Evidence map›Paper›PMID 30680194›Full record

ArticleMolecular and clinical oncology2019

Lower cranial nerve palsy during radiotherapy for glottic cancer in a patient with Wegener's granulomatosis: An interesting case report.

Grazia Lazzari, Alessandra Briatico Vangosa, Maria Assunta De Cillis, Giovanni Buccoliero, Giovanni Silvano

Open access · diamondAbstract read
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Article in Molecular and clinical oncology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.2field-weighted citation impact, top 46% 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

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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

1 citing paper in PubMed, 2 citations in OpenAlex.

  1. 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

5 authors at 1 institution in 1 country.

Grazia LazzariDepartment of Radiation Oncology, S. Giuseppe Moscati Hospital, I-74100 Taranto, Italy.
Alessandra Briatico VangosaDepartment of Radiology, S. Giuseppe Moscati Hospital, I-74100 Taranto, Italy.
Maria Assunta De CillisDepartment of Otorhinolaryngology, S. Giuseppe Moscati Hospital, I-74100 Taranto, Italy.
Giovanni BuccolieroDepartment of Infectious Diseases, S. Giuseppe Moscati Hospital, I-74100 Taranto, Italy.
Giovanni SilvanoDepartment of Radiation Oncology, S. Giuseppe Moscati Hospital, I-74100 Taranto, Italy.
Azienda Ospedaliera S.Giuseppe Moscati · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The aim of the present study was to report an unusual case of multiple lower cranial nerve palsies in a patient with Wegener's granulomatosis (WG) during radiotherapy for glottic cancer. WG is an autoimmune disease characterized by necrotizing granulomas mainly in the upper and lower respiratory tract or kidneys; however, the involvement of cranial nerves is not uncommon. Prior to the use of cyclophosphamide (CYC) the 1-year mortality rate was ~82%; the introduction of rituximab (RTX) has revolutionized the course of the WG, with remission rates comparable to those of CYC and superior effectiveness in relapsing patients. Hypogammaglobulinemia and B-cell depletion are the best known monitored side effects affecting survival due to secondary infections. Immunodepression and relapse with lower cranial nerve palsy have a negative impact on prognosis. We herein present the case of a heavily pre-treated GPA patient with secondary immunosuppression, who underwent radiotherapy for glottic cancer and developed multiple low cranial nerve palsies during treatment, which was interrupted at 60 Gy. The possible related causes and the association between previous immunosuppressive treatments and radiotherapy were also analyzed to elucidate the cause of this complication.

Indexed as

antineutrophil cytoplasmic antibodiesglottic cancergranulomatosisrituximabvasculitis

Identifiers

PMID30680194
PMCPMC6315903
OpenAlexW2897219361

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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.