Evidence map›Paper›PMID 33768841›Full record

ArticleClinical case reports2021

High-grade B-cell lymphoma developed during the treatment of chronic myeloid leukemia with bosutinib.

Teruhito Takakuwa, Ryota Sakai, Shiro Koh, Hiroshi Okamura, Satoru Nanno, Yasuhiro Nakashima, Takahiko Nakane, Hideo Koh, Masayuki Hino, Hirohisa Nakamae

Open access · goldAbstract readCase Reports
In one paragraph

Article in Clinical 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
0.9field-weighted citation impact, top 27% 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.

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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 1 institution in 1 country.

Teruhito TakakuwaDepartment of Hematology Graduate School of Medicine Osaka City University Osaka Japan.ORCID https://orcid.org/0000-0001-5259-0450
Ryota SakaiDepartment of Hematology Graduate School of Medicine Osaka City University Osaka Japan.
Shiro KohDepartment of Hematology Graduate School of Medicine Osaka City University Osaka Japan.
Hiroshi OkamuraDepartment of Hematology Graduate School of Medicine Osaka City University Osaka Japan.
Satoru NannoDepartment of Hematology Graduate School of Medicine Osaka City University Osaka Japan.
Yasuhiro NakashimaDepartment of Hematology Graduate School of Medicine Osaka City University Osaka Japan.
Takahiko NakaneDepartment of Hematology Graduate School of Medicine Osaka City University Osaka Japan.
Hideo KohDepartment of Hematology Graduate School of Medicine Osaka City University Osaka Japan.
Masayuki HinoDepartment of Hematology Graduate School of Medicine Osaka City University Osaka Japan.
Hirohisa NakamaeDepartment of Hematology Graduate School of Medicine Osaka City University Osaka Japan.
Osaka City University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Tyrosine kinase inhibitor (TKI) can help to increase the survival time in chronic myeloid leukemia (CML) patients; however, the risk of secondary malignancies due to TKIs is a growing concern. Only few reports showed clinical course of patients who developed lymphoma during TKI therapies. Herein, we report a case of high-grade B-cell lymphoma diagnosed in the course of CML treatment with bosutinib. The 75-year-old male patient had been diagnosed with CML 25 years ago. After receiving TKIs (imatinib, nilotinib, and bosutinib), he achieved a major molecular response. Over 3 years after starting bosutinib, he was diagnosed with a high-grade B-cell lymphoma. A total of six courses of DA-EPOCH-R therapy brought complete remission of the lymphoma. Moreover, BCR-ABL1 transcript copies remained undetectable by RT-PCR, 8 months after stopping bosutinib. The risk of secondary malignancy due to TKI has been controversial. It is reported that TKI induces irreversible chromosomal abnormalities or chromosome aberrations and inhibits the proliferation or function of T cells, B cells, and NK cells. These mechanisms of TKI may contribute to the development of secondary malignancy. There remains no consensus on the management of secondary lymphoma during TKI therapies. At present, the only alternative is to observe patients receiving TKI treatment cautiously and to treat secondary lymphoma in the same manner as de novo lymphoma.

Indexed as

bosutinibchronic myeloid leukemiahigh‐grade B‐cell lymphomasecond malignancytyrosine kinase inhibitor

Identifiers

PMID33768841
PMCPMC7981704
OpenAlexW3124473242

What OpenQuestion holds

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LicenceCC BY
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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.