Evidence map›Paper›PMID 36994195›Full record

ArticleFrontiers in oncology2023

Severe hyperlipidemia pancreatitis induced by taking tamoxifen after breast cancer surgery-Case report.

Chao Zhai, Xiang Li, Dong Xiao, Liang Chen, Chaoyang Wang, MingHua Zheng

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Article in Frontiers in oncology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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, 1 synthesis or guideline pooled it.

  1. Pooled it
  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

6 authors.

Chao ZhaiDepartment of Oncology, Han-Zhong 3201 Hospital Affiliated to Xi'an Jiao-Tong University, Hanzong, China.
Xiang LiDepartment of Chemistry, University of Florida, Gainesville, FL, United States.
Dong XiaoDepartment of Oncology, Han-Zhong 3201 Hospital Affiliated to Xi'an Jiao-Tong University, Hanzong, China.
Liang ChenDepartment of Oncology, Han-Zhong 3201 Hospital Affiliated to Xi'an Jiao-Tong University, Hanzong, China.
Chaoyang WangDepartment of Oncology, Han-Zhong 3201 Hospital Affiliated to Xi'an Jiao-Tong University, Hanzong, China.
MingHua ZhengDepartment of Oncology, Han-Zhong 3201 Hospital Affiliated to Xi'an Jiao-Tong University, Hanzong, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: The research investigates the mechanism, diagnosis, treatment, and subsequent endocrine therapy of severe pancreatitis induced by tamoxifen treatment in patients who have undergone breast cancer surgery. Case presentation: We studied two cases of breast cancer in whom severe acute pancreatitis developed after taking tamoxifen for endocrine therapy in our hospital. A brief literature review was provided to analyze the causes, clinical manifestations, treatment process, and prognosis of severe acute pancreatitis. Both cases involved patients with severe hyperlipidemic pancreatitis. After conservative treatment, none of them died. Pancreatitis did not recur after changing endocrine therapy drugs. Discussion/conclusion: Endocrine therapy with tamoxifen in breast cancer patients can induce hyperlipidemia, which can subsequently cause severe pancreatitis. The treatment of severe pancreatitis should strengthen the regulation of blood lipids. The application of low-molecular-weight heparin combined with insulin therapy can rapidly lower blood lipids. Involved treatments, including acid suppression, enzyme suppression, and peritoneal dialysis, can accelerate the recovery of pancreatitis and reduce the occurrence of serious complications. Patients with severe pancreatitis should not continue to use tamoxifen for endocrine therapy. To complete follow-up endocrine therapy, switching to a steroidal aromatase inhibitor is better if the situation allows it.

Indexed as

breast cancerendocrine therapyhyperlipidemiasevere pancreatitistamoxifen

Identifiers

PMID36994195
PMCPMC10042229

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