Evidence map›Paper›PMID 30968047›Full record

ArticleWorld journal of clinical cases2019

Photodynamic therapy as salvage therapy for residual microscopic cancer after ultra-low anterior resection: A case report.

Si-Qi Zhang, Kui-Jie Liu, Hong-Liang Yao, San-Lin Lei, Zhen-Dong Lei, Wen-Jun Yi, Li Xiong, Hua Zhao

Open access · diamondAbstract readCase Reports
In one paragraph

Article in World journal of clinical cases, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
0.2field-weighted citation impact, top 43% 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, 1 synthesis or guideline pooled it, 10 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Review
  4. Article
  5. Review
  6. Review
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 2 institutions in 1 country.

Si-Qi ZhangDepartment of General Surgery, the Second Xiangya Hospital, Central South University, Changsha 410011, Hunan Province, China.
Kui-Jie LiuDepartment of General Surgery, the Second Xiangya Hospital, Central South University, Changsha 410011, Hunan Province, China.
Hong-Liang YaoDepartment of General Surgery, the Second Xiangya Hospital, Central South University, Changsha 410011, Hunan Province, China.
San-Lin LeiDepartment of General Surgery, the Second Xiangya Hospital, Central South University, Changsha 410011, Hunan Province, China.
Zhen-Dong LeiDepartment of General Surgery, the Second Xiangya Hospital, Central South University, Changsha 410011, Hunan Province, China.
Wen-Jun YiDepartment of General Surgery, the Second Xiangya Hospital, Central South University, Changsha 410011, Hunan Province, China.
Li XiongDepartment of General Surgery, the Second Xiangya Hospital, Central South University, Changsha 410011, Hunan Province, China.
Hua ZhaoDepartment of General Surgery, the Second Xiangya Hospital, Central South University, Changsha 410011, Hunan Province, China. lixionghn@csu.edu.cn.
Central South University · CNSecond Xiangya Hospital of Central South University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe rate of positive resection margins (R1) in patients with low rectal cancer is substantial. Recommended remedies such as extended resection or chemoradiotherapy have their own serious drawbacks. It has been reported that photodynamic therapy (PDT) as a remedial treatment for esophageal cancer. Colorectal cancer and esophageal cancer has many similarities, however, PDT as a salvage therapy for rectal cancer is rare. CASE SUMMARY: Here, we describe a 56-year-old man who was admitted to the hospital due to a 6-mo history of hemafecia, which had been aggravated for 1 mo. Colonoscopy revealed a 3 cm × 4 cm ulcerated mass in the rectum 4 cm from the anus. Preoperative pathological examination showed villous adenoma, moderate-to-high-grade dysplasia, good differentiation, and invasion of the mucosal muscle. The patient had R1 after ultra-low anterior resection, but he refused extended resection and experienced severe liver function impairment after 3 cycles of chemotherapy. Ultimately, the patient underwent PDT to remove R1. After five years of follow-up, there was no liver function impairment, recurrence, metastasis, sexual dysfunction, or abnormal defecation function.

conclusionThis is the first case worldwide in which R1 of rectal cancer were successfully treated by PDT.

Indexed as

Case reportLow rectal cancerPhotodynamic therapyPositive microscopic distal marginRemovalResidual microscopic cancerSalvage therapy

Identifiers

PMID30968047
PMCPMC6448080
OpenAlexW2923182419

What OpenQuestion holds

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LicenceCC BY-NC
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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.