Evidence map›Paper›PMID 37814403›Full record

ReviewCancer reports (Hoboken, N.J.)2023

Extracranial metastasis of brain glioblastoma outside CNS: Pathogenesis revisited.

Maher Kurdi, Saleh Baeesa, Fahad Okal, Ahmed K Bamaga, Eyad Faizo, Amany A Fathaddin, Alaa Alkhotani, Mohammed M Karami, Basem Bahakeem

Open access · goldAbstract readReview
In one paragraph

Review in Cancer reports (Hoboken, N.J.), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
5.5field-weighted citation impact, top 4% 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

17 citing papers in PubMed, 19 citations in OpenAlex.

  1. The glymphatic system and glioblastoma.Brain : a journal of neurology · 2026
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  15. Rare Cases of Extracranial Metastases from High-grade Glioma Detected on FET PET-CT with Histopathological Confirmation.Indian journal of nuclear medicine : IJNM : the official journal of the Society of Nuclear Medicine, India
    Article
  16. Article
  17. 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

9 authors at 6 institutions in 1 country.

Maher KurdiDepartment of Pathology, Faculty of Medicine, King Abdulaziz University, Rabigh, Saudi Arabia.ORCID 0000-0002-8979-3849
Saleh BaeesaDepartment of Neurosciences, King Faisal Specialist Hospital and Research Center, Jeddah, Saudi Arabia.ORCID 0000-0002-3053-7912
Fahad OkalDepartment of Neuroscience, Neurosurgery Section, King Abdulaziz Medical City, National Guard Health Affairs, Jeddah, Saudi Arabia.
Ahmed K BamagaDepartment of Paediatric, Faculty of Medicine, King Abdulaziz University and Hospital, Jeddah, Saudi Arabia.
Eyad FaizoDepartment of Surgery, Faculty of Medicine, University of Tabuk, Tabuk, Saudi Arabia.
Amany A FathaddinDepartment of Pathology, College of Medicine, King Saud University, Riyadh, Saudi Arabia.
Alaa AlkhotaniDepartment of Pathology, College of Medicine, Umm Al-Qura University, Mecca, Saudi Arabia.
Mohammed M KaramiDepartment of Clinical Physiology, Faculty of Medicine, King Abdulaziz University, Jeddah, Saudi Arabia.
Basem BahakeemDepartment of Internal Medicine, Umm-Alqura University, Mecca, Saudi Arabia.
King Abdulaziz University · SAUmm al-Qura University · SAKing Abdulaziz Medical City · SAKing Faisal Specialist Hospital & Research Centre · SAKing Saud University · SAUniversity of Tabuk · SA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe most prevalent malignant tumor of the CNS in adults is glioblastoma. Despite undergoing surgery and chemoradiotherapy, the prognosis remains unfavorable, with a median survival period ranging between 15 and 20 months. The incidence of glioblastoma metastasis outside CNS is uncommon with only 0.4%-2% reported rate, compared to other tumors that exhibit a 10% incidence rate of metastasis to the brain. On average, it takes about 11 months from the time of initial diagnosis for the tumor to spread beyond CNS. Consequently, the prognosis for metastatic glioblastoma is grim, with a 6-month survival rate following diagnosis.

findingsThe rarity of extracranial metastasis is attributed to the blood-brain barrier and lack of a lymphatic drainage system, although rare cases of hematogenous spread and direct implantation have been reported. The possible mechanisms remain unclear and require further investigation. Risk factors have been widely described, including previous craniotomy or biopsies, ventricular shunting, young age, radiation therapy, prolonged survival time, and tumor recurrence. Due to the lack of understanding about extracranial metastasis of glioblastoma pathogenesis, no effective treatment exists to date. Aggressive chemotherapies are not recommended for metastatic glioblastoma as their side effects may worsen the patient prognosis.

conclusionThe optimal treatment for extracranial metastasis of glioblastoma requires further investigation with a wide inclusion of patients. This review discusses the possible causes, factors, and underlying mechanisms of glioblastoma metastasis to different organs.

Indexed as

Brain NeoplasmsGlioblastomaAdultBrainHumansNeoplasm Recurrence, LocalPrognosiscauseextracranial metastasisfactorsglioblastomapathogenesis

Identifiers

PMID37814403
PMCPMC10728524
OpenAlexW4387473387

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.