Evidence map›Paper›PMID 34463889›Full record

ArticleInvestigational new drugs2022

Successful treatment of a case of hormone receptor-positive metastatic extramammary Paget disease with tamoxifen.

Kohsuke Isomoto, Koji Haratani, Satomi Watanabe, Masayuki Takeda, Tsutomu Iwasa, Kazuhiko Nakagawa

Abstract readCase Reports
PubMed Publisher
In one paragraph

Article in Investigational new drugs, 2022. 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
0.2field-weighted citation impact, top 40% 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

6 authors at 1 institution in 1 country.

Kohsuke IsomotoDepartment of Medical Oncology, Kindai University Faculty of Medicine, Osaka-Sayama, Japan.
Koji HarataniDepartment of Medical Oncology, Kindai University Faculty of Medicine, Osaka-Sayama, Japan. haratani_k@med.kindai.ac.jp.
Satomi WatanabeDepartment of Medical Oncology, Kindai University Faculty of Medicine, Osaka-Sayama, Japan.
Masayuki TakedaDepartment of Medical Oncology, Kindai University Faculty of Medicine, Osaka-Sayama, Japan.
Tsutomu IwasaDepartment of Medical Oncology, Kindai University Faculty of Medicine, Osaka-Sayama, Japan.
Kazuhiko NakagawaDepartment of Medical Oncology, Kindai University Faculty of Medicine, Osaka-Sayama, Japan.
Kindai University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Extramammary Paget disease (EMPD) is a rare cutaneous adenocarcinoma that usually is of epidermal origin and shows glandular differentiation and that is treated by wide local excision depending on the disease extent. For widely metastatic disease, however, a standard treatment remains to be established. Similar to breast cancer, EMPD has been found to overexpress human epidermal growth factor receptor 2 (HER2) or hormone receptors (HRs). Whereas HER2-directed therapy was recently shown to be effective for HER2-positive EMPD, the potential role of endocrine therapy for HR-positive EMPD has remained unknown. We here report a case of metastatic EMPD with HR positivity that was successfully treated with the selective estrogen receptor modulator tamoxifen. This first-line treatment of systemic metastasis resulted in durable tumor regression for > 20 months without any treatment-related toxicities. This is the first report to reveal the promise of tamoxifen as a safe and effective treatment for HR-positive metastatic EMPD.

Indexed as

AgedErb-b2 Receptor Tyrosine KinasesGenital Neoplasms, MaleHumansLymphatic MetastasisMalePaget Disease, ExtramammarySelective Estrogen Receptor ModulatorsTamoxifenERBB2 protein, humanErb-b2 Receptor Tyrosine KinasesSelective Estrogen Receptor ModulatorsTamoxifenExtramammary Paget disease (EMPD)Hormone receptorMolecular targeted therapyTamoxifen

Identifiers

PMID34463889
OpenAlexW3198051601

What OpenQuestion holds

Textmetadata
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.