Evidence map›Paper›PMID 31244642›Full record

ArticleCase reports in oncology

Mediastinal Lymphoma Presenting in Cardiogenic Shock with Superior Vena Cava Syndrome in a Primigravida at Full Term: Salvage Resection after Prolonged Extracorporeal Life Support.

Sabrina E Carro, David W Essex, Mohamed Alsammak, Ashish Bains, Yoshiya Toyoda, Suresh Keshavamurthy

Open access · goldAbstract readCase Reports
In one paragraph

Article in Case reports in oncology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.6field-weighted citation impact, top 28% 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

2 citing papers in PubMed, 9 citations in OpenAlex.

  1. Article
  2. 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

6 authors at 2 institutions in 1 country.

Sabrina E CarroMD Candidate 2020, Lewis Katz School of Medicine at Temple University, Philadelphia, Pennsylvania, USA.
David W EssexDepartment of Hematology and Oncology, Temple University Hospital, Philadelphia, Pennsylvania, USA.
Mohamed AlsammakDepartment of Pathology and Laboratory Medicine, Temple University Hospital, Philadelphia, Pennsylvania, USA.
Ashish BainsDepartment of Pathology and Laboratory Medicine, Temple University Hospital, Philadelphia, Pennsylvania, USA.
Yoshiya ToyodaDepartment of Cardiovascular Surgery, Temple University Hospital, Philadelphia, Pennsylvania, USA.
Suresh KeshavamurthyDepartment of Cardiovascular Surgery, Temple University Hospital, Philadelphia, Pennsylvania, USA.
Temple University Hospital · USTemple University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Primary mediastinal large B-cell lymphoma (PMBCL) is a rare type of non-Hodgkin lymphoma that typically has a good response rate to first line chemotherapy regimens. There have been reports of successful chemotherapy, but with a residual mass from fibrosis. Here, we report the case of a 19-year-old primigravida presenting with cardiogenic shock and superior vena cava (SVC) syndrome at full term who was found to have a PMBCL. Following delivery via urgent cesarean section, she was put on veno-arterial extra corporeal membrane oxygenation (VA-ECMO) and once hemodynamically stable was started on chemotherapy. In view of limited change in tumor size on consecutive CT scans and questionable response to chemotherapy, there were multidisciplinary meetings wherein withdrawing support was discussed and put forward to the family. At that point, surgical debulking was offered on compassionate grounds to be able to wean her off the VA-ECMO. This case report highlights the role of salvage resection when there are no other options.

Indexed as

ECMOExtracorporeal membrane oxygenationLymphoma, mediastinal massNon-HodgkinPathologyPMBCLSalvage resectionSurgery

Identifiers

PMID31244642
PMCPMC6587197
OpenAlexW2948139380

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.