Evidence map›Paper›PMID 36845813›Full record

ArticleAnnals of medicine and surgery (2012)2023

Chronic myelomonocytic leukemia in a 72-year-old male from Nepal: A case report.

Shekhar Gurung, Saurab Karki, Manoj Khadka, Bhuwan Bhatta, Ayush Adhikari, Amar N Shrestha

Abstract read
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Article in Annals of medicine and surgery (2012), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from it

What it found

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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

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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

6 authors.

Shekhar GurungChhatrapati Free Health Clinic.
Saurab KarkiMilitary Hospital, Itahari.
Manoj KhadkaNepalese Army Institute of Health Sciences.ORCID 0000-0002-0449-9254
Bhuwan BhattaDepartment of Internal Medicine, Kantipur Hospital, Kathmandu.
Ayush AdhikariTribhuvan University Teaching Hospital.ORCID 0000-0001-5314-3900
Amar N ShresthaDepartment of Pathology, Shree Birendra Hospital, Chhauni, Nepal.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Chronic myelomonocytic leukemia (CMML) is a rare disease of clonal hematopoietic stem cells with an inherent risk of leukemic transformation, seen in an elderly male. Case Presentation: Herein, the authors report a case of CMML in a 72-year-old male who presented with fever and abdominal pain for 2 days with a history of easy fatigability. Examination revealed pallor and palpable supraclavicular nodes. Investigations showed leukocytosis with a monocyte count of 22% of white blood cell count, 17% blast cells in bone marrow aspiration, increased blast/promonocytes, and positive markers in immunophenotyping. The patient is planned for injection of azacitidine, 7 days cycle for a total of six cycles. Clinical Discussion: CMML is classified as overlapping myelodysplastic/myeloproliferative neoplasms. It can be diagnosed based on a peripheral blood smear, bone marrow aspiration and biopsy, chromosomal analysis, and genetic tests. The commonly used treatment options are hypomethylating agents like azacitidine and decitabine, allogeneic hematopoietic stem cell transplant, and cytoreductive agents like hydroxyurea. Conclusion: Despite various treatment options, the treatment is still unsatisfactory, demanding standard management strategies.

Indexed as

case reportchronic myelomonocytic leukemiahematopoietic stem cell transplantNepal

Identifiers

PMID36845813
PMCPMC9949813

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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.