Evidence map›Paper›PMID 38819480›Full record

ArticleSurgical case reports2024

Sarcomatoid malignant pleural mesothelioma: a case of long-term recurrence-free survival following curative intent surgery alone.

Masatoshi Kanayama, Masaru Takenaka, Katsuma Yoshimatsu, Hiroki Matsumiya, Masataka Mori, Koji Kuroda, Aya Nawata, Manabu Yasuda, Fumihiro Tanaka

Abstract read
In one paragraph

Article in Surgical case reports, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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

1 citing paper in PubMed.

  1. 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.

Masatoshi KanayamaSecond Department of Surgery, University of Occupational and Environmental Health, Japan, Kitakyushu, Japan. masatoshi-kanayama@med.uoeh-u.ac.jp.ORCID http://orcid.org/0000-0001-8812-1787
Masaru TakenakaSecond Department of Surgery, University of Occupational and Environmental Health, Japan, Kitakyushu, Japan.
Katsuma YoshimatsuSecond Department of Surgery, University of Occupational and Environmental Health, Japan, Kitakyushu, Japan.
Hiroki MatsumiyaSecond Department of Surgery, University of Occupational and Environmental Health, Japan, Kitakyushu, Japan.
Masataka MoriSecond Department of Surgery, University of Occupational and Environmental Health, Japan, Kitakyushu, Japan.
Koji KurodaSecond Department of Surgery, University of Occupational and Environmental Health, Japan, Kitakyushu, Japan.
Aya NawataDepartment of Pathology and Oncology, School of Medicine, University of Occupational and Environmental Health, Japan, Kitakyushu, Japan.
Manabu YasudaDepartment of Chest Surgery, Iizuka Hospital, Iizuka, Japan.
Fumihiro TanakaSecond Department of Surgery, University of Occupational and Environmental Health, Japan, Kitakyushu, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCurative intent surgery may be indicated for some patients with resectable early stage malignant pleural mesothelioma (MPM). However, sarcomatoid MPM is a highly aggressive subtype for which curative intent surgery is generally not recommended. CASE PRESENTATION: We present the case of a 63-year-old man who presented with dyspnea and chest tightness. Computed tomography revealed pleural thickening and nodular lesions. A pleural biopsy confirmed lymphohistiocytoid MPM (cT1N0M0, stage IA), prompting surgical intervention. The patient underwent left extrapleural pneumonectomy (EPP), and the final diagnosis was sarcomatoid MPM (pT2N0M0, stage IB). Although post-operative chemotherapy was planned, the patient refused additional treatment, because of the introduction of home oxygen therapy, and has remained recurrence-free for 10 years after the surgery.

conclusionsThis case presents a noteworthy instance of achieving long-term recurrence-free survival solely through curative intent surgery for sarcomatoid MPM. It highlights the potential efficacy of surgical intervention in managing this aggressive subtype, offering a glimmer of hope for improved outcomes. Further research is warranted to better define the role of surgery in the treatment of sarcomatoid MPM.

Indexed as

Malignant pleural mesotheliomaSarcomatoid subtypeSurgery

Identifiers

PMID38819480
PMCPMC11143114

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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.