Evidence map›Paper›PMID 40475838›Full record

ArticleRespirology case reports2025

Lung Adenocarcinoma With Extensive Vascular Invasion and Retinal Metastasis: A Case Report.

Bassem Alhariri, Arwa Elfatih, Osman Osama Elhassan, Mohamed Elfatih, Aya Mohamed Kheir, Razan Elkhatib

Abstract read
In one paragraph

Article in Respirology case reports, 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

6 authors.

Bassem AlhaririDepartment of Medicine Hamad Medical Corporation Doha Qatar.ORCID https://orcid.org/0000-0002-6858-3375
Arwa ElfatihMedical Education Department Hamad Medical Corporation Doha Qatar.
Osman Osama ElhassanMedical Education Department Hamad Medical Corporation Doha Qatar.
Mohamed ElfatihMedical Education Department Hamad Medical Corporation Doha Qatar.
Aya Mohamed KheirMedical Education Department Hamad Medical Corporation Doha Qatar.
Razan ElkhatibMedical Education Department Hamad Medical Corporation Doha Qatar.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

A 34-year-old Ghanaian male with no past medical history presented to our hospital with dyspnoea, left-sided chest pain, and left-eye visual disturbance. Imaging revealed a large mediastinal mass with vascular invasion, left pleural and skeletal metastases. A lung biopsy confirmed lung adenocarcinoma (LUAD) with mixed solid and lepidic growth patterns, showing 80% PD-L1 expression. Positron emission tomography (PET) identified a highly active lesion in the left eye, suggestive of retinal metastasis. Ophthalmologic evaluation confirmed retinal involvement. Given ROS1 positivity, Crizotinib was initially prescribed but switched to Lorlatinib due to concerns regarding retinal involvement. The patient demonstrated rapid clinical improvement, including notable visual recovery, with stable performance status after 1 month. This case underscores LUAD's potential for atypical metastasis, such as to the retina, necessitating comprehensive assessment and personalised management strategies. The shift from Crizotinib to Lorlatinib highlights the importance of targeted therapy in managing advanced NSCLC with rare metastatic involvement.

Indexed as

lung adenocarcinomanon‐small cell lung cancerretinal metastasistargeted therapyvascular invasion

Identifiers

PMID40475838
PMCPMC12139232

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.