29024842›Full record

ArticleInternational journal of surgery case reports2017

Peritoneal carcinomatosis-like implants of extramedullary hematopoiesis. An insolite occurrence during splenectomy for myelofibrosis.

Marco Casaccia, Rosario Fornaro, Marco Frascio, Denise Palombo, Cesare Stabilini, Emma Firpo, Ezio Gianetta

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Article in International journal of surgery case reports, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

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2citing papers in PubMed, 1 pooled it
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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

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3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Marco CasacciaSurgical Clinic Unit II Department of Surgical Sciences and Integrated Diagnostics (DISC), Genova, Italy.
Rosario FornaroSurgical Clinic Unit II Department of Surgical Sciences and Integrated Diagnostics (DISC), Genova, Italy.
Marco FrascioSurgical Clinic Unit II Department of Surgical Sciences and Integrated Diagnostics (DISC), Genova, Italy.
Denise PalomboSurgical Clinic Unit II Department of Surgical Sciences and Integrated Diagnostics (DISC), Genova, Italy. Electronic address: dpalombo@yahoo.it.
Cesare StabiliniSurgical Clinic Unit II Department of Surgical Sciences and Integrated Diagnostics (DISC), Genova, Italy.
Emma FirpoSurgical Clinic Unit II Department of Surgical Sciences and Integrated Diagnostics (DISC), Genova, Italy.
Ezio GianettaSurgical Clinic Unit II Department of Surgical Sciences and Integrated Diagnostics (DISC), Genova, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionPrimary myelofibrosis (MF) is a myeloproliferative neoplasm that results in debilitating constitutional symptoms, splenomegaly, and cytopenias. In patients with symptomatic splenomegaly, splenectomy remains a viable treatment option for MF patients with medically refractory symptomatic splenomegaly that precludes the use of ruxolitinib. CASE PRESENTATION: We present the clinical case of a patient who was admitted to our Department to perform a splenectomy in MF as a therapeutic step prior to an allogeneic stem cell transplantation (ASCT). A laparotomic splenectomy and excision of whitish wide-spread peritoneal and omental nodulations was performed. There were no operative complications and the surgery was completed with minimal blood loss. The histopathological exam revealed an extramedullary hematopoiesis in both spleen and peritoneal nodules.

conclusionIn primary myelofibrosis it must always be kept in mind the possible presence of peritoneal implants of extramedullary hematopoiesis and ascites of reactive genesis. We report a rare case of peritoneal carcinomatosis-like implants of extramedullary hematopoiesis found at splenectomy for MF.

Indexed as

Extramedullary hematopoiesisMyelofibrosisSplenectomySplenomegaly

Identifiers

PMID29024842
PMCPMC5742008

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