Evidence map›Paper›PMID 30081717›Full record

ReviewCancer biology & therapy2018

Successful treatment using apatinib in intractable brain edema: A case report and literatures review.

Yanqiu Song, Bailong Liu, Meng Guan, Min Liu

Open access · hybridAbstract readCase ReportsReview
In one paragraph

Review in Cancer biology & therapy, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
1.3field-weighted citation impact, top 19% 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

13 citing papers in PubMed, 16 citations in OpenAlex.

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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

4 authors at 2 institutions in 1 country.

Yanqiu Songa Department of Medical Oncology, Cancer Center, The First Hospital , Jilin University , Changchun , China.
Bailong Liub Department of Radiation Oncology, The First Hospital , Jilin University , Changchun , China.
Meng Guana Department of Medical Oncology, Cancer Center, The First Hospital , Jilin University , Changchun , China.
Min Liub Department of Radiation Oncology, The First Hospital , Jilin University , Changchun , China.
First Hospital of Jilin University · CNJilin University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The treatment of intractable vasogenic brain edema (VBE) caused by tumor and irradiation is challenging. Traditional intervention strategy includes dehydration and glucocorticoids accompanied by obvious side effects and minor effects after long-term use. Novel treatment needs to be found urgently. Recently, vascular endothelial growth factor (VEGF)/VEGFR pathway has been revealed to be essential in VBE. Therefore, tyrosine kinase inhibitor (TKI) targeting VEGFR which blocks (VEGF)/VEGFR signal might be effective. However, such reports have seldom been described. Herein, we documented a heavily-treated breast cancer patient experienced progressive aphasia, limb activity disorder and intermittent convulsion 10 months after radiotherapy of brain metastasis (BM). Cranial MRI demonstrated large peritumoral brain edema (PTBE). High dose of steriods and dehydration had no improvement. Apatinib with a dose of 250mg daily was initiated and all her discomforts disappeared after 10 days of use. The brain MRI of taking apatinib 5 weeks demonstrated remarkable shrinkage of edema. Our case indicates that apatinib, a potent small-molecular TKI targeted VEGFR2 is promising for intractable VBE for satisfactory efficacy and safety. This case is of great value in its rarity and because it provides new insight into PTBE management in clinical practice.

Indexed as

Antineoplastic AgentsBiomarkers, TumorBrain EdemaBrain NeoplasmsCapillary PermeabilityFemaleHumansImmunohistochemistryMagnetic Resonance ImagingMiddle AgedProtein Kinase InhibitorsPyridinesRadiotherapyTreatment OutcomeVascular Endothelial Growth Factor AAntineoplastic AgentsapatinibBiomarkers, TumorProtein Kinase InhibitorsPyridinesVascular Endothelial Growth Factor AVEGFA protein, humanApatinibintractableperitumoral brain edemaradiotherapyTKIVEGFVEGFR2

Identifiers

PMID30081717
PMCPMC6301820
OpenAlexW2885333265

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.