Evidence map›Paper›PMID 40717694›Full record

ArticleRespirology case reports2025

Central Airway Recanalisation Using Dual Debulking With Para-Toluenesulfonamide (CLEAR-DUAL-PTS).

Chen Yong Tan, Hui-Xin Tan, Yen Shen Wong, Sumithra Appava, Shoban Raj Vasudayan, Noriah Othman, Swee Wei Leong, Mona Zaria Nasaruddin, Jamalul Azizi Abdul Rahaman

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 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. 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

9 authors.

Chen Yong TanPulmonology Department Hospital Sultan Idris Shah Serdang Malaysia.ORCID https://orcid.org/0000-0002-3149-4328
Hui-Xin TanPulmonology Department Hospital Sultan Idris Shah Serdang Malaysia.
Yen Shen WongPulmonology Department Hospital Sultan Idris Shah Serdang Malaysia.ORCID https://orcid.org/0000-0001-9032-2254
Sumithra AppavaPulmonology Department Hospital Sultan Idris Shah Serdang Malaysia.
Shoban Raj VasudayanPulmonology Department Hospital Sultan Idris Shah Serdang Malaysia.
Noriah OthmanPathology Department Hospital Sultan Idris Shah Serdang Malaysia.
Swee Wei LeongPulmonology Department Hospital Sultan Idris Shah Serdang Malaysia.
Mona Zaria NasaruddinPulmonology Department Hospital Sultan Idris Shah Serdang Malaysia.
Jamalul Azizi Abdul RahamanPulmonology Department Hospital Sultan Idris Shah Serdang Malaysia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Pulmonary adenoid cystic carcinoma (PACC) is a rare salivary gland-type malignancy of the tracheobronchial tree, accounting for 0.04%-0.2% of primary lung cancers. It may cause severe malignant airway obstruction (SMAO), necessitating urgent intervention. Surgical resection remains the primary treatment, but inoperability or patient preference may require alternative strategies. We report a case of a 57-year-old non-smoking female with PACC-SMAO who presented with total left lung collapse due to left main bronchus (LMB) involvement. She declined surgery and underwent bronchoscopic dual debulking combining electrocautery snaring with repeated intratumoural para-toluenesulfonamide (PTS) injections. The intervention safely reduced tumour burden, restored airway patency, and significantly improved clinical and radiological outcomes without adverse events. Our case underscores PTS as a promising adjunct therapy for inoperable PACC-SMAO, warranting further investigation into its long-term efficacy and optimal dosing. This innovative approach may significantly redefine palliative care options.

Indexed as

central airway obstructionpara‐toluenesulfonamide (PTS)pulmonary adenoid cystic carcinoma (PACC)

Identifiers

PMID40717694
PMCPMC12290475

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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.