Evidence mapPaperPMID 41322820Full record

ArticleCureus2025

Atypical Teratoid/Rhabdoid Tumor of the Sellar Region in an Elderly Patient: A Case Report and Literature Review.

Jessica Thomas, Roshan Afshan, Precious Idogun, Waqqas Tai, Daniel Ezekwudo, Joseph Fullmer, Ishmael Jaiyesimi

Abstract readCase Reports
In one paragraph

Article in Cureus, 2025. 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

7 authors.

Jessica ThomasHematology and Oncology, Corewell Health William Beaumont University Hospital, Royal Oak, USA.
Roshan AfshanInternal Medicine, Detroit Medical Center/Wayne State University/Sinai Grace Hospital, Detroit, USA.
Precious IdogunHematology and Oncology, Corewell Health William Beaumont University Hospital, Royal Oak, USA.
Waqqas TaiHematology and Oncology, Corewell Health William Beaumont University Hospital, Royal Oak, USA.
Daniel EzekwudoHematology and Oncology, Corewell Health William Beaumont University Hospital, Royal Oak, USA.
Joseph FullmerPathology, Corewell Health William Beaumont University Hospital, Royal Oak, USA.
Ishmael JaiyesimiHematology and Oncology, Corewell Health William Beaumont University Hospital, Royal Oak, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Atypical teratoid/rhabdoid tumor (ATRT) is a rare and highly malignant central nervous system (CNS) neoplasm, most commonly diagnosed in children and only infrequently reported in older adults. Classified as a World Health Organization (WHO) grade IV tumor, ATRT carries a poor prognosis and typically requires aggressive, multimodal treatment. Management in elderly patients is particularly challenging due to comorbidities, a lack of evidence-based guidelines, and heightened risk of treatment-related toxicity. We report the case of a 75-year-old woman with hypertension and hyperlipidemia who presented with progressive dizziness, headache, and blurry vision. Imaging revealed a pituitary macroadenoma compressing the optic chiasm. Following transsphenoidal hypophysectomy, histopathology unexpectedly confirmed ATRT, CNS WHO grade IV. The patient initiated craniospinal radiation and systemic chemotherapy; however, her course was complicated by severe thrombocytopenia, critical illness myopathy, and persistent encephalopathy attributed to prolonged steroid use and metabolic derangements. Interval imaging demonstrated stable disease with reduced mass effect on the optic chiasm. Due to poor treatment tolerance, radiation therapy was discontinued after 26 sessions, and she was discharged to rehabilitation with plans for continued chemotherapy. Unfortunately, her condition further deteriorated due to treatment-related complications, and she ultimately passed away under hospice care. This case underscores the diagnostic and therapeutic challenges of ATRT in older adults, a population for whom standard pediatric-based regimens may be excessively toxic. It highlights the need for individualized, patient-centered treatment strategies that prioritize disease control, treatment tolerance, functional status, and quality of life.

Indexed as

atypical teratoid/rhabdoid tumorconcurrent chemoradiation therapygross total resection (gtr)sellar atypical teratoid/rhabdoid tumorsystemic chemotherapy

Identifiers

PMID41322820
PMCPMC12664748

What Socratic 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 Socratic graph.