Evidence map›Paper›PMID 32476934›Full record

ReviewSarcoidosis, vasculitis, and diffuse lung diseases : official journal of WASOG2019

Diagnostic management of occult nodal lymphangioleiomyomatosis detected during pelvic cancer staging. Localized finding or systemic disease?

Andrea Remo, Caterina Zanella, Pietro Parcesepe, Filippo Greco, Massimo Pancione, Mara Maria Zapparoli, Erminia Manfrin, Claudio Micheletto

Open access · greenAbstract readCase ReportsReview
In one paragraph

Review in Sarcoidosis, vasculitis, and diffuse lung diseases : official journal of WASOG, 2019. 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
0.3field-weighted citation impact, top 38% 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, 3 citations in OpenAlex.

  1. ExcLAMation marks in a pelvic lymph node.Clinical case reports · 2023
    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

8 authors at 2 institutions in 1 country.

Andrea RemoPneumology Unit, Hospital "Mater Salutis", ULSS9 Scaligera, Legnago (VR), Italy.
Caterina ZanellaPneumology Unit, Hospital "Mater Salutis", ULSS9 Scaligera, Legnago (VR), Italy.
Pietro ParcesepeDepartment of Pathology and Diagnosis, University of Verona, Verona, Italy.
Filippo GrecoOncology Unit, Hospital "Mater Salutis", ULSS9 Scaligera, Legnago (VR), Italy.
Massimo PancioneDepartment of Science and Technology, University of Sannio, Benevento, Italy.
Mara Maria ZapparoliPneumology Unit, Hospital "Mater Salutis", ULSS9 Scaligera, Legnago (VR), Italy.
Erminia ManfrinDepartment of Pathology and Diagnosis, University of Verona, Verona, Italy.
Claudio MichelettoPneumology Unit, Hospital "Mater Salutis", ULSS9 Scaligera, Legnago (VR), Italy.
University of Verona · ITUniversity of Sannio · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLymphangioleiomyomatosis (LAM) is a neoplastic disease that generally arises in the lung (pLAM) and may be associated with "Tuberous sclerosis complex" (TSC). Occasionally, LAM can arise at the extrapulmonary sites (eLAM), such as the mediastinum, the retroperitoneum or the lymph nodes. 25-30% of the patients affected by pLAM develop eLAM. In asymptomatic patients, the presence of mediastinal and retroperitoneal eLAM preceded that of pLAM by usually 1-2 years. Nevertheless, some authors reported that the nodal eLAM, detected during pelvic cancer staging, arise in patents without pLAM and/or TSC. In this paper we review the Literature of this rare condition suggesting its diagnostic management.

resultsTo date, it has been reported 30 cases. The mean age at diagnosis is 55 years and around 30% of patients are postmenopausal. In only 2 cases was diagnosed a following p-LAM. One patient with endometrioid carcinoma and pelvic nodal eLAM reported

conclusionsThe retrospective probability to have p-LAM in patients with staging pelvic nodal e-LAM is 6,6% (4/30) lower than the probability to have e-LAM in patients affected by p-LAM (25-30%). In both this association is more probable sporadically than associated with TSC. The association between cancer staging pelvic nodal e-LAM and TSC is low (3%; 1/30). The p-LAM developed are asymptomatic with a behavior, regardless of hormonal status, similar to lesions diagnosed in postmenopausal although further studies are mandatory to confirm it.

Indexed as

Adenocarcinoma, MucinousAdultBiopsyFemaleGenetic Predisposition to DiseaseGerm-Line MutationHumansLymphangioleiomyomatosisLymph NodesMiddle AgedNeoplasm StagingPhenotypePredictive Value of TestsTuberous Sclerosis Complex 2 ProteinUterine Cervical NeoplasmsTSC2 protein, humanTuberous Sclerosis Complex 2 Proteinextrapulmonary lymphangioleiomyomatosispelvic cancerpulmonary lymphangioleiomyomatosistuberous sclerosis complex

Identifiers

PMID32476934
PMCPMC7247108
OpenAlexW3030883624

What OpenQuestion holds

Textmetadata
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.