Evidence map›Paper›PMID 37822711›Full record

ArticleGynecologic oncology reports2023

Primary hepatic metastatic epitheloid trophoblastic tumor of the uterus treated with multimodal therapy including pembrolizumab and thermoablation. Case report of an extremely rare disease and review of the literature.

M Helbig, M Steinmann, S Jaschinski, M J Seckl, W Meier, T Fehm, A K Volkmer

Open access · goldAbstract readCase Reports
In one paragraph

Article in Gynecologic oncology reports, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
1.2field-weighted citation impact, top 21% 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

3 citing papers in PubMed, 1 synthesis or guideline pooled it, 4 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. 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

7 authors at 3 institutions in 2 countries.

M HelbigUniversity Hospital of Düsseldorf, Department of Gynecology and Obstetrics, Germany.
M SteinmannMedical Practice for Gynecology and Obstetrics, Düsseldorf, Germany.
S JaschinskiUniversity Hospital of Düsseldorf, Institute of Pathology, Germany.
M J SecklGestational Trophoblastic Disease and Malignant Ovarian Germ Cell Tumor Services, Charing Cross Hospital Campus of Imperial College London, London, UK.
W MeierUniversity Hospital of Düsseldorf, Department of Gynecology and Obstetrics, Germany.
T FehmUniversity Hospital of Düsseldorf, Department of Gynecology and Obstetrics, Germany.
A K VolkmerUniversity Hospital of Düsseldorf, Department of Gynecology and Obstetrics, Germany.
Düsseldorf University Hospital · DEHeinrich Heine University Düsseldorf · DECharing Cross Hospital · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Epithelioid trophoblastic tumor (ETT) is a rare gestational trophoblastic tumor, first described by Shih and Kurman in 1998. ETT often present as abnormal vaginal bleeding in women of reproductive age, but unlike more common forms of GTN tend to produce much less human chorionic gonadotropin (hCG) for the volume of disease present. ETT can occur after any gestational event and can occur in both intrauterine and extrauterine sites. We present a case of a 46-year-old female patient incidentally diagnosed with ETT and hepatic metastasis. Therapy was multimodal and involved chemotherapy, operation, thermoablation of liver metastases and immunocheckpoint inhibitor. The patient remains disease free for almost four years now. ETT presents a diagnostic challenge due to their rarity and histologic resemblance to other pathologies. ETT can be relatively chemo resistant and are therefore often treated surgically. Misdiagnosis might delay effective treatment and affects survival.

Indexed as

Epitheloid trophoblastic tumorETTGTN

Identifiers

PMID37822711
PMCPMC10562736
OpenAlexW4387045400

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.