Evidence map›Paper›PMID 40719940›Full record

ArticleSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2025

Understanding fungating tumors: a retrospective study on patient characteristics, wound complications, and management insights.

Ovya Ganesan, Erin Bertagnolli, Joanna Woodman, Elise St Amant, Dennis P Orgill

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Article in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2025. 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
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1 · What the graph read from it

What it found

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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

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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.

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Ovya GanesanBrigham and Women's Hospital, Boston, MA, USA.
Erin BertagnolliBrigham and Women's Hospital, Boston, MA, USA.
Joanna WoodmanBrigham and Women's Hospital, Boston, MA, USA.
Elise St AmantBrigham and Women's Hospital, Boston, MA, USA.
Dennis P OrgillBrigham and Women's Hospital, Boston, MA, USA. dorgill@bwh.harvard.edu.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeChronic fungating tumors inflict profound psychological and physical harm to patients, drastically diminishing their quality of life. However, robust quantitative data characterizing their common issues and survival are scarce. The aim of this study is to better characterize fungating wounds and to suggest management techniques.

methodsWe retrospectively reviewed charts of patients who presented with a fungating tumor at Brigham and Women's Wound Care Center between 2019 and 2024. Patient characteristics and outcomes along with wound presentation and complications were collected.

resultsSixty-two patients fit inclusion criteria. Eighty-one percent were women. Patients presented at an average age of 58. Breast cancer (68%) and melanoma (10%) were the most common etiologies. At initial presentation, patients mostly suffered from wound exudate (90%), necrosis (69%), and pain (52%). After initial presentation, 27% were admitted with sepsis, which was statistically associated with mortality, and 24% experienced bleeding episodes. At the time of this study, 61% of patients are still alive. Those who died survived an average of 309 days after presentation. Kaplan-Meier survival estimates 1-, 2-, and 5-year survival at 71%, 59%, and 51%, respectively.

conclusionPatients may live longer than previously estimated. Emphasizing a palliative, patient-centered approach may significantly enhance quality of life. Further research is essential to advancing evidence-based strategies and optimizing outcomes.

Indexed as

MelanomaWounds and InjuriesAdultAgedAged, 80 and overBreast NeoplasmsFemaleHumansMaleMiddle AgedQuality of LifeRetrospective StudiesCancerFungatingTumorWound

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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.