Evidence map›Paper›PMID 29785261›Full record

ArticleClinical sarcoma research2018

Aggressive fibromatosis response to tamoxifen: lack of correlation between MRI and symptomatic response.

M Libertini, I Mitra, W T A van der Graaf, A B Miah, I Judson, R L Jones, K Thomas, E Moskovic, Z Szucs, C Benson and 1 more

Open access · diamondAbstract read
In one paragraph

Article in Clinical sarcoma research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
3.4field-weighted citation impact, top 8% 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

21 citing papers in PubMed, 40 citations in OpenAlex.

  1. Trial
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  5. Desmoid Tumors: Current Perspective and Treatment.Current treatment options in oncology · 2024
    Review
  6. Benign tumors of the chest wall.Journal of thoracic disease · 2024
    Review
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  12. Article
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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

11 authors at 1 institution in 1 country.

M Libertini1Sarcoma Unit, Royal Marsden NHS Foundation Trust, London, UK.ORCID 0000-0002-3044-5014
I Mitra1Sarcoma Unit, Royal Marsden NHS Foundation Trust, London, UK.
W T A van der Graaf1Sarcoma Unit, Royal Marsden NHS Foundation Trust, London, UK.
A B Miah1Sarcoma Unit, Royal Marsden NHS Foundation Trust, London, UK.
I Judson1Sarcoma Unit, Royal Marsden NHS Foundation Trust, London, UK.
R L Jones1Sarcoma Unit, Royal Marsden NHS Foundation Trust, London, UK.
K Thomas2Department of Radiology, The Royal Marsden NHS Foundation Trust, 203 Fulham Road, London, SW3 6JJ UK.
E Moskovic1Sarcoma Unit, Royal Marsden NHS Foundation Trust, London, UK.
Z Szucs1Sarcoma Unit, Royal Marsden NHS Foundation Trust, London, UK.
C Benson1Sarcoma Unit, Royal Marsden NHS Foundation Trust, London, UK.
C Messiou1Sarcoma Unit, Royal Marsden NHS Foundation Trust, London, UK.
Royal Marsden NHS Foundation Trust · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundOne of the commonly used systemic agents for the treatment of aggressive fibromatosis is the anti-oestrogen drug tamoxifen. However, data on efficacy and optimum methods of response assessment are limited, consisting mainly of small case series and reports.

methodsA retrospective database was used to identify consecutive patients diagnosed with aggressive fibromatosis (AF) and treated with tamoxifen plus/minus non-steroidal anti-inflammatory drugs at our tertiary referral centre between 2007 and 2014. MRI and symptom changes were recorded.

resultsThirty-two patients (13 male 19 female, median age 41 years) were included. Median duration of treatment with tamoxifen was 316 days. Of 9 patients with progressive disease by RECIST 1.1 (28%): 4 patients experienced worsening symptoms; 3 patients had improved symptoms and 2 had no change in symptoms. Of 22 patients with stable disease (69%): 11 had no change in symptoms; 6 had improved symptoms and 5 patients had worsening symptoms. One patient achieved a partial response with improved symptoms.

conclusionsNo relationship was identified between symptomatic benefit and response by RECIST 1.1 on MRI. Prospective studies in AF should incorporate endpoints focusing on patient symptoms.

Indexed as

Aggressive fibromatosisAnti-oestrogen therapyMRI featuresSymptomsT2 weighted signal

Identifiers

PMID29785261
PMCPMC5950191
OpenAlexW2807358905

What OpenQuestion holds

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Registered trials

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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.