Evidence map›Paper›PMID 34776466›Full record

ArticleInternal medicine (Tokyo, Japan)2021

Improvement in the Symptoms and VEGF Levels after Resection of an Extrame Dullary Spinal Tumor and Additional Chemotherapy in a Patient with Multiple Myeloma Complicated with POEMS Syndrome.

Mariko Sano, Tatou Iseki, Makoto Sasaki, Yutaka Tsukune, Hajime Yasuda, Kazo Kanazawa, Atsushi Arakawa, Kazumasa Yokoyama, Norio Komatsu, Nobutaka Hattori and 1 more

Open access · diamondAbstract readCase Reports
In one paragraph

Article in Internal medicine (Tokyo, Japan), 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
0.3field-weighted citation impact, top 41% 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. 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

11 authors at 1 institution in 1 country.

Mariko SanoDepartment of Neurology, Juntendo University School of Medicine, Japan.
Tatou IsekiDepartment of Neurology, Juntendo University School of Medicine, Japan.
Makoto SasakiDepartment of Hematology, Juntendo University School of Medicine, Japan.
Yutaka TsukuneDepartment of Hematology, Juntendo University School of Medicine, Japan.
Hajime YasudaDepartment of Hematology, Juntendo University School of Medicine, Japan.
Kazo KanazawaDepartment of Neurology, Juntendo University School of Medicine, Japan.
Atsushi ArakawaDepartment of Human Pathology, Juntendo University School of Medicine, Japan.
Kazumasa YokoyamaDepartment of Neurology, Juntendo University School of Medicine, Japan.
Norio KomatsuDepartment of Hematology, Juntendo University School of Medicine, Japan.
Nobutaka HattoriDepartment of Neurology, Juntendo University School of Medicine, Japan.
Kenya NishiokaDepartment of Neurology, Juntendo University School of Medicine, Japan.
Juntendo University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We herein report a case of multiple myeloma and polyneuropathy, organomegaly, endocrinopathy, myeloma protein, and skin changes (POEMS) syndrome. The patient experienced exacerbated gait disturbance due to weakness and numbness in the lower limbs. Thoracic magnetic resonance imaging revealed an extramedullary tumor with spinal compression that required surgical resection. Plasmacytoma was diagnosed based on a biopsy. Radiation, betamethasone, and chemotherapy were therefore administered. Surgical removal of extramedullary tumors improved his symptoms, motor conduction velocity, and amplitude of the muscle action potential in the peroneal and tibial nerves, as shown by the nerve conduction study. Surgery also decreased the serum vascular endothelial growth factor levels. The patient required additional chemotherapy due to multiple myeloma and showed better outcomes nine months after discharge. The benefits of some treatments remain controversial due to the small number of patients. However, our findings reveal that an early diagnosis and comprehensive treatment may result in better outcomes in such patients.

Indexed as

Multiple MyelomaPOEMS SyndromeSpinal Cord NeoplasmsSpinal NeoplasmsHumansVascular Endothelial Growth Factor AVascular Endothelial Growth Factor Amultiple myelomaosteolysisosteosclerosisPOEMS syndromeVEGF

Identifiers

PMID34776466
PMCPMC8666231
OpenAlexW3213174484

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.