Evidence map›Paper›PMID 34625439›Full record

ArticleBMJ case reports2021

Small cell rectal cancer: a therapeutic challenge.

Alex Fitzhugh, Alison Corr, Arshi Denton, Anthony Antoniou

Open access · greenAbstract readCase Reports
In one paragraph

Article in BMJ case reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.5field-weighted citation impact, top 35% 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

1 citing paper in PubMed, 3 citations in OpenAlex.

  1. 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

4 authors at 2 institutions in 1 country.

Alex FitzhughDepartment of Inherited Intestinal Cancer Syndromes, St Mark's Hospital and Academic Institute, Harrow, UK.
Alison CorrDepartment of Inherited Intestinal Cancer Syndromes, St Mark's Hospital and Academic Institute, Harrow, UK alicorr12@gmail.com.ORCID http://orcid.org/0000-0002-6902-7362
Arshi DentonDepartment of Oncology, Mount Vernon Hospital, Northwood, UK.
Anthony AntoniouDepartment of Surgery, St Mark's Hospital Foundation, Harrow, UK.
St Mark's Hospital · GBMount Vernon Hospital · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

A generally well 71-year-old man presented to his general practitioner with altered bowel habit and haematochezia. Colonoscopy revealed a malignant-appearing rectal mass, with histological features of extrapulmonary small cell carcinoma (EPSCC) of the rectum. Imaging demonstrated limited stage disease with a threatened circumferential resection margin. He was treated with a modified platinum chemoradiotherapy regimen for small cell lung cancer with an excellent response. Unfortunately, his cardiac function precluded surgery at the time and the patient subsequently developed hepatic metastases with local disease recurrence, and died 15 months following his initial diagnosis. Rectal EPSCC is a rare diagnosis, and this case represented a challenge for the multidisciplinary team given the limited evidence base. Medical therapy reflects extrapolation of small cell lung cancer treatment and the role of surgery is less clearly defined given aggressive and refractory disease is common. Immunotherapy, however, represents an exciting development for metastatic disease.

Indexed as

Carcinoma, Small CellRectal NeoplasmsAgedChemoradiotherapyHumansMaleNeoplasm Recurrence, LocalRectumColon cancerEndoscopyImmunological products and vaccinesRadiology

Identifiers

PMID34625439
PMCPMC8504169
OpenAlexW3204227657

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.