Evidence map›Paper›PMID 31673633›Full record

ArticleBMJ open ophthalmology2019

Clinical and genomic features of adult and paediatric acute leukaemias with ophthalmic manifestations.

Lisa Stenman Skarsgård, Mattias K Andersson, Marta Persson, Ann-Cathrine Larsen, Sarah E Coupland, Göran Stenman, Steffen Heegaard

Open access · goldAbstract read
In one paragraph

Article in BMJ open ophthalmology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.7field-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

5 citing papers in PubMed, 8 citations in OpenAlex.

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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

7 authors at 4 institutions in 4 countries.

Lisa Stenman SkarsgårdDepartment of Surgery, Ostfold Hospital Trust, Fredrikstad, Norway.ORCID 0000-0002-3662-6676
Mattias K AnderssonSahlgrenska Cancer Center, Department of Pathology, University of Gothenburg, Gothenburg, Sweden.
Marta PerssonSahlgrenska Cancer Center, Department of Pathology, University of Gothenburg, Gothenburg, Sweden.
Ann-Cathrine LarsenDepartment of Ophthalmology, Copenhagen University Hospital, Rigshospitalet, Glostrup, Denmark.
Sarah E CouplandDepartment of Molecular and Clinical Cancer Medicine, University of Liverpool, Liverpool, UK.
Göran StenmanSahlgrenska Cancer Center, Department of Pathology, University of Gothenburg, Gothenburg, Sweden.
Steffen HeegaardDepartment of Pathology, Copenhagen University Hospital, Rigshospitalet, Copenhagen, Denmark.ORCID 0000-0001-5906-7670
Sahlgrenska University Hospital · SEGlostrup Hospital · DKCopenhagen University Hospital · DKUniversity of Liverpool · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo describe the clinicopathological and genomic features of nine patients with primary and secondary orbital/ocular manifestations of leukaemia.

methodsAll orbital/ocular leukaemic specimens from 1980 to 2009 were collected from the Danish Register of Pathology. In six cases, medical records and formalin-fixed, paraffin-embedded blocks were available. Three cases from the Department of Pathology, Royal Liverpool University Hospital, were also included. Immunophenotypes and MYB oncoprotein expression were ascertained by immunohistochemistry. Genomic imbalances were analysed with comparative genomic hybridisation arrays and oncogene rearrangements with fluorescence in situ hybridisation.

resultsFour patients had B-cell precursor acute lymphoblastic leukaemia (BCP-ALL) and five had acute myeloid leukaemia (AML). Two patients with BCP-ALL and one with AML had primary orbital manifestations of leukaemia. Common symptoms were proptosis, displacement of the eye, and reduced eye mobility in patients with orbital leukaemias and pain, and reduced visual acuity in patients with ocular leukaemias. All patients with primary orbital lesions were alive up to 18 years after diagnosis. All but one patient with secondary ophthalmic manifestations died of relapse/disseminated disease.

conclusionsLeukaemias with and without ophthalmic manifestations have similar immunophenotypes, translocations/gene fusions and copy number alterations. Awareness of the clinical spectrum of leukaemic lesions of the eye or ocular region is important to quickly establish the correct diagnosis and commence prompt treatment.

Indexed as

acute leukaemiaarray comparative genomic hybridizationclinical characteristicsgene fusionocular lesionsophthalmic manifestations

Identifiers

PMID31673633
PMCPMC6797369
OpenAlexW2977972138

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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.