Evidence map›Paper›PMID 31104202›Full record

ArticleMedical oncology (Northwood, London, England)2019

Rhabdomyosarcoma in adults: analysis of treatment modalities in a prospective single-center series.

Luca Bergamaschi, Rossella Bertulli, Michela Casanova, Salvatore Provenzano, Stefano Chiaravalli, Patrizia Gasparini, Paola Collini, Claudia Sangalli, Lorenza Gandola, Barbara Diletto and 4 more

Abstract read
PubMed Publisher
In one paragraph

Article in Medical oncology (Northwood, London, England), 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
–field-weighted citation impact
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

22 citing papers in PubMed.

  1. Article
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  6. Article
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  11. Article
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  13. GEIS-SEHOP clinical practice guidelines for the treatment of rhabdomyosarcoma.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2021
    Article
  14. Article
  15. Article
  16. Article
  17. Review
  18. [Clinical analysis of 35 cases of adult rhabdomyosarcoma of nasal cavity and sinuses].Lin chuang er bi yan hou tou jing wai ke za zhi = Journal of clinical otorhinolaryngology head and neck surgery · 2020
    Article
  19. Article
  20. Medulloblastoma and central nervous system germ cell tumors in adults: is pediatric experience applicable?Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2019
    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

14 authors.

Luca BergamaschiPediatric Oncology Unit, Medical Oncology and Hematology Department, Fondazione IRCCS Istituto Nazionale Tumori, Via G. Venezian 1, 20133, Milan, Italy. luca.bergamaschi@istitutotumori.mi.it.ORCID http://orcid.org/0000-0003-2149-329X
Rossella BertulliAdult Mesenchymal Tumor and Rare Cancer Medical Oncology Unit, Medical Oncology and Hematology Department, Fondazione IRCCS Istituto Nazionale Tumori, Milan, Italy.
Michela CasanovaPediatric Oncology Unit, Medical Oncology and Hematology Department, Fondazione IRCCS Istituto Nazionale Tumori, Via G. Venezian 1, 20133, Milan, Italy.
Salvatore ProvenzanoAdult Mesenchymal Tumor and Rare Cancer Medical Oncology Unit, Medical Oncology and Hematology Department, Fondazione IRCCS Istituto Nazionale Tumori, Milan, Italy.
Stefano ChiaravalliPediatric Oncology Unit, Medical Oncology and Hematology Department, Fondazione IRCCS Istituto Nazionale Tumori, Via G. Venezian 1, 20133, Milan, Italy.
Patrizia GaspariniTumor Genomics Unit, Fondazione IRCCS Istituto Nazionale dei Tumori, Milan, Italy.
Paola ColliniHistopathology And Pediatric Pathology Unit, Diagnostic Pathology and Laboratory Medicine Department, Soft Tissue And Bone Pathology, Fondazione IRCCS Istituto Nazionale dei Tumori, Milan, Italy.
Claudia SangalliDepartment of Radiotherapy, Fondazione IRCCS Istituto Nazionale Tumori, Milan, Italy.
Lorenza GandolaPediatric Radiotherapy Unit, Department of Radiotherapy, Fondazione IRCCS Istituto Nazionale Tumori, Milan, Italy.
Barbara DilettoPediatric Radiotherapy Unit, Department of Radiotherapy, Fondazione IRCCS Istituto Nazionale Tumori, Milan, Italy.
Carlo MorosiDepartment of Radiology, Fondazione IRCCS Istituto Nazionale Tumori, Milan, Italy.
Marco FioreDepartment of Surgery, Fondazione IRCCS Istituto Nazionale Tumori, Milan, Italy.
Maura MassiminoPediatric Oncology Unit, Medical Oncology and Hematology Department, Fondazione IRCCS Istituto Nazionale Tumori, Via G. Venezian 1, 20133, Milan, Italy.
Andrea FerrariPediatric Oncology Unit, Medical Oncology and Hematology Department, Fondazione IRCCS Istituto Nazionale Tumori, Via G. Venezian 1, 20133, Milan, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Rhabdomyosarcoma (RMS) is rare in adults and it is generally characterized by poor outcome. In a previous retrospective study, we demonstrated a better prognosis in adults treated with multimodality approach resembling pediatric protocols. Thereafter, we developed specific recommendations based on the principles adopted in pediatric oncology. The present analysis reports the results in a subsequent prospective series. The study included 95 consecutive patients (age 18-77 years) treated from 2002 to 2015 for embryonal and alveolar RMS. As in the previous series, patients were stratified by the appropriateness of their treatment according to therapeutic guidelines for childhood RMS. The 5-year event-free survival (EFS) and overall survival (OS) rates were 33.6% and 40.3%, respectively. The 5-year EFS was 40.8% for patients with the highest treatment score, and 15% for those with lower score, while OS was 44.4% and 24.5%, respectively. The developing of specific recommendations enabled an increase in the number of patients treated with intensive multimodal treatment resembling pediatric strategy (69.7% vs. 39.1% in the retrospective series). This study reinforced the idea that adherence to the principles of pediatric protocols, improves adult RMS outcomes. However, treating adults with pediatric-type strategy is not enough to achieve the results obtained in children. Issues in compliance and a more aggressive biology of adult RMS might have a role in the different outcome according to age. Improving the collaboration between pediatric and adult oncologists in promoting specific clinical and biological research is crucial to improve the outcome for this patient population.

Indexed as

AdultAge FactorsAntineoplastic Combined Chemotherapy ProtocolsCombined Modality TherapyDactinomycinDisease-Free SurvivalDoxorubicinEtoposideFemaleHumansIfosfamideMaleMiddle AgedProspective StudiesRhabdomyosarcomaSurvival RateDactinomycinDoxorubicinEtoposideIfosfamideVincristineAdultsChildhood tumors in adultsMultimodal treatmentRhabdomyosarcomaSoft tissue sarcomaTreatment score

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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.