Evidence map›Paper›PMID 37052618›Full record

ArticleAmerican journal of clinical pathology2023

Multiorgan Involvement of Dormant Uveal Melanoma Micrometastases in Postmortem Tissue From Patients Without Coexisting Macrometastases.

Viktor T Gill, Emelie Norrman, Shiva Sabazade, Ali Karim, Emma Lardner, Gustav Stålhammar

Abstract read
In one paragraph

Article in American journal of clinical pathology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing 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

15 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Guideline
  2. Gene Therapy Strategies for Uveal Melanoma: Adeno-associated Virus Delivery Challenges and Translational Opportunities.BioDrugs : clinical immunotherapeutics, biopharmaceuticals and gene therapy · 2026
    Review
  3. Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. Review
  9. Article
  10. Management of liver metastases from uveal melanoma.The British journal of surgery · 2025
    Review
  11. Article
  12. Article
  13. Article
  14. Review
  15. 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

6 authors.

Viktor T GillDepartment of Clinical Neuroscience, Division of Eye and Vision, Karolinska Institutet, Stockholm, Sweden.ORCID 0000-0003-1233-3366
Emelie NorrmanDepartment of Clinical Pathology, Västmanland Hospital Västerås, Västerås, Sweden.
Shiva SabazadeDepartment of Clinical Neuroscience, Division of Eye and Vision, Karolinska Institutet, Stockholm, Sweden.
Ali KarimDepartment of Clinical Pathology, Västmanland Hospital Västerås, Västerås, Sweden.
Emma LardnerSt Erik Eye Hospital, Stockholm, Sweden.
Gustav StålhammarDepartment of Clinical Neuroscience, Division of Eye and Vision, Karolinska Institutet, Stockholm, Sweden.ORCID 0000-0001-9401-8911

Funding

Karolinska Institutet 2021-0010Region Stockholm 20200356Swedish Cancer Society 200798FKSwedish Eye Foundation 2021-04-20
6 · The paper itself

Abstract

objectivesAlmost half of all patients diagnosed with uveal melanoma will die of metastatic disease. This has been attributed to early seeding of micrometastases. We investigate the presence, density, organ involvement, and characteristics of micrometastases of uveal melanoma in tissue obtained at autopsy of patients with and without coexisting macrometastases.

methodsPatients diagnosed with primary uveal melanoma at a national referral center between 1960 and 2020 (n = 4,282) were cross-referenced with autopsy registers at nearby hospitals. Eleven patients were included. Formalin-fixed, paraffin-embedded tissue samples obtained during autopsy were examined with routine histology, immunohistochemistry, and immunomagnetic separation.

resultsMicrometastases were detected in 5 of 5 patients with and in 5 of 6 patients without coexisting macrometastases. Micrometastases were identified in several sites, including lungs, kidneys, myocardium, and bone marrow. Their highest density per mm2 of tissue was seen in the liver. Of 11 examined patients, 2 had at least 1 BAP-1-positive metastasis. All micrometastases had immune cell infiltrates and no or very low proliferative activity.

conclusionsWe demonstrate multiorgan involvement of apparently dormant micrometastases in patients with uveal melanoma. This suggests that micrometastases are present in nearly all patients diagnosed with primary uveal melanoma, regardless of coexisting macrometastases.

Indexed as

MelanomaUveal NeoplasmsHumansLiverNeoplasm MicrometastasisUveal MelanomaAutopsyDormancyImmunomagnetic separationMacrometastasesMetastasisMicrometastasesOphthalmologyPathologyPostmortemUveal melanoma

Identifiers

PMID37052618
PMCPMC10392366

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.