Evidence map›Paper›PMID 26848585›Full record

ReviewClinical journal of gastroenterology2016

Clinical utility of endoscopic ultrasound-guided fine-needle aspiration in mixed adenoneuroendocrine carcinoma with signet-ring cells of the pancreas: a case report and review of the literature.

Kiichiro Kaji, Jun Seishima, Masatoshi Yamato, Masaki Miyazawa, Takuya Komura, Yohei Marukawa, Hajime Ohta, Satomi Kasashima, Atsuhiro Kawashima, Masaaki Yano and 1 more

Abstract readCase ReportsReview
PubMed Publisher
In one paragraph

Review in Clinical journal of gastroenterology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
3.3field-weighted citation impact, top 8% of its field
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

8 citing papers in PubMed, 23 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Observational
  5. Article
  6. Review
  7. Article
  8. Clinicopathological features and prognosis of gastric mixed adenoneuroendocrine carcinoma.International journal of clinical and experimental pathology · 2018
    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

11 authors at 3 institutions in 1 country.

Kiichiro KajiDepartment of Gastroenterology, National Hospital Organization Kanazawa Medical Center, Kanazawa, Japan. bonchi.tasuke@gmail.com.
Jun SeishimaDepartment of Gastroenterology, National Hospital Organization Kanazawa Medical Center, Kanazawa, Japan.
Masatoshi YamatoDepartment of Gastroenterology, National Hospital Organization Kanazawa Medical Center, Kanazawa, Japan.
Masaki MiyazawaDepartment of Gastroenterology, National Hospital Organization Kanazawa Medical Center, Kanazawa, Japan.
Takuya KomuraDepartment of Gastroenterology, National Hospital Organization Kanazawa Medical Center, Kanazawa, Japan.
Yohei MarukawaDepartment of Gastroenterology, National Hospital Organization Kanazawa Medical Center, Kanazawa, Japan.
Hajime OhtaDepartment of Gastroenterology, National Hospital Organization Kanazawa Medical Center, Kanazawa, Japan.
Satomi KasashimaDepartment of Clinical Laboratory, National Hospital Organization Kanazawa Medical Center, Kanazawa, Japan.
Atsuhiro KawashimaDepartment of Clinical Laboratory, National Hospital Organization Kanazawa Medical Center, Kanazawa, Japan.
Masaaki YanoDepartment of Internal Medicine (Gastroenterology), Toyama Prefectural Central Hospital, Toyama, Japan.
Masashi UnouraDepartment of Gastroenterology, National Hospital Organization Kanazawa Medical Center, Kanazawa, Japan.
Kanazawa Medical Center · JPNational Hospital Organization · JPToyama Prefectural Central Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

A man in his 60s visited our hospital because of a pancreatic head tumor. Endoscopic ultrasound-guided fine needle aspiration (EUS-FNA) revealed that the tumor consisted of a neuroendocrine carcinoma (NEC) and adenocarcinoma, including signet-ring cell carcinoma, and that the ratio of these components was approximately 50:50. Therefore, he was diagnosed with mixed adenoneuroendocrine carcinoma (MANEC). Because of liver and lymph node metastases, systemic chemotherapy was initiated using a regimen for the NEC component based on an increase in neuron-specific enolase (NSE). Although the patient achieved stable disease after two chemotherapy cycles, the tumor increased in size after three cycles, which was associated with a gradual increase in carcinoembryonic antigen and a decrease in NSE level. An EUS-FNA reexamination revealed that the adenocarcinoma component accounted for 90 % of the tumor. Thus, an adenocarcinoma chemotherapy regimen was started, and a slight reduction in tumor size was observed. Here, we report an extremely rare and remarkable case of MANEC of the pancreas that demonstrates the effectiveness of EUS-FNA for helping to decide the chemotherapy regimen.

Indexed as

AgedAntineoplastic Combined Chemotherapy ProtocolsCarcinoma, NeuroendocrineCarcinoma, Signet Ring CellEndoscopic Ultrasound-Guided Fine Needle AspirationHumansMaleMixed Tumor, MalignantMultimodal ImagingPancreatic NeoplasmsPositron-Emission TomographyTomography, X-Ray ComputedEUS-FNAMANECMixed adenoneuroendocrine carcinomaPancreasSignet-ring cell

Identifiers

PMID26848585
OpenAlexW2266714545

What OpenQuestion holds

Textmetadata
Read underepoch 390

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 OpenQuestion graph.