Evidence map›Paper›PMID 42109602›Full record

ArticleO&G open2026

Immunoglobulin G4-Related Disease of the Genitourinary System.

Meryl G Warshafsky, Margaret A Flanigan, Sarah G Bell, Sharon A Kreuer, Erika M Moore, Shannon K Rush

Abstract readCase Reports
In one paragraph

Article in O&G open, 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

6 authors.

Meryl G WarshafskyDivision of Gynecologic Oncology, UPMC Magee-Women's Hospital, and the Department of Radiology, UPMC, Pittsburgh, Pennsylvania; the Division of Gynecologic Oncology, University of Michigan, Ann Arbor, Michigan; and the Department of Pathology, Cleveland Clinic Foundation, Cleveland, Ohio.
Margaret A FlaniganDivision of Gynecologic Oncology, UPMC Magee-Women's Hospital, and the Department of Radiology, UPMC, Pittsburgh, Pennsylvania; the Division of Gynecologic Oncology, University of Michigan, Ann Arbor, Michigan; and the Department of Pathology, Cleveland Clinic Foundation, Cleveland, Ohio.
Sarah G BellDivision of Gynecologic Oncology, UPMC Magee-Women's Hospital, and the Department of Radiology, UPMC, Pittsburgh, Pennsylvania; the Division of Gynecologic Oncology, University of Michigan, Ann Arbor, Michigan; and the Department of Pathology, Cleveland Clinic Foundation, Cleveland, Ohio.
Sharon A KreuerDivision of Gynecologic Oncology, UPMC Magee-Women's Hospital, and the Department of Radiology, UPMC, Pittsburgh, Pennsylvania; the Division of Gynecologic Oncology, University of Michigan, Ann Arbor, Michigan; and the Department of Pathology, Cleveland Clinic Foundation, Cleveland, Ohio.
Erika M MooreDivision of Gynecologic Oncology, UPMC Magee-Women's Hospital, and the Department of Radiology, UPMC, Pittsburgh, Pennsylvania; the Division of Gynecologic Oncology, University of Michigan, Ann Arbor, Michigan; and the Department of Pathology, Cleveland Clinic Foundation, Cleveland, Ohio.
Shannon K RushDivision of Gynecologic Oncology, UPMC Magee-Women's Hospital, and the Department of Radiology, UPMC, Pittsburgh, Pennsylvania; the Division of Gynecologic Oncology, University of Michigan, Ann Arbor, Michigan; and the Department of Pathology, Cleveland Clinic Foundation, Cleveland, Ohio.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundImmunoglobulin G4-related disease (IgG4-RD) is an immune-mediated disease that is often misdiagnosed given its rare incidence and misleading presentation. Prior case studies have described IgG4-RD involving the ovaries, uterus, and bladder. This article describes the first case of vaginal IgG4-RD. CASE: A 76-year-old woman presented with episodes of vaginal spotting, vaginal cuff friability, and benign inflammation on vaginal pathology. She was unsuccessfully treated with topical estrogen and antibiotics. She ultimately was found to have a progressive, obstructive pelvic mass near the vaginal cuff that was surgically excised, with mass pathology showing lymphoplasmacytic disease. The mass recurred and repeat sampling of the vaginal apex confirmed IgG4-RD.

conclusionThis report showcases the novel finding of vaginal IgG4-RD. The patient's decade-long course before diagnosis highlights the challenges in identifying this disease. This case report aims to increase awareness of vaginal IgG4-RD, leading to timely diagnosis and treatment.

Identifiers

PMID42109602
PMCPMC13152221

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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.