Evidence map›Paper›PMID 30804128›Full record

ArticleIn vivo (Athens, Greece)

Feasibility of Carbon Ion Radiotherapy in the Treatment of Gynecological Melanoma.

Amelia Barcellini, Viviana Vitolo, Angelica Facoetti, Piero Fossati, Lorenzo Preda, Maria Rosaria Fiore, Barbara Vischioni, Alberto Iannalfi, Maria Bonora, Sara Ronchi and 6 more

Open access · diamondAbstract read
In one paragraph

Article in In vivo (Athens, Greece). The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
2.4field-weighted citation impact, top 11% 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

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 25 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Article
  6. Review
  7. Review
  8. Article
  9. Review
  10. Article
  11. Article
  12. 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

16 authors at 1 institution in 1 country.

Amelia BarcelliniNational Center of Oncological Hadrontherapy, Pavia, Italy.
Viviana VitoloNational Center of Oncological Hadrontherapy, Pavia, Italy.
Angelica FacoettiNational Center of Oncological Hadrontherapy, Pavia, Italy Facoetti@cnao.it.
Piero FossatiNational Center of Oncological Hadrontherapy, Pavia, Italy.
Lorenzo PredaNational Center of Oncological Hadrontherapy, Pavia, Italy.
Maria Rosaria FioreNational Center of Oncological Hadrontherapy, Pavia, Italy.
Barbara VischioniNational Center of Oncological Hadrontherapy, Pavia, Italy.
Alberto IannalfiNational Center of Oncological Hadrontherapy, Pavia, Italy.
Maria BonoraNational Center of Oncological Hadrontherapy, Pavia, Italy.
Sara RonchiNational Center of Oncological Hadrontherapy, Pavia, Italy.
Emma D'IppolitoNational Center of Oncological Hadrontherapy, Pavia, Italy.
Rachele PetrucciNational Center of Oncological Hadrontherapy, Pavia, Italy.
Gisela ViselnerNational Center of Oncological Hadrontherapy, Pavia, Italy.
Mario CioccaNational Center of Oncological Hadrontherapy, Pavia, Italy.
Francesca ValvoNational Center of Oncological Hadrontherapy, Pavia, Italy.
Roberto OrecchiaNational Center of Oncological Hadrontherapy, Pavia, Italy.
National Center for Oncological Hadrontherapy · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMalignant melanoma of the lower genital tract is a rare disease known to have a poor prognosis. Because of the high rate of distant metastasis and unsatisfactory survival benefit, a more conservative treatment approach, instead of extensive surgery, may be warranted. Gynecological melanoma is a radioresistant tumor, an ideal disease to test the biological efficacy of carbon ion radiotherapy (CIRT).

aimTo report our preliminary experience with CIRT in the treatment of gynecological melanoma at the National Center of Oncological Hadrontherapy (CNAO). PATIENTS AND

methodsBetween January 2016 and February 2017, four patients were admitted for CIRT at CNAO. A case of cervical melanoma was treated with palliative aim because of large volume macroscopic disease, while three cases of vaginal melanoma were irradiated with a total dose of 68.8 Gy (relative biological effectiveness) in 16 fractions delivered over 4 weeks (4 days a week).

resultsThe age of women ranged between 49 and 72 (median=60.5 years) years. Treatment was well tolerated in all patients and all women completed the scheduled treatment course. During CIRT, toxicity was mild. For patients with vaginal disease, local control was 10.23 and 12.6 months, while that for cervical malignant melanoma was 7.3 months. All patients experienced systemic progression, with median distant metastasis-free survival of 11.7 months. The median overall survival for the whole patient group was 11.41 months.

conclusionIn our first experiences, CIRT appears to be a safe non-invasive option for malignant melanoma of the lower genital tract, but more data and longer follow-up are necessary in order to evaluate the effectiveness and late effects.

Indexed as

AgedCutaneous Malignant MelanomaFemaleGenital Neoplasms, FemaleGTP PhosphohydrolasesHeavy Ion RadiotherapyHumansMelanomaMembrane ProteinsMiddle AgedNeoplasm Recurrence, LocalProto-Oncogene Proteins B-rafProto-Oncogene Proteins c-kitSkin NeoplasmsBRAF protein, humanGTP PhosphohydrolasesKIT protein, humanMembrane ProteinsNRAS protein, humanProto-Oncogene Proteins B-rafProto-Oncogene Proteins c-kitcarbon ion radiotherapyGynecological melanomalower genital tract

Identifiers

PMID30804128
PMCPMC6506293
OpenAlexW2918034680

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.