Evidence map›Paper›PMID 33969062›Full record

ArticleWorld journal of clinical cases2021

Unresectable esophageal cancer treated with multiple chemotherapies in combination with chemoradiotherapy: A case report.

Masahiro Yura, Kazuo Koyanagi, Asuka Hara, Keita Hayashi, Yuki Tajima, Yasushi Kaneko, Hiroto Fujisaki, Akira Hirata, Kiminori Takano, Kumiko Hongo and 5 more

Open access · diamondAbstract readCase Reports
In one paragraph

Article in World journal of clinical cases, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.4field-weighted citation impact, top 39% 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

2 citing papers in PubMed, 2 citations in OpenAlex.

  1. Article
  2. 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

15 authors at 2 institutions in 1 country.

Masahiro YuraDepartment of Surgery, Hiratsuka City Hospital, Kanagawa 2540065, Japan. myura@ncc.go.jp.
Kazuo KoyanagiDepartment of Gastroenterological Surgery, Tokai University School of Medicine, Isehara 2591193, Japan.
Asuka HaraDepartment of Surgery, Hiratsuka City Hospital, Kanagawa 2540065, Japan.
Keita HayashiDepartment of Surgery, Hiratsuka City Hospital, Kanagawa 2540065, Japan.
Yuki TajimaDepartment of Surgery, Hiratsuka City Hospital, Kanagawa 2540065, Japan.
Yasushi KanekoDepartment of Surgery, Hiratsuka City Hospital, Kanagawa 2540065, Japan.
Hiroto FujisakiDepartment of Surgery, Hiratsuka City Hospital, Kanagawa 2540065, Japan.
Akira HirataDepartment of Surgery, Hiratsuka City Hospital, Kanagawa 2540065, Japan.
Kiminori TakanoDepartment of Surgery, Hiratsuka City Hospital, Kanagawa 2540065, Japan.
Kumiko HongoDepartment of Surgery, Hiratsuka City Hospital, Kanagawa 2540065, Japan.
Kikuo YoDepartment of Surgery, Hiratsuka City Hospital, Kanagawa 2540065, Japan.
Kimiyasu YoneyamaDepartment of Surgery, Hiratsuka City Hospital, Kanagawa 2540065, Japan.
Yoshifumi TamaiDepartment of Radiology, Hiratsuka City Hospital, Kanagawa 2540065, Japan.
Reiko DehariDepartment of Surgical Pathology, Hiratsuka City Hospital, Kanagawa 2540065, Japan.
Motohito NakagawaDepartment of Surgery, Hiratsuka City Hospital, Kanagawa 2540065, Japan.
Hiratsuka City Hospital · JPTokai University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDefinitive chemoradiotherapy (dCRT) using cisplatin plus 5fluorouracil (CF) with radiation is considered the standard treatment for unresectable locally advanced T4 esophageal squamous cell carcinoma (ESCC). Recently, induction chemotherapy has received attention as an effective treatment strategy. CASE SUMMARY: We report a successful case of a 59-year-old female with unresectable locally advanced T4 ESCC treated by two additional courses of chemotherapy with CF after induction chemotherapy with docetaxel, cisplatin and fluorouracil (DCF) followed by dCRT. Initial esophagogastroduodenoscopy (EGD) detected a type 2 advanced lesion located on the middle part of the esophagus, with stenosis. Computed tomography detected the primary tumor with suspected invasion of the left bronchus and 90° of direct contact with the aorta, and upper mediastinal lymph node metastasis. Pathological findings from biopsy revealed squamous cell carcinoma. We initially performed induction chemotherapy using three courses of DCF, but the lesion was still evaluated unresectable after DCF chemotherapy. Therefore, we subsequently performed dCRT treatment (CF and radiation). After dCRT, prominent reduction of the primary tumor was recognized but a residual tumor with ulceration was detected by EGD. Since the patient had some surgical risk, we performed two additional courses of CF and achieved a clinically complete response. After 14 mo from last administration of CF chemotherapy, recurrence has not been detected by computed tomography and EGD, and biopsy from the scar formation has revealed no cancer cells.

conclusionWe report successful case with tumor remnants even after DCF and subsequent dCRT, for whom a complete response was finally achieved with two additional courses of CF chemotherapy. Additional CF chemotherapy could be one radical treatment option for residual ESCC after treatment with induction DCF followed by dCRT to avoid salvage surgery, especially for high-risk patients.

Indexed as

Additional chemotherapyCase reportChemoradiotherapyComplete responseInduction docetaxel, cisplatin and fluorouracilUnresectable esophageal cancer

Identifiers

PMID33969062
PMCPMC8058665
OpenAlexW3153799815

What OpenQuestion holds

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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.