Evidence map›Paper›PMID 40486303›Full record

ArticleCureus2025

Lenvatinib-Associated Vaginal Necrosis and Rectovaginal Fistula After Brachytherapy.

Keiichiro Baba, Taisuke Sumiya, Takashi Saito, Motohiro Murakami, Hideyuki Sakurai

Abstract readCase Reports
In one paragraph

Article in Cureus, 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

5 authors.

Keiichiro BabaRadiation Oncology, University of Tsukuba Hospital, Tsukuba, JPN.
Taisuke SumiyaRadiation Oncology, University of Tsukuba Hospital, Tsukuba, JPN.
Takashi SaitoRadiation Oncology, University of Tsukuba Hospital, Tsukuba, JPN.
Motohiro MurakamiRadiation Oncology, University of Tsukuba Hospital, Tsukuba, JPN.
Hideyuki SakuraiRadiation Oncology, University of Tsukuba Hospital, Tsukuba, JPN.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Lenvatinib and radiotherapy, including brachytherapy, are treatment options for patients with endometrial cancer. However, it is unclear if lenvatinib can induce ulceration and necrosis in patients who have previously received brachytherapy. Here, we describe the case of a 63-year-old woman with endometrial cancer who developed postoperative vaginal wall recurrence and received brachytherapy. One year later, she was given lenvatinib, and two months later, she developed radiation-induced vaginal necrosis, which rapidly progressed to rectovaginal fistula. This case shows that physicians should be aware of the possibility of vaginal necrosis in the administration of lenvatinib to patients who have previously undergone radiotherapy including brachytherapy for the uterus or vagina.

Indexed as

brachytherapyendometrial cancerslenvatinibradiotherapy (rt)rectovaginal fistulavaginal necrosis

Identifiers

PMID40486303
PMCPMC12141625

What OpenQuestion holds

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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.