Evidence map›Paper›PMID 42499721›Full record

ArticleJPGN reports2026

Myeloid sarcoma presenting as an isolated pancreatic mass in a 3-year-old child.

Jappmann Kaur Monga, Cara L Mack, Michelle Saad, Dylan Applin, Maisam Abu-El-Haija, David Vitale, Zachary Graff, Gila Ginzburg

Abstract read
In one paragraph

Article in JPGN reports, 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

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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

8 authors.

Jappmann Kaur MongaDepartment of Pediatrics, Division of Pediatric Gastroenterology, Hepatology & Nutrition Medical College of Wisconsin Milwaukee Wisconsin USA.ORCID https://orcid.org/0009-0005-9433-1824
Cara L MackDepartment of Pediatrics, Division of Pediatric Gastroenterology, Hepatology & Nutrition Medical College of Wisconsin Milwaukee Wisconsin USA.
Michelle SaadDepartment of Pediatrics, Division of Gastroenterology, Hepatology & Nutrition, Cincinnati Children's Hospital Medical Center Cincinnati College of Medicine Cincinnati Ohio USA.
Dylan ApplinDepartment of Radiology, Children's Wisconsin Medical College of Wisconsin Milwaukee Wisconsin USA.
Maisam Abu-El-HaijaDepartment of Pediatrics, Division of Gastroenterology, Hepatology & Nutrition, Cincinnati Children's Hospital Medical Center Cincinnati College of Medicine Cincinnati Ohio USA.
David VitaleDepartment of Pediatrics, Division of Gastroenterology, Hepatology & Nutrition, Cincinnati Children's Hospital Medical Center Cincinnati College of Medicine Cincinnati Ohio USA.
Zachary GraffDepartment of Pediatrics, Division of Pediatric Hematology, Oncology and Stem-Cell Transplantation Medical College of Wisconsin Wauwatosa Wisconsin USA.
Gila GinzburgDepartment of Pediatrics, Division of Pediatric Gastroenterology, Hepatology & Nutrition Medical College of Wisconsin Milwaukee Wisconsin USA.ORCID https://orcid.org/0009-0007-5211-4105

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Myeloid sarcoma (MS) is an extramedullary tumor of myeloid precursor cells, frequently associated with acute myeloid leukemia (AML), and rarely occurring in isolation. We present a child with obstructive jaundice secondary to a pancreatic head mass. Initial imaging was consistent with pancreatic hematoma; however, continued symptoms led to endoscopic ultrasound (EUS)-guided biopsies that raised concern for autoimmune pancreatitis. Further histological and cytogenetic analysis confirmed pancreatic MS associated with a RUNX1::RUNX1T1 fusion. Bone marrow evaluation was negative by conventional diagnostic methods; however, reverse transcriptase with qualitative real-time polymerase chain reaction (RT-qPCR) detected RUNX1::RUNX1T1 transcripts. Chemotherapy achieved both radiologic resolution and disappearance of RUNX1::RUNX1T1 transcripts within the bone marrow. This represents one of the first reported cases of isolated pancreatic MS in a child, without progression to AML. Our case highlights the diagnostic challenges of pancreatic masses, the underutilization of EUS-guided biopsy in pediatrics, and the use of RT-qPCR for both diagnosis and disease resolution.

Indexed as

endoscopic retrograde cholangiopancreatography (ERCP)endoscopic ultrasoundextramedullary tumorobstructive jaundice

Identifiers

PMID42499721
PMCPMC13398446

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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.