Evidence map›Paper›PMID 39769079›Full record

ArticleInternational journal of molecular sciences2024

Precision Oncology Approach for Urachal Carcinoma: A Clinical Case Report.

Dániel Juhász, Anita Csizmarik, János Szalontai, Attila Keszthelyi, Bálint Dér, András Kubik, Miklós Szűcs, István Kenessey, Iris E Ertl, Walter Berger and 4 more

Abstract readCase Reports
In one paragraph

Article in International journal of molecular sciences, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

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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

14 authors.

Dániel JuhászDepartment of Urology, Semmelweis University, Üllői Street 78/b, H-1082 Budapest, Hungary.
Anita CsizmarikDepartment of Urology, Semmelweis University, Üllői Street 78/b, H-1082 Budapest, Hungary.
János SzalontaiDepartment of Urology, Semmelweis University, Üllői Street 78/b, H-1082 Budapest, Hungary.
Attila KeszthelyiDepartment of Urology, Semmelweis University, Üllői Street 78/b, H-1082 Budapest, Hungary.
Bálint DérDepartment of Urology, Semmelweis University, Üllői Street 78/b, H-1082 Budapest, Hungary.
András KubikDepartment of Urology, Semmelweis University, Üllői Street 78/b, H-1082 Budapest, Hungary.ORCID 0000-0001-6901-9701
Miklós SzűcsDepartment of Urology, Semmelweis University, Üllői Street 78/b, H-1082 Budapest, Hungary.
István KenesseyDepartment of Pathology, Forensic and Insurance Medicine, Semmelweis University, H-1082 Budapest, Hungary.ORCID 0000-0002-6963-8489
Iris E ErtlDepartment of Urology, Medical University of Vienna, Comprehensive Cancer Center, A-1090 Vienna, Austria.ORCID 0000-0002-7564-9694
Walter BergerCenter for Cancer Research, Medical University of Vienna, Comprehensive Cancer Center, A-1090 Vienna, Austria.ORCID 0000-0003-0014-1658
Bernhard EnglingerDepartment of Urology, Medical University of Vienna, Comprehensive Cancer Center, A-1090 Vienna, Austria.
Shahrokh F ShariatDepartment of Urology, Medical University of Vienna, Comprehensive Cancer Center, A-1090 Vienna, Austria.ORCID 0000-0002-6627-6179
Péter NyirádyDepartment of Urology, Semmelweis University, Üllői Street 78/b, H-1082 Budapest, Hungary.
Tibor SzarvasDepartment of Urology, Semmelweis University, Üllői Street 78/b, H-1082 Budapest, Hungary.

Funding

Ministry for Innovation and Technology, National Research Development and Innovation Fund K139059
6 · The paper itself

Abstract

Urachal cancer (UrC) is a rare disease which is mostly diagnosed late due to symptoms caused by its local invasion to the urinary bladder. Given the lack of clinical trials and guideline recommendations for systemic treatment, a molecularly informed precision oncology approach is a viable option for UrC already in the early lines of systemic treatment. While single case experiences may provide valuable reference for later decision-making, well-documented clinical experience with off-label targeted treatments is limited to a few patients. Here, we report a case of a 31-year-old female UrC patient who underwent intensive therapy with three surgeries and five lines of systemic treatments, including chemo-, checkpoint inhibitor and tyrosine kinase inhibitor therapies. In addition, next-generation sequencing (NGS) analysis and an ex vivo drug-screening analysis were performed on patient-derived tumor cells and the results were implemented into the therapeutic decision-making. Finally, serum carcinoembryonic antigen (CEA) levels proved to be helpful for therapy monitoring during the whole follow-up period.

Indexed as

Precision MedicineUrinary Bladder NeoplasmsAdultFemaleHigh-Throughput Nucleotide SequencingHumanscarcinoembryonic antigen (CEA)chemotherapyDNA sequencingdrug screeningimmune checkpoint inhibitor (ICI) therapytargeted therapyUrachal carcinoma

Identifiers

PMID39769079
PMCPMC11678524

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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.