Evidence map›Paper›PMID 28894578›Full record

ArticleMolecular and clinical oncology2017

Giant gastrointestinal stromal tumor of the vermiform appendix: A case report.

Manabu Kaneko, Kazushige Kawai, Koji Murono, Takeshi Nishikawa, Kazuhito Sasaki, Kensuke Otani, Koji Yasuda, Toshiaki Tanaka, Tomomichi Kiyomatsu, Keisuke Hata and 6 more

Open access · diamondAbstract read
In one paragraph

Article in Molecular and clinical oncology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.7field-weighted citation impact, top 28% 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

6 citing papers in PubMed, 11 citations in OpenAlex.

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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

16 authors at 2 institutions in 1 country.

Manabu KanekoDepartment of Surgical Oncology, Faculty of Medicine, The University of Tokyo, Tokyo 113-8655, Japan.
Kazushige KawaiDepartment of Surgical Oncology, Faculty of Medicine, The University of Tokyo, Tokyo 113-8655, Japan.
Koji MuronoDepartment of Surgical Oncology, Faculty of Medicine, The University of Tokyo, Tokyo 113-8655, Japan.
Takeshi NishikawaDepartment of Surgical Oncology, Faculty of Medicine, The University of Tokyo, Tokyo 113-8655, Japan.
Kazuhito SasakiDepartment of Surgical Oncology, Faculty of Medicine, The University of Tokyo, Tokyo 113-8655, Japan.
Kensuke OtaniDepartment of Surgical Oncology, Faculty of Medicine, The University of Tokyo, Tokyo 113-8655, Japan.
Koji YasudaDepartment of Surgical Oncology, Faculty of Medicine, The University of Tokyo, Tokyo 113-8655, Japan.
Toshiaki TanakaDepartment of Surgical Oncology, Faculty of Medicine, The University of Tokyo, Tokyo 113-8655, Japan.
Tomomichi KiyomatsuDepartment of Surgical Oncology, Faculty of Medicine, The University of Tokyo, Tokyo 113-8655, Japan.
Keisuke HataDepartment of Surgical Oncology, Faculty of Medicine, The University of Tokyo, Tokyo 113-8655, Japan.
Hiroaki NozawaDepartment of Surgical Oncology, Faculty of Medicine, The University of Tokyo, Tokyo 113-8655, Japan.
Soichiro IshiharaDepartment of Surgical Oncology, Faculty of Medicine, The University of Tokyo, Tokyo 113-8655, Japan.
Akimasa HayashiDepartment of Pathology, Faculty of Medicine, The University of Tokyo, Tokyo 113-8655, Japan.
Aya Shinozaki-UshikuDepartment of Pathology, Faculty of Medicine, The University of Tokyo, Tokyo 113-8655, Japan.
Masashi FukayamaDepartment of Pathology, Faculty of Medicine, The University of Tokyo, Tokyo 113-8655, Japan.
Toshiaki WatanabeDepartment of Surgical Oncology, Faculty of Medicine, The University of Tokyo, Tokyo 113-8655, Japan.
The University of Tokyo · JPUniversity of Tokyo Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Gastrointestinal stromal tumors (GISTs) of the vermiform appendix are rare, measuring <3 cm in 82.4% of the reported cases. Neoadjuvant therapy with the receptor tyrosine kinase inhibitor imatinib mesylate has the potential to improve resectability and organ preservation rates in locally advanced or metastatic/recurrent GISTs. We herein report the case of a 67-year-old male patient with an unusually large GIST (22 cm in diameter) of uncertain origin in the right lower abdominal quadrant, with a solitary peritoneal metastasis. Due to the size of this GIST and presence of metastatic disease, neoadjuvant therapy with imatinib (400 mg/day orally) was administered. Follow-up imaging studies revealed marked shrinkage of the primary and metastatic tumors. Subsequently, laparoscopic exploration revealed that the main tumor originated from the tip of the vermiform appendix, and that the peritoneal metastasis was located in the ascending mesocolon. The patient underwent laparoscopic appendectomy and excision of the peritoneal metastasis, without tumor rupture. Therefore, in appropriately selected patients, neoadjuvant imatinib for borderline resectable or oligometastatic GISTs may be a reasonable choice.

Indexed as

gastrointestinal stromal tumorimatinibneoadjuvant therapyvermiform appendix

Identifiers

PMID28894578
PMCPMC5582452
OpenAlexW2738160511

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.