Evidence map›Paper›PMID 29983699›Full record

ArticleCase reports in oncology

Isolated Left Ventricular Metastasis from Renal Cell Carcinoma: Diagnostic and Therapeutic Dilemma.

Amirahwaty Abdullah, Manidhar Lekkala, Zachary Wolfe, Charumathi Raghu, Safi Ullah Khan, Mrinalini Krishnan, Lydia Winnicka, Bradley Lash

Open access · goldAbstract readCase Reports
In one paragraph

Article in Case reports in oncology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.5field-weighted citation impact, top 30% 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

2 citing papers in PubMed, 4 citations in OpenAlex.

  1. Review
  2. 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

8 authors at 1 institution in 1 country.

Amirahwaty AbdullahInternal Medicine Residency, Guthrie Robert Packer Hospital, Sayre, Pennsylvania, USA.
Manidhar LekkalaInternal Medicine Residency, Guthrie Robert Packer Hospital, Sayre, Pennsylvania, USA.
Zachary WolfeInternal Medicine Residency, Guthrie Robert Packer Hospital, Sayre, Pennsylvania, USA.
Charumathi RaghuInternal Medicine Residency, Guthrie Robert Packer Hospital, Sayre, Pennsylvania, USA.
Safi Ullah KhanInternal Medicine Residency, Guthrie Robert Packer Hospital, Sayre, Pennsylvania, USA.
Mrinalini KrishnanInternal Medicine Residency, Guthrie Robert Packer Hospital, Sayre, Pennsylvania, USA.
Lydia WinnickaInternal Medicine Residency, Guthrie Robert Packer Hospital, Sayre, Pennsylvania, USA.
Bradley LashInternal Medicine Residency, Guthrie Robert Packer Hospital, Sayre, Pennsylvania, USA.
SUNY Upstate Medical University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe treatment of metastatic renal cell carcinoma (RCC) has been radically changed by the advent of tyrosine kinase inhibitors (TKIs). However, few reports have described their role in cardiac metastases. We present a case of a left ventricular metastasis from RCC that was managed with pazopanib therapy. CASE REPORT: A 74-year-old male with stage I RCC underwent right nephrectomy in 2004 and right lung metastasis resection in 2009. He was well till March 2016, when he presented with chest pain. Cardiac catheterization revealed a highly vascular mass in the apex. Cardiac magnetic resonance imaging revealed a left ventricular mass with full-thickness involvement of the myocardium, and the open cardiac biopsy was consistent with metastatic RCC. The patient was initially treated with pazopanib with response but later developed therapy-related side effects, and the dose was reduced. Due to tumor progression, he is currently on nivolumab instead and is stable.

conclusionRCC with cardiac metastasis poses unique challenges with regard to diagnosis as well as treatment. The use of TKI therapy is associated with cardiotoxicity and has not been adequately studied in cardiac metastasis. Choosing the right treatment for this subgroup of patients continues to pose an ongoing dilemma.

Indexed as

Cardiac metastasisPazopanibRenal cell cancerTyrosine kinase inhibitors

Identifiers

PMID29983699
PMCPMC6031946
OpenAlexW2805574775

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.