Evidence map›Paper›PMID 41622196›Full record

SynthesisJournal of cardiothoracic surgery2026

Clinical characteristics and treatment outcomes in thymoma- related aplastic anemia: a case report and literature review.

Shuxiang Sun, Yuanfeng Zhang, Junjie Ma, Liming Chen, Yan Wang

Abstract readCase ReportsSystematic Review
In one paragraph

Synthesis in Journal of cardiothoracic surgery, 2026. 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.

Shuxiang SunDepartment of Hematology, Yantai Yuhuangding Hospital Affiliated to Qingdao University, 20 Yuhuangding East Road, Shandong Province, 264000, Yantai, China.
Yuanfeng ZhangDepartment of Hematology, Yantai Yuhuangding Hospital Affiliated to Qingdao University, 20 Yuhuangding East Road, Shandong Province, 264000, Yantai, China.
Junjie MaDepartment of Hematology, Yantai Yuhuangding Hospital Affiliated to Qingdao University, 20 Yuhuangding East Road, Shandong Province, 264000, Yantai, China.
Liming Chen *Department of Hematology, Yantai Yuhuangding Hospital Affiliated to Qingdao University, 20 Yuhuangding East Road, Shandong Province, 264000, Yantai, China. sdchenliming@sina.com.
Yan Wang *Department of Hematology, Yantai Yuhuangding Hospital Affiliated to Qingdao University, 20 Yuhuangding East Road, Shandong Province, 264000, Yantai, China. wendy_yantai@163.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Thymoma-related aplastic anemia is a rare entity. This article retrospectively analyzes the clinical features and treatment course of a patient who developed aplastic anemia (AA) post-thymectomy, complemented by a systematic review of relevant literature. A 47-year-old female was diagnosed with thymoma, myasthenia gravis (MG), and severe AA (SAA). SAA onset occurred two weeks after total thymectomy, and the patient ultimately succumbed to concurrent COVID-19 infection following allogeneic hematopoietic stem cell transplantation (allo-HSCT). We also reviewed the clinical characteristics, treatment strategies, and prognosis of 47 thymoma-related aplastic anemia patients reported in the literature. AA may present prior to thymoma diagnosis, concurrently with thymoma, or post-thymectomy. Some patients progress to pure red cell aplasia (PRCA) and/or megakaryocytic aplasia, often following prior chemotherapy or radiotherapy. Similar to Good syndrome and PRCA, thymectomy fails to alleviate AA, and spontaneous improvement is rare. Treatment options for thymoma-related aplastic anemia include cyclosporine A (CsA) monotherapy, CsA combined with glucocorticoids, thrombopoietin receptor agonists (TPO-RAs), and allo-HSCT. However, regimens of cyclophosphamide plus methylprednisolone and glucocorticoid monotherapy show limited efficacy. The overall one-year mortality rate is alarmingly high at 29.8%. For young thymoma-related aplastic anemia patients with SAA and suitable donors, allo-HSCT remains the preferred treatment.

Indexed as

Anemia, AplasticThymectomyThymomaThymus NeoplasmsFatal OutcomeFemaleHematopoietic Stem Cell TransplantationHumansMiddle AgedTreatment Outcome

Identifiers

PMID41622196
PMCPMC12952112

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

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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.