Evidence map›Paper›PMID 42037884›Full record

ArticleCureus2026

Managing Rectal Adenocarcinoma in a Radiation-Exposed Patient: A Case Report Utilizing the PROSPECT Trial Protocol.

Talal Al-Assil, John Han, Evan Kim, John Seneriches, Nazmul Hasan

Abstract readCase Reports
In one paragraph

Article in Cureus, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Talal Al-AssilOncology, UCI Medical Center, Orange, USA.
John HanOncology, UCI Medical Center, Orange, USA.
Evan KimOncology, UCI Medical Center, Orange, USA.
John SenerichesOncology, UCI Medical Center, Orange, USA.
Nazmul HasanOncology, UCI Medical Center, Orange, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This report describes a 76-year-old woman with newly diagnosed rectal adenocarcinoma and a complex oncologic history, including stage IV cervical cancer previously treated with pelvic chemoradiation, which resulted in significant long-term complications. Given her prior extensive radiation exposure, standard neoadjuvant chemoradiation posed substantial toxicity risks. A chemotherapy-first approach, informed by the PROSPECT trial protocol, was therefore implemented. The patient received neoadjuvant FOLFOX chemotherapy followed by surgical resection, achieving tumor regression and favorable pathological outcomes without additional pelvic radiation. This case illustrates the potential role of a PROSPECT-informed, radiation-sparing strategy in carefully selected patients with locally advanced rectal cancer and prior pelvic irradiation, highlighting the importance of individualized, multidisciplinary treatment planning in complex oncologic scenarios.

Indexed as

cervical cancercolorectal surgeryneoadjuvant chemotherapy (nact)oncology radiationrectal adenocarcinoma

Identifiers

PMID42037884
PMCPMC13105822

What OpenQuestion holds

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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.