Evidence map›Paper›PMID 31093345›Full record

ArticleCancers of the head & neck2016

An unusual case of tracheo-pleural fistula and cardiac metastases in oropharyngeal carcinoma: a case report and review of the literature.

Daris Ferrari, Carla Codecà, Giulia Viale, Barbara Bocci, Francesca Broggio, Francesca Crepaldi, Martina Violati, Andrea Luciani, Dario Bauer, Laura Moneghini and 2 more

Open access · diamondAbstract readCase Reports
In one paragraph

Article in Cancers of the head & neck, 2016. 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 34% 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

1 citing paper in PubMed, 4 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

12 authors at 2 institutions in 1 country.

Daris Ferrari1Medical Oncology, San Paolo Hospital, Milan, Italy.ORCID 0000-0002-1941-7549
Carla Codecà1Medical Oncology, San Paolo Hospital, Milan, Italy.
Giulia Viale1Medical Oncology, San Paolo Hospital, Milan, Italy.
Barbara Bocci1Medical Oncology, San Paolo Hospital, Milan, Italy.
Francesca Broggio1Medical Oncology, San Paolo Hospital, Milan, Italy.
Francesca Crepaldi1Medical Oncology, San Paolo Hospital, Milan, Italy.
Martina Violati1Medical Oncology, San Paolo Hospital, Milan, Italy.
Andrea Luciani1Medical Oncology, San Paolo Hospital, Milan, Italy.
Dario Bauer2Division of Pathology, San Paolo Hospital, University of Milan Medical School, Milan, Italy.
Laura Moneghini2Division of Pathology, San Paolo Hospital, University of Milan Medical School, Milan, Italy.
Gaetano Bulfamante3Department of Medicine, Surgery and Dentistry, Division of Pathology, San Paolo Hospital, University of Milan Medical School, Milan, Italy.
Paolo Foa4Department of Oncology, Medical Oncology, San Paolo Hospital, University of Milan Medical School, Milan, Italy.
Ospedale San Paolo · ITUniversity of Milan · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundOropharyngeal cancer is frequently associated with human papilloma virus, that also represents a strong prognostic factor. Local relaps and treatment-related complications are frequent, whereas distant metastases occur in about 25% of patients. CASE PRESENTATION: A 49 years-old male presented with a loco-regionally advanced oropharyngeal squamous cell carcinoma and was treated with concomitant chemoradiation. A complete clinical and pathological response was achieved, but the occurrence of necrotising tracheo-esophagitis, with tracheo-mediastino-pleural fistula formation, further complicated the subsequent clinical course. The patient died suddenly. Autopsy revealed multiple myocardial and epicardial metastases from oropharyngeal squamous cell carcinoma.

conclusionsEven in case of a transient complete local response, the potential occurrence of severe complications and distant metastases, although infrequent, should be considered. Cardiac metastases are frequently underestimated, as they are often asymptomatic, but may lead to sudden death. Further efforts are needed to improve diagnosis and therapy in this setting.

Indexed as

Cardiac metastasesChemoradiotherapyOropharyngeal carcinomaRisk factorsTracheo-pleural fistula

Identifiers

PMID31093345
PMCPMC6460740
OpenAlexW2559032586

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.