Evidence map›Paper›PMID 35865543›Full record

ArticleFrontiers in immunology2022

Case Report: A Case of Renal Cell Carcinoma Unclassified With Medullary Phenotype Exhibiting a Favorable Response to Combined Immune Checkpoint Blockade.

Masashi Takeda, Soki Kashima, Yasushi Fuchigami, Takayuki Yoshino, Tatsuki R Kataoka, Toshinari Yamasaki, Hiroshi Kagamu, Takashi Kobayashi, Shusuke Akamatsu

Open access · goldAbstract readCase Reports
In one paragraph

Article in Frontiers in immunology, 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 23% 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, 8 citations in OpenAlex.

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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

9 authors at 6 institutions in 1 country.

Masashi TakedaDepartment of Urology, Kyoto University Graduate School of Medicine, Kyoto, Japan.
Soki KashimaDepartment of Urology, Akita University Graduate School of Medicine, Akita, Japan.
Yasushi FuchigamiDepartment of Urology, Kyoto University Graduate School of Medicine, Kyoto, Japan.
Takayuki YoshinoDepartment of Urology, Kyoto University Graduate School of Medicine, Kyoto, Japan.
Tatsuki R KataokaDepartment of Diagnostic Pathology, Kyoto University Graduate School of Medicine, Kyoto, Japan.
Toshinari YamasakiDepartment of Urology, Kyoto University Graduate School of Medicine, Kyoto, Japan.
Hiroshi KagamuDivision of Respiratory Medicine, Saitama Medical University International Medical Center, Saitama, Japan.
Takashi KobayashiDepartment of Urology, Kyoto University Graduate School of Medicine, Kyoto, Japan.
Shusuke AkamatsuDepartment of Urology, Kyoto University Graduate School of Medicine, Kyoto, Japan.
Kyoto University · JPAkita University · JPIwate Medical University · JPKurashiki Central Hospital · JPSaitama Medical University · JPUniversity of Tsukuba · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Renal cell carcinoma unclassified with medullary phenotype (RCCU-MP) is an extremely rare variant of kidney cancer with poor prognosis. Recently, immune checkpoint inhibitors (ICIs) have been the mainstay of treatment for advanced clear cell renal cell carcinoma (RCC). However, the efficacy of ICI in the treatment of RCCU-MP remains unclear. Here, we report about a 63-year-old Japanese man who was referred to our hospital with a diagnosis of RCC of the left kidney with multiple-lymph node involvement (cT3aN1M1). The patient underwent nephrectomy with lymph node biopsy, which was histopathologically diagnosed as RCCU-MP. Thereafter, he received combined immune checkpoint blockade with nivolumab and ipilimumab. After induction therapy, follow-up computed tomography revealed shrinkage of the metastatic lymph nodes. Moreover, the patient was relieved of his subjective symptoms and his performance status improved. However, after 15 months, maintenance ICI therapy was discontinued because of disease progression, and the patient died 28 months after diagnosis. Longitudinal analysis of peripheral blood mononuclear cells revealed increased stem cell memory and central memory CD8

Indexed as

Carcinoma, Renal CellCD8-Positive T-LymphocytesHumansImmune Checkpoint InhibitorsLeukocytes, MononuclearMalePhenotypeImmune Checkpoint Inhibitorscase reportimmune checkpoint inhibitorsipilimumabNivolumabRCCU-MPRenal cell Caecinoma

Identifiers

PMID35865543
PMCPMC9294239
OpenAlexW4283811782

What OpenQuestion holds

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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.