Evidence map›Paper›PMID 41378362›Full record

ArticleRespirology case reports2025

From Inoperable to Remission: Complete Response in Advanced Thymoma B3 With Immunotherapy-A Case Report.

Dharmaning Estu Wirastyo, Isnin Anang Marhana, Alfian Nur Rosyid

Abstract read
In one paragraph

Article in Respirology case reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Article
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

3 authors.

Dharmaning Estu WirastyoDepartment of Pulmonology and Respiratory Medicine, Faculty of Medicine Universitas Airlangga - Dr. Soetomo General Academic Hospital Surabaya Indonesia.
Isnin Anang MarhanaDepartment of Pulmonology and Respiratory Medicine, Faculty of Medicine Universitas Airlangga - Dr. Soetomo General Academic Hospital Surabaya Indonesia.ORCID https://orcid.org/0000-0002-4627-0511
Alfian Nur RosyidDepartment of Pulmonology and Respiratory Medicine, Faculty of Medicine Universitas Airlangga - Dr. Soetomo General Academic Hospital Surabaya Indonesia.ORCID https://orcid.org/0000-0001-7042-996X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Thymoma is a rare thymic epithelial tumour, often detected incidentally on imaging. We report a 30-year-old female presenting with cough and chest discomfort, whose evaluation revealed a large anterior mediastinal mass compressing the heart and superior vena cava. Histopathology confirmed type B3 thymoma. The patient underwent thymectomy with residual disease, followed by adjuvant radiotherapy and prolonged pembrolizumab immunotherapy. Serial imaging demonstrated marked tumour regression, with residual metabolically inactive tissue on PET scan, consistent with non-viable remnants. This favourable outcome is notable given the incomplete (R2) resection, where prognosis is typically poor. The case illustrates the effectiveness of a multimodal approach incorporating immune checkpoint blockade in advanced thymoma, an area with limited clinical evidence. Reports on pembrolizumab use after incomplete thymectomy remain limited in the global literature, and this case highlights its potential role in extending disease control and improving outcomes in aggressive thymoma.

Indexed as

case reportpembrolizumabradiotherapysurgerythymoma

Identifiers

PMID41378362
PMCPMC12685759

What Socratic holds

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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 Socratic graph.