Evidence map›Paper›PMID 30146556›Full record

ArticleInternal medicine (Tokyo, Japan)2018

Hepatocellular Carcinoma in a Patient with Hereditary Hemorrhagic Telangiectasia.

Kazuhiko Morii, Riku Uematsu, Takeharu Yamamoto, Shinichiro Nakamura, Hiroaki Okushin, Noriyuki Nishiwaki, Takanori Watanabe, Kyohei Kai, Shiso Sato

Open access · diamondAbstract readCase Reports
In one paragraph

Article in Internal medicine (Tokyo, Japan), 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.1field-weighted citation impact, top 47% 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

4 citing papers in PubMed, 10 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. 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

9 authors at 2 institutions in 1 country.

Kazuhiko MoriiDepartment of Hepatology, Japanese Red Cross Society Himeji Hospital, Japan.
Riku UematsuDepartment of Hepatology, Japanese Red Cross Society Himeji Hospital, Japan.
Takeharu YamamotoDepartment of Hepatology, Japanese Red Cross Society Himeji Hospital, Japan.
Shinichiro NakamuraDepartment of Hepatology, Japanese Red Cross Society Himeji Hospital, Japan.
Hiroaki OkushinDepartment of Hepatology, Japanese Red Cross Society Himeji Hospital, Japan.
Noriyuki NishiwakiDepartment of Hepatobiliary and Pancreatic Surgery, Shizuoka Cancer Center, Japan.
Takanori WatanabeDepartment of Hepatobiliary and Pancreatic Surgery, Japanese Red Cross Society Himeji Hospital, Japan.
Kyohei KaiDepartment of Hepatobiliary and Pancreatic Surgery, Japanese Red Cross Society Himeji Hospital, Japan.
Shiso SatoDepartment of Hepatobiliary and Pancreatic Surgery, Japanese Red Cross Society Himeji Hospital, Japan.
Himeji Red Cross Hospital · JPShizuoka Cancer Center · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

A 76-year-old woman with hereditary hemorrhagic telangiectasia (HHT) showed elevated serum hepatobiliary enzyme levels, and abdominal imaging studies revealed a hepatic tumor. Her serum alpha-fetoprotein level was 759.5 ng/mL. A pathological examination after hepatectomy confirmed a diagnosis of hepatocellular carcinoma (HCC). An examination of the surrounding liver revealed dilated vessels and thickened endothelial cells without inflammations. HHT patients without other risk factors (like this patient) reportedly have a lower incidence of common cancers, including HCC, in comparison to the unaffected population. One intriguing hypothesis that might explain the hepatocarcinogenesis in this situation is the ischemic liver cirrhosis theory, which suggests that chronic ischemia may cause parenchymal strain and promote inappropriate hepatocyte proliferation.

Indexed as

AgedCarcinoma, HepatocellularDiagnosis, DifferentialEndoscopy, GastrointestinalFatal OutcomeFemaleHumansLiver NeoplasmsMagnetic Resonance ImagingTelangiectasia, Hereditary HemorrhagicTomography, X-Ray Computedfocal nodular hyperplasiahepatocellular carcinomahereditary hemorrhagic telangiectasiaischemic liver cirrhosis theoryvascular malformation

Identifiers

PMID30146556
PMCPMC6355409
OpenAlexW2888275922

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.