Evidence map›Paper›PMID 40071856›Full record

ReviewCancer reports (Hoboken, N.J.)2025

Spleen Involvement at Diagnosis of Multiple Myeloma: A Case Report and Literature Review.

Alessia Fiorini, Maria Gabriela Chavez, Valentina Panichi, Marco Dell'Aquila, Valentina Ranucci, Daniele Remotti, Michela Tarnani, Marco Montanaro, Roberto Latagliata, Alessandro Andriani

Abstract readCase ReportsReview
In one paragraph

Review in Cancer reports (Hoboken, N.J.), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

10 authors.

Alessia FioriniUOC Haematology, ASL Viterbo-Santa Rosa Hospital, Viterbo, Italy.
Maria Gabriela ChavezService of Transfusional Medicine, ASL Viterbo-Santa Rosa Hospital, Viterbo, Italy.
Valentina PanichiUOC Clinical Diagnostic, Cytofluorimetric Laboratory, ASL Viterbo-Santa Rosa Hospital, Viterbo, Italy.
Marco Dell'AquilaUOC Anatomopathology, ASL Viterbo-Santa Rosa Hospital, Viterbo, Italy.
Valentina RanucciUOC Anatomopathology, ASL Viterbo-Santa Rosa Hospital, Viterbo, Italy.
Daniele RemottiUOC Anatomopathology, ASL Viterbo-Santa Rosa Hospital, Viterbo, Italy.
Michela TarnaniUOC Haematology, ASL Viterbo-Santa Rosa Hospital, Viterbo, Italy.
Marco MontanaroUOC Haematology, ASL Viterbo-Santa Rosa Hospital, Viterbo, Italy.
Roberto LatagliataUOC Haematology, ASL Viterbo-Santa Rosa Hospital, Viterbo, Italy.ORCID 0000-0002-7741-862X
Alessandro AndrianiUOC Haematology, ASL Viterbo-Santa Rosa Hospital, Viterbo, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMultiple myeloma (MM) is more often characterized by clonal plasma cell proliferation restricted to the bone marrow. However, a small percentage of patients with MM develop extramedullary disease (EMD): this type of localization is found in 1.7%-4.5% of the newly diagnosed MM (ND/MM) and in 3.4%-10% of patients with relapsed or refractory disease (RR/MM) and seems to have a bad prognostic impact. In the present report, we describe a very rare case of splenic involvement in a patient with ND/MM. CASE: A 72-year-old female was referred to Santa Rosa Hospital of Viterbo in June 2022 with asthenia and abdominal pain. At physical examination, spleen enlargement was detected, with anemia (Hb 10.5 g/dL) and thrombocytopenia (48 × 10

conclusionsOur very rare case of ND/MM with spleen involvement confirms the aggressive behaviour of EMD, with negative prognostic factors (p53 mutation) and failure to frontline highly effective therapy. In the other few cases of spleen involvement reported, however, there were only scarce details about response: as a consequence, collection of similar cases is warranted to fully understand clinical features and possible alternative approaches for these extremely rare patients.

Indexed as

Antineoplastic Combined Chemotherapy ProtocolsMultiple MyelomaSpleenSplenic NeoplasmsAgedFemaleHumansPositron Emission Tomography Computed Tomography

Identifiers

PMID40071856
PMCPMC11898006

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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.