Evidence map›Paper›PMID 33718815›Full record

ArticleIJU case reports2021

Spontaneous regression of multiple pulmonary metastases accompanied by normalization of serum immune markers following cytoreductive nephrectomy in a patient with clear-cell renal cell carcinoma.

Akihito Okazaki, Toshiki Kijima, Philipp Schiller, Natsumi Ishikawa, Hirotaka Fuchizawa, Kohei Takei, Issei Suzuki, Kazumasa Sakamoto, Toyonori Tsuzuki, Takao Kamai

Open access · goldAbstract readCase Reports
In one paragraph

Article in IJU case reports, 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
0.8field-weighted citation impact, top 23% 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, 6 citations in OpenAlex.

  1. Spontaneous regression of choroidal metastasis from renal cell carcinoma.American journal of ophthalmology case reports · 2023
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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

10 authors at 2 institutions in 1 country.

Akihito OkazakiDepartment of Urology Dokkyo Medical University Shimotsuga Tochigi Japan.
Toshiki KijimaDepartment of Urology Dokkyo Medical University Shimotsuga Tochigi Japan.ORCID https://orcid.org/0000-0002-4380-9294
Philipp SchillerDepartment of Urology Dokkyo Medical University Shimotsuga Tochigi Japan.
Natsumi IshikawaDepartment of Urology Dokkyo Medical University Shimotsuga Tochigi Japan.
Hirotaka FuchizawaDepartment of Urology Dokkyo Medical University Shimotsuga Tochigi Japan.
Kohei TakeiDepartment of Urology Dokkyo Medical University Shimotsuga Tochigi Japan.
Issei SuzukiDepartment of Urology Dokkyo Medical University Shimotsuga Tochigi Japan.
Kazumasa SakamotoDepartment of Urology Dokkyo Medical University Shimotsuga Tochigi Japan.
Toyonori TsuzukiDepartment of Surgical Pathology Aichi Medical University Hospital Nagoya Aichi Japan.ORCID https://orcid.org/0000-0002-4855-4366
Takao KamaiDepartment of Urology Dokkyo Medical University Shimotsuga Tochigi Japan.
Dokkyo Medical University · JPAichi Medical University Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe spontaneous regression of metastases, which mostly occurs after surgical resection of the primary tumor, has been described in various malignancies, including renal cell carcinoma. The involvement of the host immune system is currently postulated as the underlying mechanism. CASE PRESENTATION: We present a case of metastatic clear-cell renal cell carcinoma that achieved complete spontaneous regression of multiple pulmonary metastases preceded by normalization of serum immune markers after cytoreductive nephrectomy. The patient remained disease free for 3 years without any systemic therapy, suggesting that postoperative normalization of serum immune markers may indicate recovery of the host immune system, which prevents tumor recurrence.

conclusionMonitoring of serum immune markers may be useful to identify patients with recovered immune function and, therefore, may not require systemic therapy. Similarly, the case suggests a potential role of cytoreductive nephrectomy in the contemporary management of metastatic renal cell carcinoma.

Indexed as

immunityinflammationnephrectomyrenal cell carcinomaspontaneous neoplasm regression

Identifiers

PMID33718815
PMCPMC7924083
OpenAlexW3116003168

What OpenQuestion holds

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LicenceCC BY
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.