Evidence map›Paper›PMID 42518341›Full record

ArticleFrontiers in pharmacology2026

Sacituzumab tirumotecan in an advanced HR+/HER2-breast cancer patient with bone marrow metastasis-induced refractory thrombocytopenia: a case report and literature review.

Jing Han, Juwei Gao, Fei Dou, Yinyin Ying, Zhaoyi Xu, Hairu Mao, Weiping Zhang, Qinglin Zhang

Abstract readCase Reports
In one paragraph

Article in Frontiers in pharmacology, 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

8 authors.

Jing Han *Zhejiang Chinese Medical University, Hangzhou, China.
Juwei Gao *The Third Affiliated Hospital of Zhejiang Chinese Medical University, Hangzhou, China.
Fei Dou *Zhejiang Chinese Medical University, Hangzhou, China.
Yinyin YingThe Third Affiliated Hospital of Zhejiang Chinese Medical University, Hangzhou, China.
Zhaoyi XuZhejiang Chinese Medical University, Hangzhou, China.
Hairu MaoZhejiang Chinese Medical University, Hangzhou, China.
Weiping ZhangThe Third Affiliated Hospital of Zhejiang Chinese Medical University, Hangzhou, China.
Qinglin ZhangThe Third Affiliated Hospital of Zhejiang Chinese Medical University, Hangzhou, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Bone marrow metastasis (BMM) is an adverse prognostic factor in advanced breast cancer and may cause severe myelosuppression, particularly refractory thrombocytopenia, thereby limiting systemic therapy. Sacituzumab tirumotecan (sac-TMT) is a Trop-2-directed antibody-drug conjugate (ADC), but evidence for its use in patients with severe thrombocytopenia and compromised bone marrow reserve remains limited. We report a real-world case of sac-TMT use in this challenging clinical setting and discuss relevant considerations regarding ADC resistance and treatment sequencing. Case Presentation: A 62-year-old postmenopausal woman (BMI: 16.23 kg/m Conclusion: Sac-TMT combined with intensive hematologic supportive care was feasible in this heavily pretreated HR+/HER2 - breast cancer patient with BMM-induced refractory thrombocytopenia. Platelet stabilization, reduced transfusion dependence, and clinical disease stability were observed before PET-CT-confirmed progression. Further case series and prospective studies are needed to validate the feasibility and safety of this approach in similar high-risk patients.

Indexed as

antibody–drug conjugatebone marrow metastasesbreast cancersac-TMTthrombocytopeniatrop-2

Identifiers

PMID42518341
PMCPMC13381504

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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.