Evidence map›Paper›PMID 29232390›Full record

ArticlePloS one2017

Clinicopathological hallmarks and biomarkers of colorectal neuroendocrine neoplasms.

Alexander Koenig, Sebastian Krug, Daniela Mueller, Peter J Barth, Ute Koenig, Michael Scharf, Volker Ellenrieder, Patrick Michl, Roland Moll, Kia Homayunfar and 4 more

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
2.1field-weighted citation impact, top 12% 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

18 citing papers in PubMed, 30 citations in OpenAlex.

  1. Trial
  2. Observational
  3. Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Review
  12. Colorectal neuroendocrine tumors: A case series.International journal of surgery case reports · 2020
    Article
  13. Article
  14. Observational
  15. Article
  16. Management of Gastrointestinal Neuroendocrine Tumors.Clinical medicine insights. Endocrinology and diabetes · 2019
    Review
  17. Review
  18. Review
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

14 authors at 2 institutions in 1 country.

Alexander KoenigDepartment of Gastroenterology and Endocrinology, Philipps-University of Marburg, Marburg, Germany.
Sebastian KrugDepartment of Gastroenterology and Endocrinology, Philipps-University of Marburg, Marburg, Germany.
Daniela MuellerDepartment of Gastroenterology and Endocrinology, Philipps-University of Marburg, Marburg, Germany.
Peter J BarthGerhard-Domagk-Institute of Pathology, University of Muenster, Muenster, Germany.
Ute KoenigDepartment of Gastroenterology and Gastrointestinal Oncology, University Medical Center Goettingen, Goettingen, Germany.
Michael ScharfDepartment of Gastroenterology and Endocrinology, Philipps-University of Marburg, Marburg, Germany.
Volker EllenriederDepartment of Gastroenterology and Gastrointestinal Oncology, University Medical Center Goettingen, Goettingen, Germany.
Patrick MichlDepartment of Internal Medicine I, University Halle, Halle, Germany.
Roland MollDepartment of Pathology, Philipps-University of Marburg, Marburg, Germany.
Kia HomayunfarDepartment of General-, Visceral- and Pediatric Surgery University Medical Center Goettingen, Goettingen, Germany.
Peter Herbert KannDepartment of Gastroenterology and Endocrinology, Philipps-University of Marburg, Marburg, Germany.
Philipp StroebelDepartment of Pathology, University Medical Center Goettingen, Goettingen, Germany.
Thomas M GressDepartment of Gastroenterology and Endocrinology, Philipps-University of Marburg, Marburg, Germany.
Anja RinkeDepartment of Gastroenterology and Endocrinology, Philipps-University of Marburg, Marburg, Germany.ORCID http://orcid.org/0000-0002-8156-2915
Philipps University of Marburg · DEMartin Luther University Halle-Wittenberg · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Chromogranin A (CgA) is a well-established marker for diagnosis and follow up of patients with gastroenteropancreatic neuroendocrine neoplasms (GEP-NEN). Recently, it has been shown that plasma levels of CgA correlate with tumor load and predict survival of patients with NEN of the small bowel. It is assumed that this is as well valid for NEN of the colon and rectum, however, this is not supported by data. To evaluate this assumption, we analyzed 62 patients with NEN of the colon and rectum listed in the Marburg GEP-NEN registry for clinicopathological characteristics, expression and plasma levels of CgA. The present study demonstrates that immunohistochemical CgA and synaptophysin are good markers for histological diagnosis in patients with NEN of the colon and rectum. However, plasma CgA is a poor marker to follow-up these patients because only a minority exhibited increased levels which did not increase significantly during tumor progression. In contrast to NEN of the small bowel, there is no correlation of CgA plasma levels with tumor burden or survival. Patients with NEN of the colon and rectum displayed a relatively good prognosis resulting in a median survival of 8.5 years. However, a subset of patients affected by G3 neoplasms, exhibited a poorer prognosis with a median survival of 2.5 years. Taken together, CgA is a valuable marker for immunohistochemical diagnosis, but CgA plasma concentration is not suitable to mirror tumor burden or prognosis in patients with NEN of the colon and rectum.

Indexed as

AgedBiomarkers, TumorChromogranin BColorectal NeoplasmsDisease ProgressionFemaleHumansMaleMiddle AgedNeuroendocrine TumorsBiomarkers, TumorChromogranin B

Identifiers

PMID29232390
PMCPMC5726657
OpenAlexW2775236901

What OpenQuestion holds

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LicenceCC BY
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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 OpenQuestion graph.