Evidence map›Paper›PMID 39839606›Full record

ArticleOncology letters2025

Preoperative pembrolizumab‑induced hemophagocytic lymphohistiocytosis in a patient with breast cancer: A case report.

Yukino Kawamura, Akihiko Shimomura, Tomoko Taniyama, Hoshie Hirai, Kazuki Hashimoto, Yayoi Honda, Dai Kitagawa, Ryo Nasu, Hiroshi Shimazu, Akira Hangaishi and 1 more

Abstract readCase Reports
In one paragraph

Article in Oncology letters, 2025. 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. Review
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

11 authors.

Yukino KawamuraDepartment of Breast Medical Oncology, National Center for Global Health and Medicine, Tokyo 162-8655, Japan.
Akihiko ShimomuraDepartment of Breast Medical Oncology, National Center for Global Health and Medicine, Tokyo 162-8655, Japan.
Tomoko TaniyamaDepartment of Breast Medical Oncology, National Center for Global Health and Medicine, Tokyo 162-8655, Japan.
Hoshie HiraiDepartment of Breast Surgery, National Center for Global Health and Medicine, Tokyo 162-8655, Japan.
Kazuki HashimotoDepartment of Breast Surgery, National Center for Global Health and Medicine, Tokyo 162-8655, Japan.
Yayoi HondaDepartment of Breast Surgery, National Center for Global Health and Medicine, Tokyo 162-8655, Japan.
Dai KitagawaDepartment of Breast Surgery, National Center for Global Health and Medicine, Tokyo 162-8655, Japan.
Ryo NasuDepartment of Hematology, National Center for Global Health and Medicine, Tokyo 162-8655, Japan.
Hiroshi ShimazuDepartment of Hematology, National Center for Global Health and Medicine, Tokyo 162-8655, Japan.
Akira HangaishiDepartment of Hematology, National Center for Global Health and Medicine, Tokyo 162-8655, Japan.
Chikako ShimizuDepartment of Breast Medical Oncology, National Center for Global Health and Medicine, Tokyo 162-8655, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Recently, the anti-programmed cell death protein 1 antibody pembrolizumab, a type of immune checkpoint inhibitor (ICI), has been used in preoperative systemic chemotherapy for hormone receptor and human epidermal growth factor 2-negative breast cancer, also known as triple-negative breast cancer (TNBC). Chemotherapy with pembrolizumab has demonstrated clinical activity in terms of pathologic complete response and event-free survival. Despite their efficacy, the current understanding of the full spectrum of side effects associated with relatively new ICIs remains incomplete. The present study describes a case of severe pembrolizumab-induced hemophagocytic lymphohistiocytosis in a patient with early-stage TNBC, and the strategies used to manage the patient in light of their pathophysiology.

Indexed as

hemophagocytic lymphohistiocytosisimmune checkpoint inhibitorsecondary hemophagocytic lymphohistiocytosis

Identifiers

PMID39839606
PMCPMC11747951

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.