Evidence map›Paper›PMID 34439215›Full record

ReviewCancers2021

Role of Chemotherapy in Vulvar Cancers: Time to Rethink Standard of Care?

Marco Mazzotta, Laura Pizzuti, Eriseld Krasniqi, Francesca Sofia Di Lisa, Federico Cappuzzo, Lorenza Landi, Domenico Sergi, Fabio Pelle, Sonia Cappelli, Claudio Botti and 14 more

Abstract readReview
In one paragraph

Review in Cancers, 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. Article
  2. Article
  3. Article
  4. Review
  5. Targeting one-carbon metabolism for cancer immunotherapy.Clinical and translational medicine · 2024
    Review
  6. Article
  7. Article
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

24 authors.

Marco MazzottaMedical Oncology Unit, Belcolle Hospital, 01100 Viterbo, Italy.
Laura PizzutiDivision of Medical Oncology 2, IRCCS Regina Elena National Cancer Institute, 00144 Rome, Italy.
Eriseld KrasniqiDivision of Medical Oncology 2, IRCCS Regina Elena National Cancer Institute, 00144 Rome, Italy.
Francesca Sofia Di LisaMedical Oncology A, Department of Radiological, Oncological and Anatomo-Pathological Sciences, Umberto I University Hospital, University Sapienza, 00185 Rome, Italy.
Federico CappuzzoDivision of Medical Oncology 2, IRCCS Regina Elena National Cancer Institute, 00144 Rome, Italy.
Lorenza LandiDivision of Medical Oncology 2, IRCCS Regina Elena National Cancer Institute, 00144 Rome, Italy.
Domenico SergiDivision of Medical Oncology 2, IRCCS Regina Elena National Cancer Institute, 00144 Rome, Italy.
Fabio PelleBreast Surgery Unit, IRCCS Regina Elena National Cancer Institute, 00144 Rome, Italy.
Sonia CappelliBreast Surgery Unit, IRCCS Regina Elena National Cancer Institute, 00144 Rome, Italy.
Claudio BottiBreast Surgery Unit, IRCCS Regina Elena National Cancer Institute, 00144 Rome, Italy.
Enrico VizzaGynecologic Oncology Unit, IRCCS-Regina Elena National Cancer Institute, 00144 Rome, Italy.
Silverio TomaoMedical Oncology A, Department of Radiological, Oncological and Anatomo-Pathological Sciences, Umberto I University Hospital, University Sapienza, 00185 Rome, Italy.
Luca MarchettiDivision of Medical Oncology, Fatebenefratelli San Pietro Hospital, 00189 Rome, Italy.
Giuseppe SanguinetiRadiotherapy Department, IRCCS Regina Elena National Cancer Institute, 00144 Rome, Italy.
Andrea BotticelliMedical Oncology B, Department of Radiological, Oncological and Anatomo-Pathological Sciences, Policlinico Umberto I, Sapienza University, 00185 Rome, Italy.
Paolo MarchettiMedical Oncology B, Department of Radiological, Oncological and Anatomo-Pathological Sciences, Policlinico Umberto I, Sapienza University, 00185 Rome, Italy.ORCID 0000-0002-9064-8761
Valentina MagriMedical Oncology B, Department of Radiological, Oncological and Anatomo-Pathological Sciences, Policlinico Umberto I, Sapienza University, 00185 Rome, Italy.ORCID 0000-0001-7312-2904
Simona PisegnaMedical Oncology B, Department of Radiological, Oncological and Anatomo-Pathological Sciences, Policlinico Umberto I, Sapienza University, 00185 Rome, Italy.
Aldo VenutiHPV-UNIT-UOSD Tumor Immunology and Immunotherapy, IRCCS Regina Elena National Cancer Institute, 00144 Rome, Italy.ORCID 0000-0003-2322-6857
Federica TomaoDepartment of Gynecologic Oncology, European Institute of Oncology, IRCCS, 20141 Milan, Italy.
Federica BuzzacchinoOncology Division, S. Giovanni Hospital, 00184 Rome, Italy.
Gennaro CilibertoScientific Direction, IRCCS Regina Elena National Cancer Institute, 00144 Rome, Italy.ORCID 0000-0003-2851-8605
Maddalena BarbaDivision of Medical Oncology 2, IRCCS Regina Elena National Cancer Institute, 00144 Rome, Italy.
Patrizia ViciSperimentazioni di Fase IV, IRCCS Regina Elena National Cancer Institute, 00144 Rome, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The actual role of chemotherapy in vulvar cancer is undeniably a niche topic. The low incidence of the disease limits the feasibility of randomized trials. Decision making is thus oriented by clinical and pathological features, whose relevance is generally weighted against evidence from observational studies and clinical practice. The therapeutic management of vulvar cancer is increasingly codified and refined at an individual patient level. It is of note that the attitude towards evidence sharing and discussion within a multidisciplinary frame is progressively consolidating. Viable options included in the therapeutic armamentarium available for vulvar cancer patients are frequently an adaption from standards used for cervical or anal carcinoma. Chemotherapy is more frequently combined with radiotherapy as neo-/adjuvant or definitive treatment. Drugs commonly used are platinum derivative, 5-fluorouracil and mitomicin C, mostly in combination with radiotherapy for radiosensitization. Exclusive chemotherapy in the neo-/adjuvant setting comprises platinum-derivative, combined with bleomicin and methotrexate, 5-fluorouracil, ifosfamide or taxanes. In advanced disease, current regimens include cisplatin-based chemoradiation, with or without 5-fluorouracil, or doublets with platinum in combination with a taxane. Our work is also enriched by a concise excursus on the biologic pathways underlying vulvar cancer. Introductory hints are also provided on targeted agents, a rapidly evolving research field.

Indexed as

chemotherapygynecologic cancervulvar cancer

Identifiers

PMID34439215
PMCPMC8391130

What OpenQuestion holds

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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.