Evidence map›Paper›PMID 39634188›Full record

ReviewFrontiers in endocrinology2024

Practical application of precision oncology in adult onset craniopharyngiomas.

Chandrima Biswas, Guilherme Mansur, Kyle C Wu, Daniel M Prevedello, Luma Ghalib

Abstract readReview
In one paragraph

Review in Frontiers in endocrinology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Review
  3. 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

5 authors.

Chandrima BiswasDepartment of Neurologic Surgery, The Ohio State University Wexner Medical Centre, Columbus, OH, United States.
Guilherme MansurDepartment of Neurologic Surgery, The Ohio State University Wexner Medical Centre, Columbus, OH, United States.
Kyle C WuDepartment of Neurologic Surgery, The Ohio State University Wexner Medical Centre, Columbus, OH, United States.
Daniel M PrevedelloDepartment of Neurologic Surgery, The Ohio State University Wexner Medical Centre, Columbus, OH, United States.
Luma GhalibDivision of Endocrinology, Diabetes and Metabolism, Department of Internal Medicine, The Ohio State University Wexner Medical Centre, Columbus, OH, United States.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Craniopharyngiomas (CPs) are benign and rare tumors found in adults. Their location close to vital neurovascular structures makes traditional treatment modalities (surgery and radiation) challenging and potentially fraught with morbidity. The 2021 WHO classification has divided what was previously considered two subtypes of craniopharyngioma into separate entities. Identification of specific molecular driver mutations in each type- BRAF V600E in papillary craniopharyngiomas (PCP) and CTNNB1 in adamantinomatous craniopharyngiomas (ACP) has resulted in a paradigm shift in the management of adult CPs. Methods: In this study, we describe our experience in treating PCPs with targeted therapy and highlight nuances in management accounting for current evidence. This review also explores the current scope and application of precision oncology in adult CPs including the experience with ongoing trials and prospects for future research. Results: The high prevalence of targetable mutation in cases of PCP and the efficacy of BRAF inhibitors alone or in combination with MEK inhibitors has improved the disease control in these patients. In the current scenario, while surgery is warranted to obtain histopathological diagnosis, radical resection and its associated risks can be avoided. In case of ACPs, dysregulation of multiple pathways has been implicated. This has prompted the use of a variety of targeted therapies with inconsistent outcomes. The results of ongoing and future trials may define its role in management. Conclusion: Precision oncology is a promising addition to the treatment armamentarium of adult CPs.

Indexed as

CraniopharyngiomaMedical OncologyPituitary NeoplasmsPrecision MedicineAdultAge of OnsetHumansMolecular Targeted TherapyMutationProto-Oncogene Proteins B-rafBRAF protein, humanProto-Oncogene Proteins B-rafadamantinomatousBRAFcraniopharyngiomaMEK inhibitorspapillarytargeted therapy

Identifiers

PMID39634188
PMCPMC11615394

What OpenQuestion holds

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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.