Evidence map›Paper›PMID 35829848›Full record

ReviewJournal of neuro-oncology2022

Efficacy of endoscopic management of primary central nervous system lymphoma: a multicentric study and literature review.

Mario Ganau, Ismail Zaed, Julien Todeschi, Laura Prisco, Helene Cebula, Carmen Bruno, Giorgio Spatola, Gianfranco K I Ligarotti, Raffaele Alessandrello, Marco Fricia and 8 more

Abstract readReview
PubMed Publisher
In one paragraph

Review 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 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.6field-weighted citation impact, top 31% 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

3 citing papers in PubMed, 5 citations in OpenAlex.

  1. Article
  2. Article
  3. 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

18 authors at 8 institutions in 3 countries.

Mario GanauDepartment of Neurosurgery, Oxford University Hospital, Oxford, UK.
Ismail ZaedDepartment of Neurosurgery, Neuro-Radiology Unit, Strasbourg University Hospital, Strasbourg, France. Ismailzaed1@gmail.com.
Julien TodeschiDepartment of Neurosurgery, Strasbourg University Hospital, Strasbourg, France.
Laura PriscoNuffield Department of Clinical Neurosciences, University of Oxford, Oxford, UK.
Helene CebulaDepartment of Neurosurgery, Strasbourg University Hospital, Strasbourg, France.
Carmen BrunoDepartment of Neurosurgery, Bonomo Hospital Andria, Andria, Italy.
Giorgio SpatolaDepartment of Neurosurgery, Poliambulanza Hospital, Brescia, Italy.
Gianfranco K I LigarottiDepartment of Neurosurgery, Institute of Aerospace Medicine, Milan, Italy.
Raffaele AlessandrelloDepartment of Neurosurgery, Caltanissetta Hospital, Caltanissetta, Italy.
Marco FriciaDepartment of Neurosurgery, Cannizzaro Hospital, Catania, Italy.
Antonio RomanoDepartment of Neurosurgery, Modena University Hospital, Modena, Italy.
Raoul PopDepartment of Neurosurgery, Neuro-Radiology Unit, Strasbourg University Hospital, Strasbourg, France.
Seyyid BalogluDepartment of Neurosurgery, Neuro-Radiology Unit, Strasbourg University Hospital, Strasbourg, France.
Luciano SavareseDepartment of Neurosurgery, Ospedale "Casa Sollievo Della Sofferenza", San Giovanni Rotondo, Italy.
Antonino ScibiliaDipartimento Di Scienze Biomediche E Neuromotorie (DIBINEM), University of Bologna, Neurosurgical Unit, IRCCS Istituto Delle Scienze Neurologiche Di Bologna (ISNB), Bologna, Italy.
Beniamino NannavecchiaDepartment of Neurosurgery, Strasbourg University Hospital, Strasbourg, France.
Francois ProustDepartment of Neurosurgery, Strasbourg University Hospital, Strasbourg, France.
Salvatore ChibbaroDepartment of Neurosurgery, Strasbourg University Hospital, Strasbourg, France.
Université de Strasbourg · FRUniversity of Oxford · GBCasa Sollievo della Sofferenza · ITFondazione Poliambulanza Istituto Ospedaliero · ITOspedale Cannizzaro · ITOspedale L. Bonomo · ITUniversity of Bologna · ITUniversity of Modena and Reggio Emilia · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionTo date, confined intra-ventricular localization of primary central nervous system lymphoma (PCNSL) has been usually managed with open surgical resection and/or stereotactic biopsy; nonetheless, the endoscopic approach to such localization can provide many advantages over standard microsurgery and/or stereotactic biopsy. Here we present our experience in managing such a rare pathology through the endoscopic approach.

methodIn order to gather more information about such a rare pathology, a retrospective multicentric study on a prospectively built database has been performed during a 5 year period. Ten different European centers have been involved.

resultsA total of 60 patients, 25 women and 35 men, have been enrolled in the study. The mean age was 65.3 years. The mean lesion size was 40.3 mm. Among all selected patients, 40 (66.6%) had superficial lesions within the ventricle, whereas the remaining 20 (33.4%) had lesions involving/extending to deeper structures. All surgical procedures were uneventful and ETV was deemed necessary only in 20/60 cases.

conclusionIn our experience, endoscopic management of intraventricular PCNSL is an effective option. It should be considered after a careful examination of neurological and immunological status, alternative options for diagnostic sampling, location of the lesion, and presence or absence of hydrocephalus. Endoscopic management could be considered as a safe and minimally invasive option to obtain: (a) a biopsy sample of the lesion for further diagnostic workup, (b) CSF diversion through third ventriculostomy or VP shunt for the management of hydrocephalus, and (c) insertion of ventricular access devices for long term medical management and whenever necessary as a rescue option for ventricular tap.

Indexed as

HydrocephalusLymphomaNeuroendoscopyAgedCerebral VentriclesFemaleHumansMaleMulticenter Studies as TopicRetrospective StudiesTreatment OutcomeCNS lymphomaCSFEndoscopyMRINeuro-oncologyPET scanVentricular lymphoma

Identifiers

PMID35829848
OpenAlexW4285090957

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.