Evidence map›Paper›PMID 39294582›Full record

ArticleBMC pulmonary medicine2024

Potential for trans-pulmonary tumor markers in the early diagnosis of lung cancer: a case report.

Ken Monahan, Michael Kammer, Yan Ru Su, Wade Iams, Eric Grogan, Fabien Maldonado

Abstract readCase Reports
In one paragraph

Article in BMC pulmonary medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

6 authors.

Ken MonahanDivision of Cardiovascular Medicine, Vanderbilt University Medical Center, 1215 21st Avenue - Medical Center East - 5th Floor, Nashville, TN, 37232, USA. ken.monahan@vumc.org.
Michael KammerDivision of Allergy, Pulmonary, and Critical Care Medicine, Vanderbilt University Medical Center, Nashville, TN, USA.
Yan Ru SuDivision of Cardiovascular Medicine, Vanderbilt University Medical Center, 1215 21st Avenue - Medical Center East - 5th Floor, Nashville, TN, 37232, USA.
Wade IamsDivision of Hematology and Oncology, Vanderbilt University Medical Center, Nashville, TN, USA.
Eric GroganDepartment of Thoracic Surgery, Vanderbilt University Medical Center, Nashville, TN, USA.
Fabien MaldonadoDivision of Allergy, Pulmonary, and Critical Care Medicine, Vanderbilt University Medical Center, Nashville, TN, USA.

Funding

Validation of Biomarkers of Risk for the Early Detection of Lung CancerU01CA152662 · NCI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI DEPPEN, STEPHEN, GROGAN, ERIC L · 2010 to 2025
$12.8M
Interdisciplinary Training Program in Lung ResearchT32HL094296 · NHLBI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI Ray Stokes Peebles · 2008 to 2026
$6.3M
NCI NIH HHS U01 CA152662NHLBI NIH HHS T32 HL094296
6 · The paper itself

Abstract

backgroundMeasurement of tumor markers from peripheral venous blood is an emerging tool to assist in the early diagnosis of lung cancer. Samples from the pulmonary artery and pulmonary artery wedge position (trans-pulmonary samples) are accessible via right-heart catheterization and, by virtue of their proximity to lung tumors, may increase diagnostic yield. CASE PRESENTATION: We report a case of a 64 year-old woman from whom trans-pulmonary samples were obtained and who was diagnosed 16 months later with recurrent metastatic small cell lung cancer. Carcinoembryonic antigen, cytokeratin fragment 21 - 1 (CYFRA), and human epididymis protein 4 (HE4) levels demonstrated increasing concentrations across the pulmonary circulation. These gradients exceeded the assays' coefficient of variation by several-fold. For CYFRA and HE4, pulmonary artery wedge concentrations exceeded peripheral venous levels by more than 10% and peripheral arterial levels were up to 8% higher than peripheral venous levels.

conclusionsEvaluating the feasibility and utility of trans-pulmonary tumor markers for lung cancer diagnosis in a larger cohort should be considered. The addition of a peripheral arterial sample to standard peripheral venous samples may be a more practical alternative.

Indexed as

Biomarkers, TumorEarly Detection of CancerKeratin-19Lung NeoplasmsWAP Four-Disulfide Core Domain Protein 2Antigens, NeoplasmCarcinoembryonic AntigenFemaleHumansMiddle AgedProteinsPulmonary ArterySmall Cell Lung Carcinomaantigen CYFRA21.1Antigens, NeoplasmBiomarkers, TumorCarcinoembryonic AntigenKeratin-19ProteinsWAP Four-Disulfide Core Domain Protein 2WFDC2 protein, humanLung cancerTrans-pulmonary samplesTumor markers

Identifiers

PMID39294582
PMCPMC11409683

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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.