Evidence map›Paper›PMID 33446156›Full record

ArticleBMC surgery2021

Thymic rebound hyperplasia post-chemotherapy mistaken as disease progression in a patient with lymphoma involving mediastinum: a case report and reflection.

Lei Qiu, Yi Zhao, Yang Yang, He Huang, Zhen Cai, Jingsong He

Abstract readCase Reports
In one paragraph

Article in BMC surgery, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

7 citing papers in PubMed.

  1. Review
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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

6 authors.

Lei QiuHematology & Tumor Chemotherapy Center, Zhoushan Hospital of Zhejiang Province, School of Medicine, Zhejiang University, No. 739 DingShen Road, Lincheng, New District, Zhoushan, China.
Yi ZhaoBone Marrow Transplantation Center, The First Afliated Hospital, School of Medicine, Zhejiang University, No. 79, Qingchun Road, Hangzhou, China.
Yang YangBone Marrow Transplantation Center, The First Afliated Hospital, School of Medicine, Zhejiang University, No. 79, Qingchun Road, Hangzhou, China.
He HuangBone Marrow Transplantation Center, The First Afliated Hospital, School of Medicine, Zhejiang University, No. 79, Qingchun Road, Hangzhou, China.
Zhen CaiBone Marrow Transplantation Center, The First Afliated Hospital, School of Medicine, Zhejiang University, No. 79, Qingchun Road, Hangzhou, China.
Jingsong HeBone Marrow Transplantation Center, The First Afliated Hospital, School of Medicine, Zhejiang University, No. 79, Qingchun Road, Hangzhou, China. hejingsong@zju.edu.cn.ORCID http://orcid.org/0000-0002-1190-1037

Funding

National Natural Science Foundation of China 81471532
6 · The paper itself

Abstract

backgroundChemotherapy can cause thymic atrophy and reduce T-cell output in cancer patients. However, the thymus in young adult patients has regenerative potential after chemotherapy, manifesting as thymic hyperplasia which can be easily mistaken as residual disease or recurrence in patients suffering lymphoma. CASE PRESENTATION: This study reports a case of lymphoma in a young female adult who was initially diagnosed with an anterior mediastinal mass, and was found to have soft tissue occupying the anterior mediastinum repeatedly after chemotherapy, suggesting a lymphoma residue or disease progression. From discussions by a multi-disciplinary team (MDT), the anterior mediastinal mass of the patient was considered unknown and might be thymus tissue or tumor tissue, and it was eventually identified as thymus tissue via histopathology.

conclusionsThe anterior mediastinal mass appearing after chemotherapy in patients with lymphoma can be considered as enlarged thymus, and such phenomenon is frequent in young adult patients who undergo chemotherapy or autologous hematopoietic stem cell transplantation. Additionally, detection of thymic output cells in peripheral blood might be a feasible approach to differentiate thymic hyperplasia from lymphoma.

Indexed as

AdultAntineoplastic Combined Chemotherapy ProtocolsDiagnostic ErrorsDisease ProgressionFemaleHumansLymphomaMediastinal NeoplasmsMediastinumNeoplasm Recurrence, LocalThymus GlandThymus HyperplasiaCase reportLymphomaMisdiagnosisRecent thymic emigrantsThymic hyperplasia

Identifiers

PMID33446156
PMCPMC7809830

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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.