Evidence map›Paper›PMID 38982482›Full record

ReviewJournal of medical case reports2024

Central nervous system involvement in chronic lymphocytic leukemia: a case report and review of literature.

Li-Yuan Qin, Ye Geng, Jian-Feng Mu, Wen-Jun Wang, Cai-Xia Zhang, Yi-Nan Gao, Jian-Xia He

Abstract readCase ReportsReview
In one paragraph

Review in Journal of medical case reports, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing 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

8 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. Article
  5. Article
  6. Article
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  8. 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

7 authors.

Li-Yuan Qin *Department of Hematology, Shanxi Provincial People's Hospital, Taiyuan, 030012, China.
Ye Geng *Department of Hematology, Shanxi Provincial People's Hospital, Taiyuan, 030012, China.
Jian-Feng Mu *Department of Medicine, Shanxi Vocational College of Tourism, Taiyuan, 030091, China.
Wen-Jun WangDepartment of Hematology, Shanxi Provincial People's Hospital, Taiyuan, 030012, China.
Cai-Xia ZhangDepartment of Hematology, Shanxi Provincial People's Hospital, Taiyuan, 030012, China.
Yi-Nan GaoDepartment of Hematology, Shanxi Provincial People's Hospital, Taiyuan, 030012, China.
Jian-Xia HeDepartment of Hematology, Shanxi Provincial People's Hospital, Taiyuan, 030012, China. hejianxia125@163.com.

Funding

Applied Basic Research Key Project of Yunnan 201901D111435
6 · The paper itself

Abstract

backgroundCentral nervous system involvement in chronic lymphocytic leukemia rarely occurs, and there is no standard therapy for central nervous system involvement in chronic lymphocytic leukemia. This article aims to analyze the diagnosis and treatment of central nervous system involvement in chronic lymphocytic leukemia. CASE PRESENTATION: It reports two cases of central nervous system involvement in chronic lymphocytic leukemia describing the clinical course, therapy, and prognosis. Case 1 is a 67-year-old Asian male patient, he experienced complications with central nervous system involvement after developing resistance to ibrutinib, bendamustine, and rituximab (BR) chemotherapies. The central nervous system lesion was controlled with high-dose methotrexate combined with pomalidomide, but Richter transformation occurred several months later. Case 2 is a 62-year-old Asian female patient, she had central nervous system involvement at initial diagnosis, and bone marrow and central nervous system lesions were controlled by ibrutinib therapy.

conclusionCentral nervous system involvement in chronic lymphocytic leukemia is rare and can be diagnosed on the basis of clinical features, cerebrospinal fluid testing, and radiographic evaluation. Ibrutinib, pomalidomide, and other drugs that can cross the blood-brain barrier may be effective for treating central nervous system involvement in chronic lymphocytic leukemia.

Indexed as

AdenineLeukemia, Lymphocytic, Chronic, B-CellPiperidinesThalidomideAgedAntineoplastic Combined Chemotherapy ProtocolsCentral Nervous System NeoplasmsFemaleHumansMaleMethotrexateMiddle AgedPyrazolesPyrimidinesAdenineibrutinibMethotrexatePiperidinespomalidomidePyrazolesPyrimidinesThalidomideCentral nervous systemChronic lymphocytic leukemiaIbrutinibPomalidomide

Identifiers

PMID38982482
PMCPMC11234772

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Registered trials

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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.