Evidence map›Paper›PMID 40349135›Full record

ArticleThe oncologist2025

Sarcoid-like reactions in patients treated with checkpoint inhibitors for advanced solid tumors.

Ian Nykaza, Yonina R Murciano-Goroff, Antoine Desilets, Guilherme Harada, Michael A Postow, Margaret K Callahan, Chung-Han Lee, Charles M Rudin, David Paul Kelsen, Zsofia K Stadler and 4 more

Abstract read
In one paragraph

Article in The oncologist, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing 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

8 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
  4. Article
  5. Pulmonary toxicity of immune checkpoint inhibitors.Breathe (Sheffield, England) · 2026
    Review
  6. Article
  7. Article
  8. 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

14 authors.

Ian NykazaDepartment of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY 10065, United States.ORCID 0000-0001-9620-8276
Yonina R Murciano-GoroffDepartment of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY 10065, United States.
Antoine DesiletsDepartment of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY 10065, United States.
Guilherme HaradaDepartment of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY 10065, United States.
Michael A PostowDepartment of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY 10065, United States.
Margaret K CallahanDepartment of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY 10065, United States.
Chung-Han LeeDepartment of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY 10065, United States.
Charles M RudinDepartment of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY 10065, United States.
David Paul KelsenDepartment of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY 10065, United States.
Zsofia K StadlerDepartment of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY 10065, United States.
Andreas G WibmerDepartment of Radiology, Memorial Sloan Kettering Cancer Center, New York, NY 10065, United States.
Jaclyn F HechtmanDepartment of Pathology, Memorial Sloan Kettering Cancer Center, New York, NY 10065, United States.
Alexander DrilonDepartment of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY 10065, United States.ORCID 0000-0001-6806-9061
Claire F FriedmanDepartment of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY 10065, United States.

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Hongbiao Carl Lekaye · 1985 to 2026
$347.4M
NCI NIH HHS P30 CA008748NIH HHS
6 · The paper itself

Abstract

importanceWhile new intrathoracic adenopathy in a patient with cancer can represent progression of disease, the differential diagnosis is broad. Sarcoid-like reactions (SLR) remain an underreported source of lymphadenopathy in patients treated with immune checkpoint inhibitors (ICI), with limited reports in patients with cancers other than melanoma.

objectiveTo characterize SLRs among patients treated with ICI for advanced solid tumors.

methodsData were collected on the clinical, pathologic, and radiographic presentation of patients treated with ICI who developed clinical or imaging findings suggestive of an SLR, including the presence of hilar or mediastinal lymphadenopathy, cutaneous/subcutaneous involvement, and/or worsening of existing sarcoidosis on ICI.

resultsTwelve patients were identified as having experienced an SLR. While 6 patients had melanoma, SLRs were also observed among patients with lung, gynecologic, and genitourinary cancers, including high-grade serous ovarian carcinoma, and an angiomyolipoma. Median time from initiation of ICI to diagnosis of an SLR was 3.4 months (range: 1.8-9.1). All but one patient (92%) were deemed to have had a radiographic response to ICI. CONCLUSIONS AND RELEVANCE: Clinicians should maintain the awareness of the possibility of SLRs in patients receiving ICI, particularly in patients whose scans show evidence of "mixed" response, with decreases in certain lesions coupled with new/increasing intrathoracic lymphadenopathy and/or other systemic signs of sarcoid.

Indexed as

Immune Checkpoint InhibitorsLymphadenopathyNeoplasmsSarcoidosisAdultAgedAged, 80 and overFemaleHumansMaleMelanomaMiddle AgedImmune Checkpoint Inhibitorsimmune checkpoint inhibitorsimmunotherapysarcoid-like reactionsarcoidosis

Identifiers

PMID40349135
PMCPMC12065934

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

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.