Evidence map›Paper›PMID 35725885›Full record

ArticleJournal of neuro-oncology2022

Chemotherapy is an efficient treatment in primary CNS MALT lymphoma.

Clément Desjardins, Delphine Larrieu-Ciron, Sylvain Choquet, Karima Mokhtari, Frédéric Charlotte, Lucia Nichelli, Bertrand Mathon, Guido Ahle, Magali Le Garff-Tavernier, Andrea Morales-Martinez and 3 more

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In one paragraph

Article in Journal of neuro-oncology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.1field-weighted citation impact, top 21% 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

4 citing papers in PubMed, 10 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. 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

13 authors at 5 institutions in 1 country.

Clément DesjardinsNeuro-Oncology Department, Hôpital Pitié Salpêtrière, APHP, Sorbonne Université, IHU, ICM, Paris, France.
Delphine Larrieu-CironNeuro-Oncology Department, Hôpital Pitié Salpêtrière, APHP, Sorbonne Université, IHU, ICM, Paris, France.
Sylvain ChoquetClinical Hematology Department, Hôpital Pitié-Salpêtrière, APHP, Paris, France.
Karima MokhtariNeuropathology Department, Hôpital Pitié-Salpêtrière, APHP, Paris, France.
Frédéric CharlotteService d'Anatomie et Cytologie Pathologiques, Groupe Hospitalier Pitié-Salpétrière-Charles Foix, Sorbonne Université, Paris, France.
Lucia NichelliNeuroradiology Department, Hôpital Pitié-Salpêtrière, APHP, Paris, France.
Bertrand MathonNeurosurgery Department, Hôpital Pitié-Salpêtrière, APHP, Paris, France.
Guido AhleDepartment of Neurology, Hôpitaux Civils de Colmar, Colmar, France.
Magali Le Garff-TavernierHematobiology Department, Hôpital Pitié-Salpêtrière, APHP, Paris, France.
Andrea Morales-MartinezNeuro-Oncology Department, Hôpital Pitié Salpêtrière, APHP, Sorbonne Université, IHU, ICM, Paris, France.
Caroline DehaisNeuro-Oncology Department, Hôpital Pitié Salpêtrière, APHP, Sorbonne Université, IHU, ICM, Paris, France.
Khê Hoang-XuanNeuro-Oncology Department, Hôpital Pitié Salpêtrière, APHP, Sorbonne Université, IHU, ICM, Paris, France.
Caroline HouillierNeuro-Oncology Department, Hôpital Pitié Salpêtrière, APHP, Sorbonne Université, IHU, ICM, Paris, France. caroline.houillier@aphp.fr.
Sorbonne Université · FRAssistance Publique – Hôpitaux de Paris · FRPitié-Salpêtrière Hospital · FRHôpital Charles-Foix · FRHopitaux Civils de Colmar · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMucosae-associated lymphoid tissue (MALT) lymphomas are a rare and poorly understood form of primary central nervous system lymphoma (PCNSL). The aim of this study was to better describe these tumors, their management and their long-term prognosis.

methodsPatients with primary CNS MALT lymphoma (PCNSML) were retrospectively selected from the database on PCNSL of the Pitié-Salpêtrière Hospital.

resultsOf 662 PCNSL, 11 (1.7%) PCNSML (9 females and 2 males, median age: 56 years) were selected. The median time from first symptoms to diagnosis was 13 months. Location was dural in 8 cases and parenchymal in 3 cases. The disease was multifocal/diffuse in 7 cases. In first line, all patients received chemotherapy (high-dose methotrexate (HD-MTX) based chemotherapy (n = 4) and non-HD-MTX-based chemotherapy (n = 7)), preceded by surgery in 4 cases. None received radiotherapy. According to the IPCG (International PCNSL Collaborative Group) criteria, the overall response rate was 7/11 (64%). At latest news, 5 patients had persistent contrast enhancement, stable with no treatment since a median of 57 months, raising the question of complete response despite persisting contrast enhancement. No patient developed neurotoxicity except for one patient who subsequently received radiotherapy. The median follow-up was 109 months. The median progression-free survival was 78.0 months and the 10-year overall survival rate was 90%.

conclusionThis is the largest series demonstrating that chemotherapy is an efficient treatment in PCNSML, with an excellent long-term outcome and the absence of neurotoxicity, and calling into question the relevance of the IPCG criteria for the evaluation of response.

Indexed as

Central Nervous System NeoplasmsLymphoma, B-Cell, Marginal ZoneAntineoplastic Combined Chemotherapy ProtocolsFemaleHumansMaleMethotrexateMiddle AgedRetrospective StudiesMethotrexateChemotherapyMALTNeuro-oncologyPrimary central nervous system lymphoma

Identifiers

PMID35725885
OpenAlexW4283165254

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.