Evidence map›Paper›PMID 30173127›Full record

ArticleBMJ case reports2018

Acute regrowth and dissemination of a mature spinal cord teratoma after partial resection.

Momotaro Kawai, Narihito Nagoshi, Akio Iwanami, Shuji Mikami, Osahiko Tsuji, Nobuyuki Fujita, Mitsuru Yagi, Kota Watanabe, Ken Ishii, Masaya Nakamura and 1 more

Open access · greenAbstract readCase Reports
In one paragraph

Article in BMJ case reports, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact, top 87% 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

6 citing papers in PubMed, 8 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

11 authors at 1 institution in 1 country.

Momotaro KawaiDepartment of Orthopaedic Surgery, Keio University School of Medicine, Tokyo, Japan.ORCID http://orcid.org/0000-0003-3254-0020
Narihito NagoshiDepartment of Orthopaedic Surgery, Keio University School of Medicine, Tokyo, Japan.
Akio IwanamiDepartment of Orthopaedic Surgery, Keio University School of Medicine, Tokyo, Japan.
Shuji MikamiDivision of Diagnostic Pathology, Keio University School of Medicine, Tokyo, Japan.
Osahiko TsujiDepartment of Orthopaedic Surgery, Keio University School of Medicine, Tokyo, Japan.
Nobuyuki FujitaDepartment of Orthopaedic Surgery, Keio University School of Medicine, Tokyo, Japan.
Mitsuru YagiDepartment of Orthopaedic Surgery, Keio University School of Medicine, Tokyo, Japan.
Kota WatanabeDepartment of Orthopaedic Surgery, Keio University School of Medicine, Tokyo, Japan.ORCID http://orcid.org/0000-0002-4830-4690
Ken IshiiDepartment of Orthopaedic Surgery, Keio University School of Medicine, Tokyo, Japan.
Masaya NakamuraDepartment of Orthopaedic Surgery, Keio University School of Medicine, Tokyo, Japan.
Morio MatsumotoDepartment of Orthopaedic Surgery, Keio University School of Medicine, Tokyo, Japan.
Keio University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

A 23-year-old man presented with difficulty walking and leg pain and numbness. MRI revealed a cystic mass at Th11-12 and a pineal-region tumour. The patient underwent surgery to resect the thoracic-level mass. The tumour adhered strongly to the neural tissue and could only be partially resected. On pathological examination, the resected tumour was diagnosed as a mature teratoma. The tumour regrew and disseminated within 3 months after resection. Both the spinal cord tumour and the tumour in the pineal region shrank significantly after chemotherapy and radiotherapy. Although the tumour was pathologically diagnosed as a mature teratoma, we suspect that the residual tumour contained an immature or malignant component. Thus, careful follow-up observation is mandatory after partial resection of a mature teratoma. In addition, because teratomas can disseminate in the central nervous system, the presence of teratoma should prompt an examination of both the spinal cord and brain.

Indexed as

Lumbar VertebraeThoracic VertebraeBrain NeoplasmsCombined Modality TherapyDiagnosis, DifferentialHumansMagnetic Resonance ImagingMaleNeoplasm MetastasisNeoplasm Recurrence, LocalPainSpinal Cord NeoplasmsTeratomaYoung AdultCNS cancerneurosurgeryorthopaedic and trauma surgeryorthopaedicsspinal cord

Identifiers

PMID30173127
PMCPMC6120644
OpenAlexW2888954623

What OpenQuestion holds

Textmetadata
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.