Evidence map›Paper›PMID 32536644›Full record

ArticleInternal medicine (Tokyo, Japan)2020

Microsatellite Instability-high Intrahepatic Cholangiocarcinoma with Portal Vein Tumor Thrombosis Successfully Treated with Pembrolizumab.

Atsushi Naganuma, Takayoshi Sakuda, Tatsuma Murakami, Kosuke Aihara, Yuta Watanuki, Yuhei Suzuki, Erina Shibasaki, Tomoyuki Masuda, Sanae Uehara, Hidetoshi Yasuoka and 6 more

Open access · diamondAbstract readCase Reports
In one paragraph

Article in Internal medicine (Tokyo, Japan), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
3.9field-weighted citation impact, top 6% 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

20 citing papers in PubMed, 29 citations in OpenAlex.

  1. [Immunotherapy and Targeted Therapy for Advanced Biliary Tract Cancer].The Korean journal of gastroenterology = Taehan Sohwagi Hakhoe chi · 2026
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  7. New perspectives in biliary tract cancers.ESMO gastrointestinal oncology · 2024
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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

16 authors at 1 institution in 1 country.

Atsushi NaganumaDepartment of Gastroenterology, National Hospital Organization Takasaki General Medical Center, Japan.
Takayoshi SakudaDepartment of Gastroenterology, National Hospital Organization Takasaki General Medical Center, Japan.
Tatsuma MurakamiDepartment of Gastroenterology, National Hospital Organization Takasaki General Medical Center, Japan.
Kosuke AiharaDepartment of Gastroenterology, National Hospital Organization Takasaki General Medical Center, Japan.
Yuta WatanukiDepartment of Gastroenterology, National Hospital Organization Takasaki General Medical Center, Japan.
Yuhei SuzukiDepartment of Gastroenterology, National Hospital Organization Takasaki General Medical Center, Japan.
Erina ShibasakiDepartment of Gastroenterology, National Hospital Organization Takasaki General Medical Center, Japan.
Tomoyuki MasudaDepartment of Gastroenterology, National Hospital Organization Takasaki General Medical Center, Japan.
Sanae UeharaDepartment of Gastroenterology, National Hospital Organization Takasaki General Medical Center, Japan.
Hidetoshi YasuokaDepartment of Gastroenterology, National Hospital Organization Takasaki General Medical Center, Japan.
Takashi HoshinoDepartment of Gastroenterology, National Hospital Organization Takasaki General Medical Center, Japan.
Tomohiro KudoDepartment of Gastroenterology, National Hospital Organization Takasaki General Medical Center, Japan.
Hiroshi IshiharaDepartment of Gastroenterology, National Hospital Organization Takasaki General Medical Center, Japan.
Tetsushi OgawaDepartment of Surgery, National Hospital Organization Takasaki General Medical Center, Japan.
Yoshizumi KitamotoDepartment of Radiation Oncology, National Hospital Organization Takasaki General Medical Center, Japan.
Akira OgawaDepartment of Pathology, National Hospital Organization Takasaki General Medical Center, Japan.
National Hospital Organization Takasaki Medical Center · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

A 60-year-old man presented with postoperative recurrence of intrahepatic cholangiocarcinoma with right portal vein tumor thrombosis (PVTT). After failure of standard chemotherapy, a liver biopsy showed that his microsatellite instability (MSI) status was high. Treatment with the immune checkpoint inhibitor (ICI) pembrolizumab was commenced, which resulted in a partial response and resolution of the PVTT. There were no significant immune-related adverse events. According to recently published reports, the frequency of MSI-high biliary tract cancer (BTC) is about 0-2.1%, which is extremely rare. However, ICIs may be effective in patients with MSI-high BTC, such as the present patient.

Indexed as

Antibodies, Monoclonal, HumanizedAntineoplastic Agents, ImmunologicalBile Duct NeoplasmsCholangiocarcinomaHumansMaleMicrosatellite InstabilityMiddle AgedNeoplasm Recurrence, LocalPortal VeinVenous ThrombosisAntibodies, Monoclonal, HumanizedAntineoplastic Agents, Immunologicalpembrolizumabimmune checkpoint inhibitorintrahepatic cholangiocarcinomamicrosatellite instability-highpembrolizumabportal vein tumor thrombosis

Identifiers

PMID32536644
PMCPMC7578609
OpenAlexW3035565030

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.