Evidence map›Paper›PMID 36434709›Full record

ArticleJournal of medical case reports2022

Hypermetabolic lymphadenopathy following the administration of COVID-19 vaccine and immunotherapy in a lung cancer patient: a case report.

Shreya Tripathy, Nathaniel Alvarez, Shubham Jaiswal, Ryan Williams, Munaf Al-Khadimi, Sarah Hackman, William Phillips, Supreet Kaur, Sherri Cervantez, William Kelly and 1 more

Open access · goldAbstract readCase Reports
In one paragraph

Article in Journal of medical case reports, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.9field-weighted citation impact, top 26% 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

2 citing papers in PubMed, 4 citations in OpenAlex.

  1. Review
  2. 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 3 institutions in 1 country.

Shreya TripathyDepartment of Medicine, University of Texas Health Science Center, San Antonio, TX, USA.
Nathaniel AlvarezDepartment of Medicine, University of Texas Health Science Center, San Antonio, TX, USA.
Shubham JaiswalDepartment of Medicine, University of Texas Health Science Center, San Antonio, TX, USA.
Ryan WilliamsDepartment of Medicine, University of Texas Health Science Center, San Antonio, TX, USA.
Munaf Al-KhadimiDepartment of Medicine, University of Texas Health Science Center, San Antonio, TX, USA.
Sarah HackmanDepartment of Pathology and Laboratory Medicine, University of Texas Health Science Center, San Antonio, TX, USA.
William PhillipsDepartment of Radiology, University of Texas Health Science Center, San Antonio, TX, USA.
Supreet KaurDepartment of Medicine, University of Texas Health Science Center, San Antonio, TX, USA.
Sherri CervantezDepartment of Medicine, University of Texas Health Science Center, San Antonio, TX, USA.
William KellyDepartment of Medicine, University of Texas Health Science Center, San Antonio, TX, USA.
Josephine TavernaDepartment of Medicine, University of Texas Health Science Center, San Antonio, TX, USA. tavernaj@uthscsa.edu.
The University of Texas Health Science Center at San Antonio · USMays Cancer Center at UT Health San AntonioThe University of Texas MD Anderson Cancer Center · US

Funding

TISSUE CULTURE---COREP30CA054174 · NCI · UNIVERSITY OF TEXAS HLTH SCIENCE CENTER · PI Robin Jean Leach · 1991 to 2026
$59.1M
Systems Analysis of Epigenomic Architecture in Cancer ProgressionU54CA217297 · NCI · UNIVERSITY OF TEXAS HLTH SCIENCE CENTER · PI HUANG, TIM H.-M., JIN, VICTOR · 2017 to 2021
$9.3M
Institutional Career Development Core (KL2)KL2TR002646 · NCATS · UNIVERSITY OF TEXAS HLTH SCIENCE CENTER · PI TSEVAT, JOEL · 2018 to 2022
$3.4M
Institute for Integration of Medicine & Science: A Partnership to Improve HealthKL2TR001118 · NCATS · UNIVERSITY OF TEXAS HLTH SCIENCE CENTER · PI CLARK, ROBERT A, DOUGHERTY, DONALD M · 2013 to 2017
$3.4M
NCATS NIH HHS KL2 TR001118NCATS NIH HHS KL2 TR002646NCI NIH HHS P30 CA054174NCI NIH HHS U54 CA217297
6 · The paper itself

Abstract

backgroundGiven the current climate of the pandemic, lung cancer patients are especially vulnerable to complications from severe acute respiratory syndrome coronavirus 2 infection. As a high-risk population group, these patients are strongly advised to receive coronavirus disease 2019 vaccination in accordance with Center for Disease Control and Prevention guidelines to minimize morbidity and mortality. In recent years, immunotherapy has taken a preeminent role in the treatment of non-small cell lung cancer with dramatic improvement in overall survival. Reactive lymphadenopathy following the administration of a coronavirus disease 2019 vaccination can confound the radiographic interpretation of positron emission tomography-computed tomography or computed tomography scans from lung cancer patients receiving immunotherapy. CASE PRESENTATION: Here, we present a case of a 61-year-old Caucasian female and former smoker who developed cervical, hilar, supraclavicular, mediastinal, and left retroauricular lymphadenopathy following her coronavirus disease 2019 booster vaccination. At the time, she had been receiving long-term immunotherapy for the treatment of advanced lung adenocarcinoma. Biopsy was pursued owing to concerns of treatment failure and confirmed recurrent malignancy.

conclusionThis case report highlights the importance of lymph node biopsies in lung cancer patients who present with contralateral lymphadenopathy following coronavirus disease 2019 vaccination to rule out tumor recurrence in this deserving patient population.

Indexed as

Carcinoma, Non-Small-Cell LungCOVID-19COVID-19 VaccinesLung NeoplasmsLymphadenopathyFemaleHumansImmunotherapyMiddle AgedNeoplasm Recurrence, LocalCOVID-19 VaccinesCase reportCOVID-19COVID-19 vaccineLung cancerLymphadenopathy

Identifiers

PMID36434709
PMCPMC9700935
OpenAlexW4310054175

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.