Evidence map›Paper›PMID 32864495›Full record

ArticleSpine surgery and related research2020

Malignant Peripheral Nerve Sheath Tumor of the Cervical Spine Treated with Surgical Resection Followed by X-ray Radiotherapy or Carbon Ion Radiotherapy: A Report of Three Cases.

Akira Honda, Yoichi Iizuka, Masahiko Okamoto, Shintaro Shiba, Hiromi Koshi, Tokue Mieda, Sho Ishiwata, Yohei Kakuta, Tsuyoshi Tajika, Tatsuya Ohno and 1 more

Open access · diamondAbstract read
In one paragraph

Article in Spine surgery and related research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
0.3field-weighted citation impact, top 42% 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

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 6 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Misdiagnosed tuberculous myelitis turned out to be spinal malignant peripheral nerve sheath tumor: a case report.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2026
    Article
  4. Article
  5. Article
  6. Observational
  7. 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

11 authors at 2 institutions in 1 country.

Akira HondaDepartment of Orthopaedic Surgery, Gunma University Graduate School of Medicine, Maebashi, Japan.
Yoichi IizukaDepartment of Orthopaedic Surgery, Gunma University Graduate School of Medicine, Maebashi, Japan.
Masahiko OkamotoDepartment of Radiation Oncology, Gunma University Graduate School of Medicine, Maebashi, Japan.
Shintaro ShibaGunma University Heavy Ion Medical Center, Maebashi, Japan.
Hiromi KoshiClinical Department of Pathology, Gunma University Hospital, Maebashi, Japan.
Tokue MiedaDepartment of Orthopaedic Surgery, Gunma University Graduate School of Medicine, Maebashi, Japan.
Sho IshiwataDepartment of Orthopaedic Surgery, Gunma University Graduate School of Medicine, Maebashi, Japan.
Yohei KakutaDepartment of Orthopaedic Surgery, Gunma University Graduate School of Medicine, Maebashi, Japan.
Tsuyoshi TajikaDepartment of Orthopaedic Surgery, Gunma University Graduate School of Medicine, Maebashi, Japan.
Tatsuya OhnoGunma University Heavy Ion Medical Center, Maebashi, Japan.
Hirotaka ChikudaDepartment of Orthopaedic Surgery, Gunma University Graduate School of Medicine, Maebashi, Japan.
Gunma University · JPGunma University Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionSpinal malignant peripheral nerve sheath tumors (MPNSTs) are extremely rare. Because of vital surroundings, en bloc resection can be difficult in MPNSTs of the cervical spine. Herein, we report three cases of MPNST followed by radiotherapy or carbon ion radiotherapy (CIRT) after surgery. TECHNICAL NOTE: In case 1, the patient underwent subtotal resection from both a posterior and anterior approach following by adjuvant X-ray radiotherapy. The patient died 13 years after surgery due to liver cancer unrelated to MPNST. In case 2, recurrence spread to the spinal canal in 10 months after primary CIRT. The patient underwent resection of the spinal canal lesion with the residual lesion treated by additional CIRT. Recurrence could be controlled for at least 1 year. In case 3, the patient underwent partial resection for the spinal canal lesion with the residual lesion treated by CIRT. Intradural and extradural recurrences from outside of the CIRT field were observed at 3 years after surgery.

conclusionsComplete resection and adjuvant X-ray radiotherapy would be an effective treatment for MPNST of the cervical spine, even if en bloc resection with a wide margin is impossible. CIRT for the residual tumor after incomplete resection may have the potential to be an additional treatment option; however, further investigation is warranted.

Indexed as

carbon ion radiotherapycervical spineconventional radiotherapymalignant peripheral nerve sheath tumor

Identifiers

PMID32864495
PMCPMC7447340
OpenAlexW3004509235

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

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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.