Evidence map›Paper›PMID 33672947›Full record

ArticleBiology2021

HHV8-Negative Effusion-Based Large B Cell Lymphoma Arising in Chronic Myeloid Leukemia Patients under Dasatinib Treatment: A Report of Two Cases.

Stefano Fiori, Elisabetta Todisco, Safaa Ramadan, Federica Gigli, Patrizia Falco, Alessandra Iurlo, Cristiano Rampinelli, Giorgio Croci, Stefano A Pileri, Corrado Tarella

Open access · goldAbstract readCase Reports
In one paragraph

Article in Biology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.0field-weighted citation impact, top 24% 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

5 citing papers in PubMed, 7 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Primary Effusion Lymphoma in an HIV-Negative Patient with Chronic Myeloid Leukemia Treated with Dasatinib.Pathobiology : journal of immunopathology, molecular and cellular biology · 2023
    Article
  5. Review
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

10 authors at 6 institutions in 2 countries.

Stefano FioriDivision of Diagnostic Hematopathology, European Institute of Oncology, IRCCS, Via Ripamonti 435, 20141 Milan, Italy.
Elisabetta TodiscoDivision of Onco-Hematology, European Institute of Oncology, IRCCS, Via Ripamonti 435, 20141 Milan, Italy.
Safaa RamadanDivision of Onco-Hematology, European Institute of Oncology, IRCCS, Via Ripamonti 435, 20141 Milan, Italy.
Federica GigliDivision of Onco-Hematology, European Institute of Oncology, IRCCS, Via Ripamonti 435, 20141 Milan, Italy.
Patrizia FalcoSSD Ematologia, ASLTO4, Ospedali di Chivasso Cirié Ivrea, TO10034 Chivasso, Italy.
Alessandra IurloDivision of Hematology, Foundation IRCCS Ca' Granda Ospedale Maggiore Policlinico, 20122 Milan, Italy.ORCID 0000-0002-4401-0812
Cristiano RampinelliDivision of Medical Imaging and Radiation Sciences, IEO, European Institute of Oncology, IRCSS, 20141 Milan, Italy.
Giorgio CrociDivision of Pathology, Foundation IRCCS Ca' Granda Ospedale Maggiore Policlinico, 20122 Milan, Italy.
Stefano A PileriDivision of Diagnostic Hematopathology, European Institute of Oncology, IRCCS, Via Ripamonti 435, 20141 Milan, Italy.ORCID 0000-0001-8032-5128
Corrado TarellaDivision of Onco-Hematology, European Institute of Oncology, IRCCS, Via Ripamonti 435, 20141 Milan, Italy.
Ripamonti · ITFondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico · ITCairo University · EGEuropean Institute of Oncology · ITOspedale Civile Di Ivrea · ITUniversity of Milan · IT

Funding

Associazione Italiana per la Ricerca sul Cancro 21198
6 · The paper itself

Abstract

Tyrosine kinase inhibitors (TKIs) are the treatment of choice for BCR-ABL1-positive chronic myeloid leukemia (CML). Although TKIs have substantially improved prognosis of CML patients, their use is not free of adverse effects. Dasatinib is a second generation TKI frequently associated with pleural effusion in up to 33% of patients. This results in symptoms as dyspnea, cough and chest pain that may require therapy discontinuation. In the present report, we describe two exceptional cases of HHV8-negative large B-cell effusion-based lymphoma (EBL) confined to the pleura, incidentally, diagnosed in patients presenting with dasatinib-related pleural effusion. One patient (case 1) is alive and is in remission at 17 months from large B-cell EBL diagnosis while unfortunately the other patient (case 2) died of progressive disease and COVID-19 pneumonia 16 months from large B-cell EBL diagnosis. These cases raise concern about a possible association between large B-cell EBL and dasatinib, and the different clinical outcome of the two cases poses a challenge in treatment decision. For this reason, we strongly recommend cytological investigation in patients with persistent/relapsing pleural effusion under dasatinib, primarily to validate its possible association with lymphoma development and to improve the knowledge about this entity.

Indexed as

CMLdasatinibEBLEBVHHV8large B-cell effusion-based lymphomalarge B cell lymphomapleural effusionTKIs

Identifiers

PMID33672947
PMCPMC7918666
OpenAlexW3131522517

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.