Evidence map›Paper›PMID 41462032›Full record

ReviewAmerican journal of hematology2026

Extramedullary Disease-Achilles Heel in Myeloma?

Shaji Kumar, Joshua Richter, Saad Z Usmani, Yael C Cohen, Jing Christine Ye, María-Victoria Mateos, Vania Hungria, Elena Zamagni

Abstract readReview
In one paragraph

Review in American journal of hematology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

6 citing papers in PubMed.

  1. Article
  2. Observational
  3. Review
  4. Article
  5. Article
  6. Extramedullary Disease-Achilles Heel in Myeloma?American journal of hematology · 2026
    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

8 authors.

Shaji KumarMayo Clinic Rochester, Rochester, Minnesota, USA.ORCID 0000-0001-5392-9284
Joshua RichterMount Sinai School of Medicine, New York, New York, USA.ORCID 0000-0002-0274-0585
Saad Z UsmaniMemorial Sloan Kettering Cancer Center, New York, New York, USA.
Yael C CohenTel Aviv Sourasky (Ichilov) Medical Center, Tel Aviv, Israel.ORCID 0000-0002-9061-7287
Jing Christine YeMD Anderson Cancer Center, University of Texas, Houston, Texas, USA.
María-Victoria MateosHospital of Salamanca/IBSAL/CIC/CIBERONC, Salamanca, Spain.
Vania HungriaClinica Médica São Germano, São Paulo, Brazil.ORCID 0000-0002-4327-1957
Elena ZamagniUniversity of Bologna, Bologna, Italy.

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI SELWYN M VICKERS · 1985 to 2026
$347.4M
Johnson & JohnsonNCI NIH HHS P30 CA008748
6 · The paper itself

Abstract

Despite advances in therapy, extramedullary disease (EMD) remains an aggressive form of multiple myeloma associated with poor outcomes. Patients with true EMD, in which plasmacytomas have become completely independent of bone, have a particularly poor prognosis. The pathogenesis of EMD is driven by complex mechanisms involving loss of adhesion molecules, heterogeneous genetic and epigenetic changes, and a solid tumor-like architecture within the microenvironment. Although the introduction of advanced imaging techniques and immunotherapy has led to improved detection and more promising outcomes and regimens, respectively, more prospective studies dedicated to true EMD are needed.

Indexed as

Multiple MyelomaPlasmacytomaHumansPrognosisTumor Microenvironmentbispecific antibodiesimmunotherapyparamedullaryrelapsed myeloma

Identifiers

PMID41462032
PMCPMC12869003

What OpenQuestion holds

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LicenceCC BY
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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.