Evidence map›Paper›PMID 33040032›Full record

ArticleBMJ case reports2020

Paraneoplastic leukemoid reaction in a localised squamous cell oesophageal cancer with paracrine G-CSF production.

Omar Azzam, Chandra Hewavitharana Hewavitharana, Soraya Fermoyle, David Prentice

Open access · greenAbstract readCase Reports
In one paragraph

Article in BMJ case reports, 2020. 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
–field-weighted citation impact, top 80% 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, 1 citations in OpenAlex.

  1. Article
  2. Leukemoid Reactions in Pancreatic Cancer: A Case Series.The American journal of case reports · 2025
    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

4 authors at 2 institutions in 1 country.

Omar AzzamInternal Medicine, Royal Perth Hospital, Perth, Western Australia, Australia omarazzamwa@gmail.com.ORCID http://orcid.org/0000-0003-1790-2062
Chandra Hewavitharana HewavitharanaDepartment of Radiology, Royal Perth Hospital, Perth, Western Australia, Australia.
Soraya FermoyleDepartment of Anatomical Pathology, Fiona Stanley Hospital, Murdoch, Western Australia, Australia.
David PrenticeInternal Medicine, Royal Perth Hospital, Perth, Western Australia, Australia.
Royal Perth Hospital · AUFiona Stanley Hospital · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

A 51-year-old-man presented with symptoms and baseline investigations suggestive of an infective process. Most strikingly, there was a pronounced neutrophil predominant leucocytosis. Lack of a clinical and biochemical response to empirical antibiotic therapy, prompted imaging for a deep-seated infective process, incidentally uncovering a gastro-oesophageal junction tumour. Resection of the tumour was followed by rapid resolution of the leucocytosis. He remains in clinical remission since tumour resection and adjuvant chemotherapy. Cancer-associated leukemoid reactions in non-disseminated tumours are rare. The role of polymorphonuclear (PMN) leucocytes both in the peripheral blood and the tumour itself is discussed herein. There is increasing recognition of the importance of the non-cancer cellular components of the tumour microenvironment. Myeloid suppressor cells are a subset of PMN leucocytes which play a role in tumour progression.The role of these cells and granulocyte colony-stimulating factor is highlighted in this case.

Indexed as

Carcinoma, Squamous CellChemoradiotherapy, AdjuvantEsophageal MucosaEsophageal NeoplasmsEsophagectomyEsophagogastric JunctionEsophagoscopyGranulocyte Colony-Stimulating FactorHumansIncidental FindingsLeukemoid ReactionMaleMiddle AgedMyeloid-Derived Suppressor CellsParacrine CommunicationParaneoplastic SyndromesGranulocyte Colony-Stimulating Factorimmunologyoesophageal cancerpathologyradiology

Identifiers

PMID33040032
PMCPMC7552795
OpenAlexW3092209062

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.