Evidence map›Paper›PMID 37121751›Full record

ArticleInternal medicine (Tokyo, Japan)2023

Pulmonary Tumor Thrombotic Microangiopathy Caused by Metastatic Ovarian Cancer: An Antemortem Diagnosis with Pulmonary Aspiration Cytopathology.

Kyoko Unno, Hayato Ohtani, Atsushi Sakamoto, Hirotake Murakami, Haruna Yagi, Hiroaki Ito, Satoshi Baba, Toshihide Iwashita, Isao Kosugi, Yuichiro Maekawa

Open access · diamondAbstract readCase Reports
In one paragraph

Article in Internal medicine (Tokyo, Japan), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.9field-weighted citation impact, top 24% 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

4 citing papers in PubMed, 4 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. 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

10 authors at 1 institution in 1 country.

Kyoko UnnoDivision of Cardiology, Internal Medicine III, Hamamatsu University School of Medicine, Japan.
Hayato OhtaniDivision of Cardiology, Internal Medicine III, Hamamatsu University School of Medicine, Japan.
Atsushi SakamotoDivision of Cardiology, Internal Medicine III, Hamamatsu University School of Medicine, Japan.
Hirotake MurakamiDepartment of Obstetrics and Gynecology, Hamamatsu University School of Medicine, Japan.
Haruna YagiDepartment of Regenerative & Infectious Pathology, Hamamatsu University School of Medicine, Japan.
Hiroaki ItoDepartment of Obstetrics and Gynecology, Hamamatsu University School of Medicine, Japan.
Satoshi BabaDepartment of Diagnostic Pathology, Hamamatsu University School of Medicine, Japan.
Toshihide IwashitaDepartment of Regenerative & Infectious Pathology, Hamamatsu University School of Medicine, Japan.
Isao KosugiDepartment of Regenerative & Infectious Pathology, Hamamatsu University School of Medicine, Japan.
Yuichiro MaekawaDivision of Cardiology, Internal Medicine III, Hamamatsu University School of Medicine, Japan.
Hamamatsu University School of Medicine · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

A 48-year-old woman with advanced ovarian cancer was diagnosed with pulmonary tumor thrombotic microangiopathy (PTTM) by antemortem pulmonary wedge aspiration cytopathology. Despite the initiation of anti-cancer treatment, she unfortunately died due to progressive respiratory failure. Histopathology of the autopsied lung revealed multiple tumor embolization with fibrin-rich clot and fibro-cellular intimal proliferation at the pulmonary arteriole. The embolized tumor showed strong immune-positivity for pro-thrombotic and fibrotic factors (tissue factor and vascular endothelial growth factor), suggesting the underlying mechanisms of PTTM development. This case suggests that a quick antemortem diagnosis and the early induction of specific treatments might ensure a better prognosis of PTTM.

Indexed as

Lung NeoplasmsOvarian NeoplasmsThrombosisThrombotic MicroangiopathiesCytodiagnosisFemaleHumansMiddle AgedVascular Endothelial Growth Factor AVascular Endothelial Growth Factor Aaspiration cytopathologypulmonary hypertensionpulmonary tumor thrombotic microangiopathy

Identifiers

PMID37121751
PMCPMC10781541
OpenAlexW4367276474

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.