Evidence map›Paper›PMID 36351631›Full record

ArticleFukushima journal of medical science2022

Successful management of pelvic recurrence of MSI-High endometrial cancer by total pelvic exenteration followed by administration of pembrolizumab:A case report.

Manabu Kojima, Shu Soeda, Chikako Okabe, Tetsu Sato, Norihito Kamo, Makiko Ueda, Yuta Endo, Shinji Nomura, Emi Tokuda, Shigenori Furukawa and 5 more

Open access · diamondAbstract readCase Reports
In one paragraph

Article in Fukushima journal of medical science, 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
0.4field-weighted citation impact, top 36% 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, 3 citations in OpenAlex.

  1. Article
  2. Review
  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

15 authors at 1 institution in 1 country.

Manabu KojimaDepartment of Obstetrics and Gynecology, Fukushima Medical University School of Medicine.
Shu SoedaDepartment of Obstetrics and Gynecology, Fukushima Medical University School of Medicine.
Chikako OkabeDepartment of Obstetrics and Gynecology, Fukushima Medical University School of Medicine.
Tetsu SatoDepartment of Obstetrics and Gynecology, Fukushima Medical University School of Medicine.
Norihito KamoDepartment of Obstetrics and Gynecology, Fukushima Medical University School of Medicine.
Makiko UedaDepartment of Obstetrics and Gynecology, Fukushima Medical University School of Medicine.
Yuta EndoDepartment of Obstetrics and Gynecology, Fukushima Medical University School of Medicine.
Shinji NomuraDepartment of Obstetrics and Gynecology, Fukushima Medical University School of Medicine.
Emi TokudaDepartment of Medical Oncology, Fukushima Medical University School of Medicine.
Shigenori FurukawaDepartment of Obstetrics and Gynecology, Fukushima Medical University School of Medicine.
Masao KataokaDepartment of Urology, Fukushima Medical University School of Medicine.
Shotaro FujitaDepartment of Gastrointestinal Tract Surgery, Fukushima Medical University School of Medicine.
Shigehira SajiDepartment of Medical Oncology, Fukushima Medical University School of Medicine.
Takafumi WatanabeDepartment of Obstetrics and Gynecology, Fukushima Medical University School of Medicine.
Keiya FujimoriDepartment of Obstetrics and Gynecology, Fukushima Medical University School of Medicine.
Fukushima Medical University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Surgery can be curative treatment for pelvic locoregional recurrence of endometrial cancer; however, a cure is contingent on complete resection. Here, we report the case of a patient in whom recurrent endometrial tumor remained in the pelvis after resection; long-term control was achieved with postoperative administration of pembrolizumab.The patient had recurrent endometrial cancer of stage IA and was treated with chemotherapy and radiation, but tumor persisted in the pelvic cavity. We therefore attempted total pelvic exenteration, but the tumor was adherent to the pelvic wall and complete resection could not be achieved. However, postoperative administration of pembrolizumab controlled the residual tumor for more than two years without regrowth. We believe that since the resected tumor was MSI-High, the residual tumor responded well to pembrolizumab. It is not known whether cytoreductive surgery contributes to a long-term response to pembrolizumab, but at least in our patient, pembrolizumab appeared to be a very effective drug therapy for MSI-High endometrial cancer that was refractory to chemotherapy and radiotherapy.

Indexed as

Endometrial NeoplasmsPelvic ExenterationAntibodies, Monoclonal, HumanizedFemaleHumansNeoplasm Recurrence, LocalNeoplasm, ResidualPelvisAntibodies, Monoclonal, HumanizedpembrolizumabImmune Checkpoint InhibitorPelvic ExenterationPembrolizumabRecurrent Endometrial Cancer

Identifiers

PMID36351631
PMCPMC9840885
OpenAlexW4308680877

What OpenQuestion holds

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LicenceCC BY-NC-SA
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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.