Evidence map›Paper›PMID 34771431›Full record

ArticleCancers2021

Endoscopic Ultrasound-Guided Radiofrequency Ablation as an Future Alternative to Pancreatectomy for Pancreatic Metastases from Renal Cell Carcinoma: A Prospective Study.

Brice Chanez, Fabrice Caillol, Jean-Philippe Ratone, Christian Pesenti, Philippe Rochigneux, Géraldine Pignot, Jeanne Thomassin, Serge Brunelle, Jochen Walz, Naji Salem and 2 more

Open access · goldAbstract read
In one paragraph

Article in Cancers, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 2 pooled it
1.2field-weighted citation impact, top 18% 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

21 citing papers in PubMed, 2 syntheses or guidelines pooled it, 20 citations in OpenAlex.

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  5. Methodology Assessment of Endoscopic Ultrasound Radiofrequency Ablation (EUS-RFA) for Pancreatic Neoplasms: Results From an International Survey.Digestive endoscopy : official journal of the Japan Gastroenterological Endoscopy Society · 2026
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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

12 authors at 2 institutions in 1 country.

Brice ChanezDepartment of Medical Oncology, Institut Paoli-Calmettes, 13009 Marseille, France.ORCID 0000-0003-4688-8765
Fabrice CaillolDepartment of Gastroenterology and Endoscopy, Institut Paoli-Calmettes, 13009 Marseille, France.
Jean-Philippe RatoneDepartment of Gastroenterology and Endoscopy, Institut Paoli-Calmettes, 13009 Marseille, France.
Christian PesentiDepartment of Gastroenterology and Endoscopy, Institut Paoli-Calmettes, 13009 Marseille, France.
Philippe RochigneuxDepartment of Medical Oncology, Institut Paoli-Calmettes, 13009 Marseille, France.ORCID 0000-0001-7932-0530
Géraldine PignotDepartment of Urologic Surgery, Institut Paoli-Calmettes, 13009 Marseille, France.
Jeanne ThomassinDepartment of Pathology, Institut Paoli-Calmettes, 13009 Marseille, France.
Serge BrunelleDepartment of Radiology, Institut Paoli-Calmettes, 13009 Marseille, France.
Jochen WalzDepartment of Urologic Surgery, Institut Paoli-Calmettes, 13009 Marseille, France.
Naji SalemDepartment of Radiotherapy, Institut Paoli-Calmettes, 13009 Marseille, France.
Marc GiovanniniDepartment of Gastroenterology and Endoscopy, Institut Paoli-Calmettes, 13009 Marseille, France.
Gwenaelle GravisDepartment of Medical Oncology, Institut Paoli-Calmettes, 13009 Marseille, France.
Institut Paoli-Calmettes · FRCentre National de la Recherche Scientifique · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPancreatic metastases (PM) from renal cell carcinoma (RCC) are rare, are associated with favorable outcomes and are usually handled by surgery or VEGFR inhibitors, which both have side effects. Endoscopic Ultrasound (EUS)-guided radiofrequency ablation (RFA) is an innovative approach to treat focally deep metastases and could be a relevant technique to control PM from RCC.

methodsThis monocentric, prospective study aimed to evaluate the safety and efficacy of EUS-RFA to treat PM. We included patients with confirmed and progressive PM from RCC. PM was ablated under general anesthesia with a linear EUS scope and a EUS-RFA 19-gauge needle electrode placed into the tumor.

resultsTwelve patients from Paoli-Calmettes Institute were recruited between May 2017 and December 2019. Median age was 70.5 years (range 61-75), 50% were female, 100% were ECOG 0-1. At inclusion, mean PM size was 17 mm (range 3-35 mm); and all were progressive before EUS-RFA. Seven patients had EUS-RFA as the only treatment for RCC. We performed 26 EUS-RFA procedures and 21 PM was ablated. Median follow up was 27.7 months (range 6.4-57.1). For evaluable PM, the 6- and 12-month focal control rates were 84% and 73% respectively. One patient treated with TKI developed a paraduodenal abscess 2 months after EUS-RFA and another patient with biliary stent developed hepatic abscesses few days after EUS-RFA. No other severe side effects were experienced.

conclusionsin this series, which is the largest ever reported, we showed that EUS-RFA is feasible and yields an excellent local control rate for PM from mRCC. With manageable complications, it could be a valuable alternative to pancreatic surgery in well-selected patients.

Indexed as

endoscopyglandular metastasespancreatic metastasesradiofrequency ablationrenal cell carcinoma

Identifiers

PMID34771431
PMCPMC8582413
OpenAlexW3206910398

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.