Evidence map›Paper›PMID 32995012›Full record

ArticleRespirology case reports2020

A challenging diagnosis of malignant mesothelioma with osteosarcomatous differentiation metastasizing to bone.

Michael Brown, Hubertus Jersmann, Thomas Crowhurst, Chris Van Vliet, Gareth Crouch, Arash Badiei

Abstract readCase Reports
In one paragraph

Article in Respirology case reports, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. 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.

Michael BrownDepartment of Thoracic Medicine Royal Adelaide Hospital Adelaide Australia.ORCID https://orcid.org/0000-0002-6678-1407
Hubertus JersmannDepartment of Thoracic Medicine Royal Adelaide Hospital Adelaide Australia.
Thomas CrowhurstDepartment of Thoracic Medicine Royal Adelaide Hospital Adelaide Australia.ORCID https://orcid.org/0000-0003-4873-5439
Chris Van VlietDepartment of Anatomical Pathology PathWest Laboratory Medicine, QEII Medical Centre Nedlands Western Australia Australia.
Gareth CrouchDepartment of Cardiothoracic Surgery Royal Adelaide Hospital Adelaide Australia.
Arash BadieiDepartment of Thoracic Medicine Royal Adelaide Hospital Adelaide Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Malignant pleural mesothelioma (MPM) is an insidious primary neoplasm of the pleura that can be challenging to diagnose and is commonly considered to be only locally invasive. We present the case of a 74-year-old male who presented with clinical features of MPM but from whom pleural fluid and biopsies initially suggested benign pathology. He later developed diffuse bony metastases and re-examination of pleural biopsies using modern immunohistochemistry and molecular testing revealed a diagnosis of sarcomatoid and desmoplastic MPM with heterologous osteosarcomatous differentiation. This case not only demonstrates the rare potential of skeletal metastasis of MPM, but also highlights the importance of recognizing the utility of modern diagnostic tests and their potential to prevent the need for unnecessary invasive procedures. To our knowledge this is the first description of this rare histological sub-type presenting with skeletal metastases.

Indexed as

Mesotheliomametastasispleurapleural effusionthoracoscopy

Identifiers

PMID32995012
PMCPMC7507382

What OpenQuestion holds

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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.