Evidence map›Paper›PMID 29110101›Full record

ReviewInternational journal of clinical oncology2018

Histological transformation after acquired resistance to epidermal growth factor tyrosine kinase inhibitors.

Yi Shao, Dian-Sheng Zhong

Abstract readReview
PubMed Publisher
In one paragraph

Review in International journal of clinical oncology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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, 2 syntheses or guidelines pooled it.

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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

2 authors.

Yi ShaoDepartment of Medical Oncology, Tianjin Medical University General Hospital, No154 Anshan Road, Heping Dist, Tianjin, 300052, China.
Dian-Sheng ZhongDepartment of Medical Oncology, Tianjin Medical University General Hospital, No154 Anshan Road, Heping Dist, Tianjin, 300052, China. happyonco@163.com.ORCID http://orcid.org/0000-0002-0644-6543

Funding

WU JIEPING Medical Foundation 320.6750.16136
6 · The paper itself

Abstract

Non-small-cell lung cancer patients with sensitive epidermal growth factor receptor mutations generally respond well to tyrosine kinase inhibitors (TKIs). However, acquired resistance will eventually develop place after 8-16 months. Several mechanisms contribute to the resistance including T790M mutation, c-Met amplification, epithelial mesenchymal transformation and PIK3CA mutation; however, histological transformation is a rare mechanism. The patterns and mechanisms underlying histological transformation need to be explored. We searched PubMed, EMBASE and search engines Google Scholar, Medical Matrix for literature related to histological transformation. Case reports, cases series, and clinical and basic medical research articles were reviewed. Sixty-one articles were included in this review. Cases of transformation to small-cell lung cancer, squamous cell carcinoma, large-cell neuroendocrine carcinoma and sarcoma after TKI resistance have all been reported. As the clinical course differed dramatically between cases, a new treatment scheme needs to be recruited. The mechanisms underlying histological transformation have not been fully elucidated and probably relate to cancer stem cells, driver genetic alterations under selective pressure or the heterogeneity of the tumor. When TKI resistance develops, we recommend that patients undergo a second biopsy to determine the reason, guide the next treatment and predict the prognosis.

Indexed as

AdultAgedAged, 80 and overAntineoplastic AgentsBiopsyCarcinoma, NeuroendocrineCarcinoma, Non-Small-Cell LungDrug Resistance, NeoplasmEpithelial-Mesenchymal TransitionErbB ReceptorsHumansLung NeoplasmsMaleMiddle AgedMutationPrognosisAntineoplastic AgentsEGFR protein, humanErbB ReceptorsMET protein, humanProtein Kinase InhibitorsProto-Oncogene Proteins c-metAcquired resistanceEpidermal growth factor receptorHistological transformationLung carcinomaTyrosine kinase inhibitor

Identifiers

What OpenQuestion holds

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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.