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Cited by 526

The DOI matches its Crossref record; 72 of the 72 references it cites were found in a registry or an index.

Screening for tumours in paraneoplastic syndromes: report of an EFNS Task Force

Open access
Titulaer, M. J., Soffietti, R., Dalmau, J., Gilhus, N. E., Giometto, B., Graus, F., Grisold, W., Honnorat, J., Sillevis Smitt, P. A. E., Tanasescu, R., Vedeler, C. A., Voltz, R., Verschuuren, J. J. G. M.·2011·European Journal of Neurology

Abstract

Background: Paraneoplastic neurological syndromes (PNS) almost invariably predate detection of the malignancy. Screening for tumours is important in PNS as the tumour directly affects prognosis and treatment and should be performed as soon as possible. Objectives: An overview of the screening of tumours related to classical PNS is given. Small cell lung cancer, thymoma, breast cancer, ovarian carcinoma and teratoma and testicular tumours are described in relation to paraneoplastic limbic encephalitis, subacute sensory neuronopathy, subacute autonomic neuropathy, paraneoplastic cerebellar degeneration, paraneoplastic opsoclonus‐myoclonus, Lambert‐Eaton myasthenic syndrome (LEMS), myasthenia gravis and paraneoplastic peripheral nerve hyperexcitability. Methods: Many studies with class IV evidence were available; one study reached level III evidence. No evidence‐based recommendations grade A–C were possible, but good practice points were agreed by consensus. Recommendations: The nature of antibody, and to a lesser extent the clinical syndrome, determines the risk and type of an underlying malignancy. For screening of the thoracic region, a CT‐thorax is recommended, which if negative is followed by fluorodeoxyglucose‐positron emission tomography (FDG‐PET). Breast cancer is screened for by mammography, followed by MRI. For the pelvic region, ultrasound (US) is the investigation of first choice followed by CT. Dermatomyositis patients should have CT‐thorax/abdomen, US of the pelvic region and mammography in women, US of testes in men under 50 years and colonoscopy in men and women over 50. If primary screening is negative, repeat screening after 3–6 months and screen every 6 months up till 4 years. In LEMS, screening for 2 years is sufficient. In syndromes where only a subgroup of patients have a malignancy, tumour markers have additional value to predict a probable malignancy.

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Metadata

Authors
Titulaer, M. J., Soffietti, R., Dalmau, J., Gilhus, N. E., Giometto, B., Graus, F., Grisold, W., Honnorat, J., Sillevis Smitt, P. A. E., Tanasescu, R., Vedeler, C. A., Voltz, R., & Verschuuren, J. J. G. M.
Venue
European Journal of Neurology
Publisher
Wiley
Published
2010-09-29
Volume
18
Issue
1
Pages
19
ISSN
  • 1351-5101 (ISSN-L)
  • 1468-1331
OpenAlex
W2134741840
Cited by
526
References
72
FWCI
16.32
Type
journal article
Language
en
Open access
green

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CoChat. (2026). Citation check: Screening for tumours in paraneoplastic syndromes: report of an EFNS Task Force. https://app.cochat.ai/papers/10.1111/j.1468-1331.2010.03220.x
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Titulaer, M. J., Soffietti, R., Dalmau, J., Gilhus, N. E., Giometto, B., Graus, F., Grisold, W., Honnorat, J., Sillevis Smitt, P. A. E., Tanasescu, R., Vedeler, C. A., Voltz, R., & Verschuuren, J. J. G. M. (2011). Screening for tumours in paraneoplastic syndromes: report of an EFNS Task Force. European Journal of Neurology. https://doi.org/10.1111/j.1468-1331.2010.03220.x

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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.