Evidence map›Paper›PMID 33350050›Full record

ArticleThoracic cancer2021

Lung adenocarcinoma initially presenting as Trousseau's syndrome treated successfully with pembrolizumab: A case report.

Yuta Nakano, Naohiko Koide, Yoshinori Koyama, Kazuhito Nitta, Tomonobu Koizumi

Abstract readCase Reports
In one paragraph

Article in Thoracic cancer, 2021. 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

5 authors.

Yuta NakanoDepartment of Surgery, Nagano Prefectural Kiso Hospital, Nagano, Japan.
Naohiko KoideDepartment of Surgery, Nagano Prefectural Kiso Hospital, Nagano, Japan.
Yoshinori KoyamaDepartment of Surgery, Nagano Prefectural Kiso Hospital, Nagano, Japan.
Kazuhito NittaDepartment of Neurology, Nagano Prefectural Kiso Hospital, Nagano, Japan.
Tomonobu KoizumiDepartment of Comprehensive Cancer Therapy, Shinshu University School of Medicine, Matsumoto, Japan.ORCID 0000-0002-5182-0960

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

A 60-year-old woman was urgently admitted to our hospital because of vertigo and left hemiplegia. Laboratory examination showed thrombocytopenia, high levels of D-dimer and carcinoembryonic antigen. Brain magnetic resonance imaging (MRI) revealed multiple bilateral cerebral infarctions. Chest computed tomography (CT) showed an irregularly shaped tumor in the upper lobe of the left lung and mediastinal node swelling. The histopathological findings revealed adenocarcinoma negative for anaplastic lymphoma kinase fusion gene, sensitive epidermal growth factor receptor mutations. A diagnosis of lung adenocarcinoma initially presenting as arterial thromboembolism was made, and she was treated with direct oral anticoagulant (DOAC). Subsequently, pembrolizumab therapy was initiated because tumor cells were positive for programmed cell death protein 1 (PD-L1;60%), and resulted in reduction of the tumor with normalization of the platelet count and d-dimer. The treatment has been continued for over one year without any recurrence of the disease or thromboembolism.

Indexed as

Adenocarcinoma of LungAntibodies, Monoclonal, HumanizedAntineoplastic Agents, ImmunologicalFemaleHumansLung NeoplasmsMiddle AgedParaneoplastic SyndromesSyndromeAntibodies, Monoclonal, HumanizedAntineoplastic Agents, ImmunologicalpembrolizumabHypercoagulationimmune-related adverse eventsmultiple cerebral infarctionsnon-small cell lung cancerthrombocytopenia

Identifiers

PMID33350050
PMCPMC7882382

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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.