Evidence map›Paper›PMID 40487560›Full record

ArticleCase reports in oncology

Primary Mediastinal Large B-cell Lymphoma: A Diagnostic Conundrum.

Yazan Alrefai, Shruti Wadhwani, Nikita Wadhwani, Ayrton Bangolo, Jason Mizrahi, Tatyana Feldman

Abstract readCase Reports
In one paragraph

Article in Case reports in oncology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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.

Yazan AlrefaiInternal Medicine, University of Kentucky College of Medicine, Lexington, KY, USA.
Shruti WadhwaniInternal Medicine, Hackensack Meridian Health Palisades Medical Center, North Bergen, NJ, USA.
Nikita WadhwaniInternal Medicine, Hackensack Meridian Health Palisades Medical Center, North Bergen, NJ, USA.
Ayrton BangoloHematology and Oncology, John Theurer Cancer Center at Hackensack University Medical Center, Hackensack, NJ, USA.
Jason MizrahiInternal Medicine, Touro College of Osteopathic Medicine, New York, NY, USA.
Tatyana FeldmanHematology and Oncology, John Theurer Cancer Center at Hackensack University Medical Center, Hackensack, NJ, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Primary mediastinal large B-cell lymphoma (PMBCL) is a rare and aggressive non-Hodgkin lymphoma originating from mediastinal thymic B cells. Its peculiar molecular signature assists in differentiating it from other subtypes of non-Hodgkin lymphoma. Case Report: We present a rare case of PMBCL in a 39-year-old male with a bulky mediastinal mass that resulted in superior vena cava thrombosis and cardiac tamponade. Diagnostic discordance between histopathological and molecular data led to a delay in interception of this entity. Histopathology findings were suggestive of spindle-cell neoplasm. Contrastingly, next-generation sequencing (NGS) and immunohistochemistry (IHC) yielded a molecular diagnosis of PMBCL. IHC staining revealed that the atypical cells were positive for CD20, PAX5, CD79a, CD30, CD23, MUM1, and weakly positive for MAL (myelin and lymphocyte) protein. NGS showed increased expression of TNFRSF8 and CD274 genes, which encode CD30 and PDL1 proteins, respectively. The patient was successfully treated with the R-Hyper-CVAD protocol without consolidative radiotherapy. Conclusion: Diagnosing PMBCL can be challenging because it lacks pathognomonic features and shares characteristics with other lymphomas. Molecular testing is of paramount importance in this context owing to its distinctive immunophenotype.

Indexed as

B-cell lymphomaDiffuse large B-cell lymphomaNon-Hodgkin lymphomaPrimary mediastinal large B-cell lymphomaR-Hyper-CVAD

Identifiers

PMID40487560
PMCPMC12143869

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.