Evidence map›Paper›PMID 42181329›Full record

ArticleCureus2026

Prostate Cancer Presenting With Isolated Mediastinal Metastasis: A Case Report.

Andrew Sawan, Tiffany Chen, Cameron Bondy, Kambiz Raoufi

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

4 authors.

Andrew SawanInternal Medicine, California University of Science and Medicine, Colton, USA.
Tiffany ChenInternal Medicine, California University of Science and Medicine, Colton, USA.
Cameron BondyInternal Medicine, Arrowhead Regional Medical Center, Colton, USA.
Kambiz RaoufiInternal Medicine, Arrowhead Regional Medical Center, Colton, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Prostate cancer typically metastasizes in a predictable pattern, most commonly to the axial skeleton through Batson's venous plexus with associated regional pelvic lymphadenopathy. Mediastinal lymph node involvement is rare and represents an atypical route of dissemination that may lead to diagnostic uncertainty, particularly when thoracic findings predominate. We present a case of a 56-year-old Hispanic male with no significant past medical history with biopsy-confirmed prostatic adenocarcinoma with hematogenous mediastinal spread. CT imaging revealed extensive mediastinal, retroperitoneal, and pelvic lymphadenopathy with prostatic enlargement. This case highlights mediastinal lymph node metastasis as an uncommon initial manifestation of advanced prostate cancer and underscores the importance of tissue diagnosis in patients presenting with atypical thoracic adenopathy. Recognition of unusual metastatic patterns improves the understanding of tumor biology and may prevent misdiagnosis.

Indexed as

atypical metastasislymph node metastasismediastinal lymphadenopathymediastinal metastasismetastatic prostate cancerprostate adenocarcinomaprostate-specific antigen

Identifiers

PMID42181329
PMCPMC13192382

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.